Question 1

Im looking to grow taller and want to reach around 61 to 62. Can I take HGH injections for this? Also, are there any yoga exercises that can help with height growth?

Accepted Answer

HGH injections are typically only prescribed for medical conditions related to growth hormone deficiencies, and using them without supervision can have risks. For natural height growth, focusing on yoga poses like Tadasana, Surya Namaskar, and Trikonasana can help improve posture and flexibility, which may support your growth potential. It's always best to consult a doctor before considering HGH therapy.

Question 2

Hi Doctor, I checked my sugar level two hours after eating, and it was 220. Im worried about how to bring it under control. Could you suggest what medicine I might need and how to manage this better?

Accepted Answer

Immediate Action1. Hydrate: Drink water to help your body absorb the excess glucose.2. Physical Activity: Engage in light physical activity, like a short walk, to help lower your blood sugar levels.Diagnosis and Treatment AdviceA blood sugar level of 220 mg/dL after 2 hours of eating may indicate:1. Prediabetes: Your body is having trouble managing blood sugar levels.2. Type 2 Diabetes: Your body is not producing enough insulin or is resistant to insulin.Your doctor may recommend:1. Lifestyle Changes: Dietary modifications, increased physical activity, and weight management.2. Oral Medications: Metformin, sulfonylureas, or other medications to help manage blood sugar levels.3. Insulin Therapy: If oral medications are not effective or if your blood sugar levels are severely elevated.

Question 3

Hi, Im a 28-year-old woman working a desk job from 11-8. Im generally healthy, I swim 4 days a week, and Im 5 feet tall, weighing 50kgs. Im vegetarian and consume milk-based products, but recently my diet has been all over the place with irregular eating habits. My TSH level is 8.67, but my T3 and T4 levels are normal. Ive had high TSH before, but I managed to bring it down with lifestyle changes. Im planning to focus on improving my diet and lifestyle to reduce TSH naturally, but I wanted to know if youd recommend a multivitamin supplement to support this process while I work on getting my levels back in check?

Accepted Answer

Elevated TSH (8.67) with normal T3 and T4 levels._General Recommendations_1. _Dietary changes_: Focus on whole, nutrient-dense foods, including fruits, vegetables, whole grains, and lean protein sources.2. _Iodine-rich foods_: Include iodized salt, dairy products, and seaweed in your diet to support thyroid function.3. _Omega-3 fatty acids_: Found in walnuts, flaxseeds, and chia seeds, these healthy fats support thyroid health.4. _Stay hydrated_: Drink plenty of water throughout the day.5. _Regular exercise_: Continue swimming and consider adding yoga or stress-reducing activities._Multivitamin Recommendations_1. _Iodine supplement_: Consider taking an iodine supplement (150-200 mcg/day) after consulting your doctor.2. _Multivitamin with selenium and zinc_: Look for a multivitamin containing selenium (50-100 mcg/day) and zinc (15-20 mg/day), which support thyroid function._Specific Multivitamin Suggestions_1. _Thyronorm_: A thyroid-supporting multivitamin containing iodine, selenium, and zinc.2. _Nutrilite Daily_: A multivitamin containing essential nutrients, including iodine, selenium, and zinc.

Question 4

I'm 32 weeks pregnant, and I recently did a glucose tolerance test. My results were: fasting glucose 79 mg/dl, 1-hour test 219 mg/dl, 2-hour test 192 mg/dl, and 3-hour test 181 mg/dl. My doctor recommended taking Metformin tablets, but I'm concerned about how this might affect my baby. Can you help me understand if it's safe?

