I’m 75 and doing great – I enjoy cycling, weights, spinning and walking.My resting heart rate used to average around 46-48bpm, but since my third covid shot it’s dropped to 39-43bpm. The same thing happened to my husband and my youngest son (40 years old). My GP said she had never experienced such symptoms from the vaccine.

Paul McIntosh, Darlington.

A low resting heart rate – defined as below 60 bpm (beats per minute) – is not necessarily a bad thing and can be a sign of fitness.

A low heart rate, known as sinus bradycardia, is a natural phenomenon in some people, and is a sign that the impulses from the sinoatrial node (the part of the heart that generates the heart rate) are 60 to 100 beats below normal. per minute.

However, other factors can influence it. Your resting heart rate decreases with age – and this may be contributing to your condition.

If your heart rate is too low to pump enough blood around the body, it is not considered a medical problem unless your heart rate is accompanied by symptoms such as fainting.

Paul McIntosh, from Darlington, wrote: 'My resting heart rate used to average around 46-48bpm, but since my third covid shot it's dropped to 39-43bpm.'

Paul McIntosh, from Darlington, wrote: ‘My resting heart rate used to average around 46-48bpm, but since my third covid shot it’s dropped to 39-43bpm.’

I had a patient with the exact same medical history as you that I referred for an annual ECG – a test to check the heart rate and electrical activity. Each year his resting heart rate got lower and eventually reached 32 bpm and I referred him to a cardiologist, who fitted him with a pacemaker to prevent his heart rate from dropping further. I am happy to report that this never happened.

As for whether your resting heart rate may be related to the covid vaccine, I have checked the medical literature and there is no mention of bradycardia as a complication. I have also spoken with colleagues and there is some evidence that covid infection is associated with changes in the nervous system that controls heart rate.

While the cause in your family may be coincidental, I think it’s important for both of you to discuss an annual ECG with your GP to check your heart rate.

I have been waiting two years for an operation to fix my manhood. I was told it could take another two years for the process. My wife understands but the curvature of my penis makes sex impossible and the condition is affecting my mental health. Can you help?

Name and address provided.

It can’t be easy for you to write about this stressful situation – but let me assure you that you are not alone.

In my view… it’s not just what you eat — when it’s important

I’m always on the lookout for new tips for patients trying to lose weight, so I was intrigued by the studies on time-restricted diets.

Published in JAMA International Medicine, it found that obese adults who ate only between 7am and 3pm lost weight compared to those who ate the same amount of food spread throughout the day.

Our body’s circadian rhythm affects many aspects of our health. I remember learning as a medical student – how the hormone cortisol, known as the stress hormone, which also keeps us alert – is at its lowest at 4am, which is why people are most likely to die in the dark hours before dawn. When you feel weak through low cortisol (levels then rise quickly).

There seems to be a natural rhythm to metabolism as well. So for those trying to lose weight, it’s not just about what you eat, it’s about what you eat when you eat it.

Up to 5 percent of men from middle age are affected by this. Not only does it make sex difficult, it can also be painful.

Your condition, called Peyronie’s disease, is where scarring forms in the fibrous lining that covers the spongy erect tissue in the center of the penis.

The narrow tissue pulls the surrounding area, which creates a clear curve when the penis is erect.

This obviously has a big impact. One study found that 81 percent of affected men had emotional problems, and 54 percent suffered from relationship problems.

One treatment option is a vacuum device to help straighten the penis. Another is an injection of the enzyme collagenase called Xiapex, which softens or completely removes the scar (although this is not available on the NHS).

For severe cases, surgery is the gold standard treatment.

This involves removing the scar and implanting a device to correct the penis.

Overall, the surgery’s success rate is good: in a study of 61 patients, 86 percent were able to return to sexual activity.

The biggest problem I’ve seen is surgery on the NHS. Since the condition is not cancer-related or life-threatening, I’m afraid you’ll have to wait longer.

Depending on your financial situation, it may be worth looking into going private. It is unfortunate for you and millions of other patients that, given your stress, the current state of the NHS means that paying for private care may be the easiest solution for you.

Write to Dr. Scurr

Write to Dr Scurr at Good Health, Daily Mail, 2 Derry Street, London W8 5TT or email drmartin@dailymail. co.uk – Include your contact details. Dr Scurr cannot access private correspondence. Answers should be taken in context and consult your own GP with any health concerns.

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