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Ask Dr. Gott 6/6
Silent heart attack can be a killer
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    DEAR DR. GOTT: I would like you to explain to me about a silent heart attack. I have experienced one but know very little about it.
    DEAR READER: Ordinarily, heart attacks are associated with severe chest pain that radiates to the left arm and shoulder. However, on rare occasions, this pain is absent or mild. People may not even suspect they have had a coronary occlusion — but the heart damage is present and permanent, leading to characteristic electrical patterns on the electrocardiogram and on other testing, such as a stress test.
    A silent heart attack must not be ignored because it can lead to a repeat event that could be fatal. I urge you to follow up with a cardiologist, who will test you further and offer advice about how to avoid additional risk. You are a perfect candidate for the diagnostic gold standard: coronary angiography (special X-rays of your coronary arteries) so that specialists can determine the location and extent of any arterial blockages. Don't delay seeking a consultation with a specialist.
    To give you related information, I am sending you a copy of my Health Report "Coronary Artery Disease." Other readers who would like a copy should send a long, self-addressed, stamped envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

    DEAR DR. GOTT: After many years of having problems with constipation, a friend told me about golden flaxseed meal. You can purchase it at health-food stores. You simply sprinkle it on your cereal for breakfast. It has no flavor, so it is easy to eat and works very well.
    DEAR READER: Thanks for the tip.
    DEAR DR. GOTT: Three years ago, I was diagnosed with type II diabetes. I was put on insulin and a 1,500-calorie-a-day diet. I lost about 60 pounds and was able to quit taking insulin after nine months. I am now taking 850 milligrams of metformin twice daily but can't seem to keep my blood sugar stabilized and haven't lost any more weight. I should lose about 20 more pounds. I would like to try your no-flour, no-sugar diet, but I haven't been able to find a copy of your book.
    DEAR READER: "Dr. Gott's No Flour, No Sugar Diet" is available in most bookstores or online at www.amazon.com and www.barnesandnoble.com.
    Using it should enable you to lose the final 20 pounds that challenge you. I suspect the weight loss will enable you to stabilize your blood sugar and discontinue your diabetes medication altogether. Congratulations on your successes thus far. Keep me posted.
    To give you related information, I am sending you a copy of my Health Report "Living with Diabetes Mellitus." Other readers who would like a copy should send a long, self-addressed, stamped envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

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