Accepted Answer

Glucose Tolerance Test (GTT) results:_1. _Fasting_: 79 mg/dL (normal)2. _1-hour_: 219 mg/dL (high)3. _2-hour_: 192 mg/dL (high)4. _3-hour_: 181 mg/dL (high)_Indication of gestational diabetes:_1. _High glucose levels_: Your GTT results indicate high glucose levels, which may suggest gestational diabetes._Metformin tablets:_1. _Common treatment_: Metformin is a common medication used to manage gestational diabetes.2. _Safety for the baby_: Metformin is generally considered safe for the baby, but it's essential to discuss potential risks and benefits with your doctor._Potential benefits for the baby:_1. _Reduced risk of complications_: Managing gestational diabetes with metformin can help reduce the risk of complications for the baby, such as macrosomia (excessive birth weight) or respiratory distress._Monitoring and follow-up:_1. _Regular blood sugar checks_: Monitor your blood sugar levels regularly to ensure the medication is effective.2. _Fetal monitoring_: Your doctor will closely monitor the baby's growth and well-being.

Question 5

Ive been on Teneligliptin 20 mg once a day for the past 3 weeks, along with my usual Mixtard insulin. Its helping to control the fluctuations in my blood sugar levels, which is great. But since I also have heart issues, Im wondering if there are any side effects of Teneligliptin that I should be aware of. My Vitamin D levels were found to be low recently, so Im taking D-Retcal 60k once a week. Will taking both Teneligliptin and the Vitamin D supplement help me improve my diabetes control? My HbA1C is around 9% and Ive been diabetic for a while.

Accepted Answer

Teneligliptin is generally well-tolerated, but as a heart patient, monitor for:1. Hypoglycemia (low blood sugar)2. Increased risk of heart failure3. Acute kidney injuryInteractions with Vitamin D supplements are unlikely. However, Vitamin D deficiency correction may improve insulin sensitivity, helping with diabetes control.To achieve better control, consider:1. Regular monitoring of blood glucose and HbA1c2. Adjusting insulin and Teneligliptin dosages under medical supervision3. Maintaining a healthy diet and exercise routine4. Regular follow-ups with your doctor to adjust treatment plans as needed

Question 6

I'm in my second trimester of pregnancy and was diagnosed with thyroid issues in the first trimester. I've been on medication since then, but my thyroid level is now at 11.7, and Im really worried. My second ultrasound was normal, and the baby is doing well, but I still feel anxious. Can you guide me on how to manage this, and also help with any dietary changes that could improve my thyroid levels during pregnancy?

Accepted Answer

.Well your tsh levels are still high and you definitely need to take treatment for your hypothyroidism..I would suggest you to meet a gynecologist and start the recommended treatment as you are pregnant..You don't have to worry as with the correction you can continue the pregnancy also..

Question 7

My fasting blood sugar is usually around 108 to 115, and I dont take any diabetic medication. I exercise regularly, but I want to get my fasting sugar levels into the 90s. What can I do to bring it down without using any diabetes medicine?

Accepted Answer

To lower your fasting blood sugar from 108-115 to the 90s without medication, focus on these lifestyle modifications: increase aerobic exercise duration/intensity (aim for 150 minutes/week), incorporate strength training (2-3 times/week), lose weight if needed (aim for 5-10% reduction), adopt a balanced diet with whole, unprocessed foods, increase fiber intake (aim for 25-30 grams/day), drink plenty of water, manage stress through yoga or meditation, and aim for 7-8 hours of sleep per night; monitor your progress

Question 8

Im 34 years old and my random blood sugar reading was 153. Should I be concerned about this?

Accepted Answer

A random blood sugar level of 153 mg/dL is considered elevated, but not necessarily indicative of diabetes; however, it's a red flag, especially for someone as young as 34, and warrants further evaluation, such as a fasting blood sugar test, HbA1c, or an oral glucose tolerance test, to determine if you're at risk for developing insulin resistance, prediabetes, or type 2 diabetes

Question 9

I've been diabetic for about 4-5 months now. My latest HBA1C result came out as 5.6%. Can you explain what that means? Also, my average blood glucose level is 122 mg/dL. Is that normal, or should I be concerned?

normal hba1c is 5.6 and if your fasting is 122mg/dl then it comes under pre diabetic range

Last updated on 18 Dec 2024

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Accepted Answer

normal hba1c is 5.6 and if your fasting is 122mg/dl then it comes under pre diabetic range

Question 10

Ive got hypothyroidism and I wanted to know if its okay to drink Ragi malt or Ragi Java. Can Ragi or other millets have any negative effects on my thyroid condition?

