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Dear Dr. Roach: I鈥檓 a mother of a 49-year-old woman with special needs. She has tuberous sclerosis and a touch of autism. She has been on Abilify for more than six years to control the behavioural problems.

Dear Dr. Roach: I go to a group of excellent dermatologists, but one aspect of their practice bothers me. Often, the doctor will recommend a 鈥減roduct,鈥� which the practice sells. They are not cheap.

Dear Dr. Roach: I hope you will be able to help me with my problem. I am 67 years old and have been sweating profusely from my head for about six years. I believe it is secondary hyperhidrosis. No one in my family has this problem.

Dear Dr. Roach: I鈥檓 84 and was diagnosed in late 2012 with anemia (cause undetermined). Fatigue and dizziness are my major symptoms, and my bone marrow biopsy was negative for cancer.

Dear Dr. Roach: We recently lost a dear relative to cholangiocarcinoma. He had served in the U.S. Navy in Vietnam. The probable cause of his cancer was from a parasite, a river fluke, common to that region.

Dear Dr. Roach: I have been contending with blepharospasm for years. I聽got some relief from Botox for about four years, but then it stopped working and my doctor moved me to Dysport, which was horrible.

Dear Dr. Roach: In an answer to a previous question, you should have addressed the strong family history of breast cancer. She should be referred to a genetic counsellor to determine whether she needs to be screened for BRCA I or BRCA II. J.T.

Dear Dr. Roach: After being on Paxil for about 15 years, it wasn鈥檛 working anymore. My doctor decreased my dose, and I slowly started Viibryd. The first week I felt great. When I increased the dose of Viibryd, I began feeling sick.

Dear Dr. Roach: My husband was diagnosed with progressive supranuclear palsy, or PSP. We have been told that it is rare and that there is no treatment and no cure.

Dear Dr.