Wellness

​HRT: The ‘infamous’ 2002 Women’s Health Initiative study and the black box

March 23rd, 2026

By Ellie Liverani

In November 2025, the FDA initiated the removal of the “black box” warning from Hormone Replacement Therapy (HRT). The “black box” warning is a FAD safety warning for healthcare providers and patients about a drug with serious, life-threatening risks, such as cancer, suicide, and/or cardiovascular diseaseAs.

HRT will be “just like another drug.” Is it good news or bad news? So far, it is just news.

Is HRT dangerous? Or is it the miracle drug that has been…

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​The not-so-revolutionary food pyramid

February 16th, 2026

By Ellie Liverani

In January 2026, the 2026-2030 dietary guidelines for Americans were released by the U.S. Department of Health and Human Services. They are supposed to be revolutionary and a “reset” from the previous ones. Are they? And if so, how revolutionary?

First, the renewal was due because dietary guidelines get reviewed every five years. So this was not an unexpected release as much as a routine task for the Department of Health. Second, it is important to reiterate that…

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​Holiday heart attack: the dark side of Christmas (that may be worse for women)

December 18th, 2025

By Ellie Liverani

eli.liverani.ra@gmail.com

At the beginning of the movie “How the Grinch Stole Christmas," the Grinch is introduced as having a smaller than average heart, but as the movie progresses, his heart increases three times its size. In the story, this means that the Grinch became a kinder and more compassionate creature. But in real life, a swollen heart can have different meanings and implications, including risk of heart diseases.

Indeed, the statistic tells us that the…

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​Leisure sickness: there may be no leisure, but we will thank it later

November 18th, 2025

sBy Ellie Liverani

eli.liverani.ra@gmail.com

The holidays are supposed to be magical: party, presents, fancy food, lights and sparks. You are looking forward to it. You work very hard, you put in long hours at work as well as at home. But then you accomplish everything, you are happy and ready for the fun part to start, but bam — you feel sick.

I have heard this story many times (and experienced it first-hand). But I always wonder. Is there a particular reason? Is it “real” or just…

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​The future of medicine is personal: divide and conquer

October 15th, 2025

By Ellie Liverani

eli.liverani.ra@gmail.com

When we are sick, all we want is a cure. You go to the doctor, they give you a pill, you take it for a bit, then you are cured. It happens. But unfortunately, it is not always the case.

Sometimes there is no treatment. Some diseases can only be managed, such as autoimmune diseases (Lupus or Hashimoto disease, for example). There are treatments specific to females and others for males, specific to your age. But it is not that simple. And some…

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​Essentia Health’s mobile mammogram program brings screenings to rural communities

October 6th, 2025

Press Release

As Breast Cancer Awareness Month begins, Essentia Health is highlighting an innovative — and recently expanded — program that brings early breast cancer detection services to rural communities. Essentia’s mobile mammography trucks have added additional locations across the rural health leader’s footprint, from central North Dakota to western Wisconsin, bringing convenient mammography services to more patients. The program will reduce travel time and eliminate barriers…

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​When loneliness does not kill, it makes you sicker

September 16th, 2025

By Ellie Liverani

eli.liverani.ra@gmail.com

Loneliness is on the rise in North Dakota, where there is one of the highest rates of people living alone. The challenging winter can be a major contributor, yet North Dakota is not alone. In the scientific literature, studies on loneliness come from all over the world, and they all report similar findings.

Loneliness is a feeling; therefore, it is hard to measure. It’s distinguished from solitude. There is a lack of interest in seeking…

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​What we owe our elders and each other: a call for community support and smarter aging solutions

August 19th, 2025

By Dr. Marc Sapir, MD, MPH

jessica@pellienpublicrelations.com

Across America, families are quietly struggling with a rising challenge: how to care for aging parents, siblings, grandparents, neighbors and friends. Most seniors want to remain independent but lack the resources (sometimes the energy) they need to do so.

It doesn’t have to be this way.

During my nine years as the founding medical director of the Center for Elders’ Independence — a PACE program in Oakland, California — I…

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​The Club of the Hashish-Eaters is recruiting

August 19th, 2025

By Ellie Liverani

eli.liverani.ra@gmail.com

Significant updates to North Dakota’s medical marijuana will be implemented in August 2025, making medical marijuana available as a therapeutic option. It will be low-dose edible cannabis products.

Cannabis and marijuana (and the other endless slang words for them) have been around for millennia for both recreational and medical use. Even poets, artists, and politicians have admittedly enjoyed them. But what do we know about them?

Is medical…

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​Back-to-school immunization clinics to be held in August

July 29th, 2025

By Alicia Underlee Nelson

alicia@hpr1.com

Caregivers for school-aged children and teenagers are encouraged to bring them to back-to-school immunization clinics scheduled for every Tuesday in August. Fargo Cass Public Health (FCPH) and Family HealthCare will partner to offer four clinics on August 5, 12, 19 and 26. All events will be held at the FCPH building (located at 1240 25th Street South in Fargo) from 8 a.m. to 3 p.m.

The August 5 and August 26 events require an appointment. Parents…

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