Accepted Answer

Yes you can use it.

Question 11

Im 43, obese, and work in IT. My fasting blood glucose level is 148. I take Asomex LT for hypertension daily at bedtime. What medicines would you suggest to help control my high blood glucose levels?

Accepted Answer

Fasting blood glucose should not exceed 100mg/dl. The initial drug of choice for first line treatment of type 2 diabetes mellitus is Metformin 500mg. However, in order to get a more comprehensive understanding of your condition, you should undergo a panel of tests including FBS, PPBS, HbA1C, and URE. This data will help to curate a more effective treatment plan for you. You should also look into lifestyle modifications such as diet control, regular exercise, stress management and cessation of smoking/drinking (if you are a smoker/drinker).

Question 12

I recently got a scan done and it showed a tiny nabothian cyst on my cervix. I already have a cyst in my left ovary and Im a little worried about what this means. Is a nabothian cyst harmful and could it affect my ability to get pregnant?

Accepted Answer

A nabothian cyst is a small, benign growth on the cervix, typically harmless and asymptomatic, often resolving on its own; having a nabothian cyst is unlikely to affect pregnancy or fertility, but it's essential to monitor both the nabothian cyst and the ovarian cyst through regular check-ups with your gynecologist to ensure they don't cause any complications or affect your reproductive health

Question 13

I recently got a report saying "suggesting thyronormalcy" and Im worried I might be showing signs of thyroid issues. My sugar level drops to 75 after meals, I sometimes feel like my vision gets blurry, and Ive noticed dents appearing in my right leg. Could this be related to thyroid problems, or is there something else going on?

Accepted Answer

Your report suggests euthyroidism (normal thyroid function), but you're experiencing symptoms that could be related to thyroid issues, such as blurred vision, dents in your leg (possibly related to fat or muscle loss), and low blood sugar (75 PP); however, these symptoms can also be caused by other factor

Question 14

I just had a TSH test done, and the result came back at 0.02. Im unsure what this means and what steps I should take. Can you explain what this low TSH level indicates and what I should do next?

Accepted Answer

Hi, a TSH level of 0.02 is very low and suggests hyperthyroidism or an overactive thyroid. I recommend consulting your doctor or an endocrinologist for further evaluation, including free T3, T4, and antibody tests, to identify the cause and determine the appropriate treatment.

Question 15

Ive been feeling weak and dizzy for the last 15-20 days. I have diabetes, and my blood sugar fluctuates between 100 and 250. I take Piosys, Eurepa, Vobit, Basalog, and BP meds. I tried taking Sturegon for 20 days, but it didnt help. What can I do to manage the dizziness and weakness?

Your sugar levels are very high and may be your BP has increased.

Last updated on 18 Dec 2024

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Accepted Answer

Your sugar levels are very high and may be your BP has increased.

Question 16

Im 27 and have gynecomastia, and my weight is 73 kg. Im planning to get married soon and want to get my body in shape. Ive read that surgery is the only solution for gynecomastia, so Im considering it. I also have a tummy, and my chest and tummy are almost the same size. After surgery, will my tummy look more protruding than my chest?

Accepted Answer

Gynecomastia vanishes without treatment in less than two years. But in some patients treatment may be needed if gynecomastia doesn't improve on its own or if it causes significant pain and embarrassment...avoid junk foods,carbohydrates like rice etc,avoid oily foods...add proteins and fibre rich foods to your diet with green tea,green leafy vegetables, fruits...do regular exercise at least 2 hours a day....Medications used to treat breast cancer and other conditions, such as tamoxifen and raloxifene may be helpful for some men with gynecomastia....if no improvements to medications you can go for surgery....Two gynecomastia surgery options are:Liposuction. This surgery removes breast fat, but not the breast gland tissue itself.Mastectomy. This type of surgery removes the breast gland tissue. The surgery is often done endoscopically, meaning only small incisions are used. This less invasive type of surgery involves less recovery time...consult nearest surgeon they will do the needful.

