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Usually, the first step in evaluation is determining how much protein there really is

Dear Dr. Roach: I am a 67-year-old woman in good health. I received two doses of the Moderna vaccine.

Dear Dr. Roach: I am a 71-year-old woman in very good health. I have been taking a thyroid replacement since I was 12 years old. I currently take 125 mcg of thyroxine once daily, as well as 60 mg of Cymbalta.

Dear Dr. Roach: I am a 70-year-old man in good health. I have had regular colonoscopies since my 50s, but I wonder about the wisdom of a colonoscopy at my age. My doctor has sent repeated requests for me to schedule the procedure.

Dear Dr. Roach: About 15 years ago I was diagnosed with Type 2 diabetes, and began years of increasing numbers of medications and higher doses, until all but one is maxed out.

Dear Dr. Roach: I am a fit 85-year-old woman. I walk regularly and eat healthily. I have severe COPD and have been on the recommended dosage of Symbicort for 40 to 50 years.

Dear Dr. Roach: My 61-year-old husband has had 24 squamous cell carcinoma (skin cancer) surgeries on his scalp in the past five years. He has used dandruff shampoo (Head & Shoulders brand or similar) for the past 36 years or more.

Dear Dr. Roach: My daughter is still nursing her 10-month-old son. She decided to get the Pfizer vaccine and continue breastfeeding. Her doctor did not advise her against it.

Dear Dr. Roach: Why is it that no matter what time a surgery is scheduled, the rule is 鈥渘o food or drink after midnight鈥�? My recent procedure was scheduled for 12:30 p.m. I was told I could have no food after midnight.

Dear Dr. Roach: I have been having pains and discomfort in my chest area for over a month now. I am a woman and in my early 30s. My doctor says my heart is OK, but I can鈥檛 help but wonder.