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A reader looks for new advice for an old problem: After more than 40 years of hot flashes, is there anything else she can try?

Should you get the HPV vaccine if you already have a history of the human papillomavirus?

Can a leaky aortic valve improve on its own without any medication or surgery?

Dear Dr. Roach: Is it OK to swallow a bunch of pills in one go or is it better to space them out?

Dear Dr. Roach: I was confused by your column the other day, as well as the response regarding weight loss to a writer who is losing height due to aging and/or osteoporosis. I am curious about the actual health effects of not losing weight or why you said it wasn鈥檛 necessary.

A reader writes: A few months ago, I suddenly had the worst pain in my life. An ENT diagnosed my condition as trigeminal neuralgia. What causes trigeminal neuralgia in the first place, and will it return?

Before going too far down the route of medications, I will refer my patients to a urologist, who has the ability to test whether it鈥檚 the prostate or the bladder that鈥檚 the real problem.