Question 17

My fasting sugar level is 144 and my post-prandial is 238. I'm not on any medication for diabetes. Should I start taking medicine now, and if so, which one is the safest and whats the recommended dose?

Accepted Answer

Take only direct sugar restricted diet.Have 4kms. Morning walk daily.Medicine will not be required if you complywith advice.At the most ,add 1/2 hour exercise dailyat your residence

Question 18

I'm 51 years old and weigh 62 kg. I've been taking 88 mcg of thyroid medication daily for the past 6 months for hypothyroidism. I just got my thyroid profile tested, and the results are: T3 - 0.98, T4 - 7.93, and TSH - 12.58. Could you please suggest what steps I should take next?

Accepted Answer

-It seems your TSH level is still higher than the normal range, indicating that your thyroid may not be fully optimized with the current dosage of 88 mcg. I recommend discussing with your doctor about adjusting your medication or exploring other treatment

Question 19

My testosterone levels have dropped from 270 ng/dl to 208.83 ng/dl over the past two months. I was tested for various hormones, including LH, FSH, prolactin, estradiol, and thyroid function, and all were normal, except my estradiol which was 30 and TSH at 4.5. Im not on any medications, and I dont have deficiencies in vitamin D, zinc, or other nutrients related to testosterone production. Ive always had low hormone levels and it really affects how I feel every day. I have beta thalassemia minor, chronic back pain, low hemoglobin, weak bones, extra chest fat, and metabolic issues. I also have painful acne that flares up if I eat too much oil or sugar. I feel tired easily and struggle with these issues constantly. Ive been told that endocrinologists arent experts on testosterone replacement therapy (TRT), but I need help understanding what could be causing these symptoms and how to improve my situation.

-It sounds like you're dealing with a range of complex health issues, from low testosterone to chronic pain and metabolic concerns, which can really impact your quality of life. While your hormone levels may be normal in some tests, persistent symptoms li

Last updated on 18 Dec 2024

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Accepted Answer

-It sounds like you're dealing with a range of complex health issues, from low testosterone to chronic pain and metabolic concerns, which can really impact your quality of life. While your hormone levels may be normal in some tests, persistent symptoms li

Question 20

Ive been taking 75 and 100 mcg of Eltroxin on alternate days since before delivery and continued it after delivery. I had my TSH test done 45 days later, and the result came out to be 2.2. Can you please suggest what dosage I should take from now on?

Accepted Answer

-It's great that you've had your TSH checked. With a result of 2.2, it seems like your thyroid levels are in a healthy range. However, it's best to consult with your doctor to adjust your dose based on your individual needs post-delivery. They can provide

Question 21

My TSH was 43, and Ive been taking Thyronorm 125. Now my TSH is normal, but my T4 levels are still high. What could be the cause of this and what should I do next?

Accepted Answer

-It seems like your thyroid medication, Thyronorm 125, might be slightly too high, causing an increase in T4 levels even though your TSH is normal. It could indicate that your thyroid dose needs a small adjustment. It's best to consult your doctor for pro

Question 22

I just checked my random blood sugar level and it was 154, about 1 hour and 15 minutes after eating breakfast. Is this something I should be worried about? Im not on any medication, but I do have a sedentary lifestyle with very little physical exercise. I try to eat healthy and avoid sugar and oil, though. Could this blood sugar level be a sign of something more serious?

Accepted Answer

-A random blood sugar level of 154 mg/dL, about 1 hour after eating, is a bit higher than normal (which is usually under 140 mg/dL). Its worth keeping an eye on, especially with a sedentary lifestyle, as it could indicate your body isnt processing s

Question 23

My fasting blood sugar is 155 and PP is 167, but my HbA1c is 6.4. Im taking Glycomate GP 1 gm daily, but my sugar levels arent well controlled. Can you suggest the right medicine and let me know when I should take it?

