In this issue: Opioids and pain relief, balance problem solutions, healthy fish recipes and more

HOUSECALL Mayo Clinic is ranked #1 in the nation. Vol. 18, Issue 88 | November 2, 2017   THIS WEEK'S TOP STORIES     Treating pain: When is an opioid the right choice? Opioid medications present serious risks, but sometimes they're medically necessary. Get the specifics on when they may be the right choice and the safeguards that are essential.     Balance problems   Feeling unsteady or dizzy when you stand, sit or lie down may indicate a balance problem. What could be the cause? Which tests will your doctor perform? What are the treatments? Find out.           EXPERT ANSWERS   Nail-biting: Does it cause long-term damage? Biting your nails may not harm them over time, but there are risks. Hypothyroidism: Can calcium supplements interfere with treatment? See how calcium supplements and antacids containing calcium may react to certain thyroid medications. Late-night eating: OK if you have diabetes? Should you give in to that post-dinner snack craving if you have diabetes? Learn which "free" foods may be OK to eat.   PLUS ADDITIONAL HIGHLIGHTS ... Slide show: Hand exercises for people with arthritis Nonallergic rhinitis Raynaud's disease Fish and shellfish recipes     TRUSTED HEALTH TOOLS   Use our Symptom Checker to explore possible causes of your symptoms based upon Mayo Clinic's patient care experience.   Use these simple calculators and self-assessments for personalized health tips.   Heart disease risk calculator Mayo Clinic healthy weight pyramid     MAYO CLINIC PRODUCTS & SERVICES   Best treatment strategies for arthritis Today's arthritis options are more effective than ever before, and understanding the condition is key to controlling it. In Mayo Clinic on Arthritis, you'll discover better medications, improved treatments and self-care tips. This practical knowledge can help you explore your best treatment strategies for leading an active life. Learn more.     SPECIAL ANNOUNCEMENT   EAT WELL, LIVE WELL with Mayo Clinic Healthy Living Join experts from Mayo Clinic for an enriching culinary weekend. You will learn the most current dietary recommendations, and discover which foods to choose and which ones to avoid. What better way to prepare as we head into the holiday season — all while you indulge in the five-star luxury of the Mandarin Oriental in Washington, D.C. Learn more!     HEALTHY RECIPES   Roasted salmon with maple glaze Fish tacos with tomatillo sauce Broiled grouper with teriyaki sauce   HEALTH TIP   What are the leanest cuts of beef? The U.S. Department of Agriculture defines an extra-lean cut of beef as a 3.5-ounce serving (about 100 grams) that contains less than 2 grams of saturated fat and 5 grams of total fat. Cuts that are considered extra lean include eye of round roast and steak; sirloin tip side steak; top round roast and steak; bottom round roast and steak, and top sirloin steak.   Need practical advice on diet and exercise? Want creative solutions for stress and other lifestyle issues? Discover even more healthy lifestyle topics at MayoClinic.org.   Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Advertising & Sponsorship Policy    |    Opportunities     Give to Mayo Clinic A gift to research at Mayo Clinic is a gift of life. Donate now.     Connect with Mayo Clinic For more of our reliable health information and tools, visit us at MayoClinic.org. Or add us to your social network!   Like us on Facebook Follow on Twitter Discover your Network   Watch on YouTube Patient Stories View More Newsletters     © 2017 Mayo Foundation for Medical Education and Research, 200 First Street SW, Rochester, MN 55905. All rights reserved.