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Last updated on 18 Dec 2024

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Question 24

I had a Thyroid Function Test on 04-06-2016, and here are the results:- T3: 1.09 ng/ml (normal range 0.72-2.02 ng/ml)- T4: 8.38 g/dl (normal range 4.3-12.5 g/dl)- TSH: 5.61 IU/ml (normal range 0.4-4.2 IU/ml)Do I need medication for this, especially considering the TSH level is above the normal range?

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Last updated on 18 Dec 2024

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Question 25

My TSH level has increased to 7.8, but my T3 and T4 are still within the normal range. A month ago, my TSH was 5.7. I had missed my periods for two months, so I started taking medication, and this month I got my periods. Could this be related? What medications or steps should I take to control my TSH and bring it back to normal? Is there a way to eliminate this issue completely?

Accepted Answer

- Your TSH level of 7.8 suggests subclinical hypothyroidism, which may be influenced by your hormonal changes, including menopause. It's important to consult with your doctor for a thorough evaluation. Based on your symptoms and medical history, they may

Question 26

I consulted you a while ago about my PCOS and irregular periods, and you prescribed Devi-Re and Krimson-35. Can you please guide me on when exactly to start taking Krimson-35 during my cycle, like which day of my period should I begin?

Accepted Answer

Krimson-35 (Combined Oral Contraceptive) for PCOS and Irregular Periods_Taking Krimson-35_1. _Start on Day 1-5_: Begin taking Krimson-35 on the first day of your period or within the first 5 days.2. _Take one tablet daily_: Consume one Krimson-35 tablet daily at the same time for 21 consecutive days.3. _7-day pill-free interval_: After completing 21 days, stop taking Krimson-35 for 7 days. During this time, you may experience withdrawal bleeding.4. _Repeat the cycle_: Start a new pack of Krimson-35 after the 7-day pill-free interval._Important Reminders_1. _Take Krimson-35 consistently_: To maintain its effectiveness, take Krimson-35 at the same time every day.2. _Missed pills_: If you miss a pill, take it as soon as you remember. If you miss two or more pills, consult your doctor for guidance.3. _Monitor your periods_: Keep track of your periods, including any changes in bleeding patterns or intensity._Please consult your doctor if you experience any of the following:_1. _Severe side effects_: Such as severe headaches, chest pain, or difficulty breathing.2. _Changes in bleeding patterns_: Heavy bleeding, prolonged bleeding, or spotting.3. _Other concerns_: Any other concerns or questions you may have about taking Krimson-35.

Question 27

I have hypothyroidism, but my levels are normal. A few days ago, I had a fever, and I took Crocin for a day, which helped bring the fever down. However, now I'm feeling like I can't breathe properly at timessometimes while sitting, sometimes standing. Drinking water or eating helps a little, but the shortness of breath comes back. Could this be an infection, or maybe it's just anxiety? Are there any tests I should consider?

Accepted Answer

Shortness of Breath Concerns_Possible Causes_1. _Hypothyroidism_: Although your hypothyroidism is currently under control, it can still cause respiratory issues.2. _Respiratory infection_: A recent fever and shortness of breath may indicate a respiratory infection, such as pneumonia or bronchitis.3. _Anxiety or panic attacks_: Anxiety can cause shortness of breath, especially if you're experiencing panic attacks.4. _Gastroesophageal reflux disease (GERD)_: GERD can cause shortness of breath, especially after eating or drinking._Recommended Tests_1. _Complete Blood Count (CBC)_: To rule out infection or inflammation.2. _Chest X-ray_: To evaluate lung health and rule out respiratory infections.3. _Pulmonary Function Tests (PFTs)_: To assess lung function and capacity.4. _Thyroid Function Tests (TFTs)_: To ensure your hypothyroidism is still under control._Immediate Actions_1. _Stay hydrated_: Drink plenty of water to help manage shortness of breath.2. _Rest_: Get plenty of rest to help your body recover.3. _Monitor symptoms_: Keep track of your symptoms, including when they occur and how long they last._When to Seek Emergency Care_1. _Severe shortness of breath_: If you experience severe shortness of breath or difficulty breathing.2. _Chest pain or tightness_: If you experience chest pain or tightness.3. _Fever above 102F (39C)_: If you have a fever above 102F (39C).

Question 28

Hi, Im 34 and my fasting glucose level is 103. Im worried about what this means for my health. How dangerous is this level for me, and how long do you think it might take before it turns into prediabetes or type 2 diabetes if I dont make changes?

Accepted Answer

Fasting Glucose 103 mg/dL at Age 34_Interpretation:_1. _Normal fasting glucose_: <100 mg/dL2. _Impaired fasting glucose (IFG)_ : 100-125 mg/dL (your level: 103 mg/dL)_Risk assessment:_1. _Moderate risk_: With a fasting glucose of 103 mg/dL, you have a moderate risk of developing:- Insulin resistance- Type 2 diabetes- Cardiovascular disease_Progression to prediabetes and type 2 diabetes:_1. _Timeline uncertain_: The progression from impaired fasting glucose to prediabetes and type 2 diabetes varies depending on individual factors, such as:- Family history- Physical activity level- Diet- Body mass index (BMI)2. _Estimated risk_: Assuming no lifestyle changes, your risk of developing:- Prediabetes: 20-30% within 5-10 years- Type 2 diabetes: 10-20% within 10-20 years_Lifestyle modifications:_1. _Dietary changes_: Focus on whole, unprocessed foods, and limit sugary drinks and refined carbohydrates.2. _Physical activity_: Engage in at least 150 minutes of moderate-intensity aerobic exercise, or 75 minutes of vigorous-intensity aerobic exercise, or a combination of both, per week.3. _Weight management_: Maintain a healthy weight, with a BMI between 18.5 and 24.9.4. _Regular monitoring_: Schedule regular health check-ups to monitor your fasting glucose levels and adjust your lifestyle modifications as needed.

Question 29

Im currently diabetic and taking medication for it. Im thinking of starting IME9 and wanted to know if I should take one or two tablets daily. Whats the right dosage for someone like me?

Accepted Answer

.. It would been easier if you posted your current blood glucose level, Life style modifications are the main treatment for the Diabetes.... Consider dietary changes. Low-fat, high-carbohydrate diets may increase insulin levels, so you may want to consider a low-carbohydrate diet . High-fiber carbohydrates include whole-grain breads and cereals, whole-wheat pasta, bulgur wheat, barley, brown rice, and beans. Exercise helps a lot. Consult your doctor before going for alternate medicine

Question 30

Hi, Ive been diagnosed with hypothyroidism and Im struggling with it. Im really skinny and no matter what I do, I just cant seem to gain weight. Can you suggest any treatments or steps I can take to manage this and put on some weight?

Accepted Answer

For hypothyroidism treatment, consult an endocrinologist or a thyroid specialist who can prescribe synthetic thyroid hormone replacement medication, such as levothyroxine, to regulate your thyroid hormone levels; to gain weight, focus on consuming more calories than you burn, eating nutrient-dense foods, including protein shakes, nuts, dried fruits, and avocados, and consider consulting a registered dietitian for a personalized meal plan.

Question 31

Ive been advised to take a B12 injection once a week for 6 weeks and then once a month for the next 6 months. Whats the best time of day to take it? Are there any side effects I should know about? I also take Ziten 20mg in the morning for diabetes and Razel 5mg at nightcould these interact with the B12 injection?

Accepted Answer

Optimal Timing for B12 Injections_The best time to take a B12 injection is in the morning, as it can help increase energy levels throughout the day. Additionally, taking it in the morning may help minimize any potential sleep disturbances._Potential Side Effects_B12 injections are generally considered safe, but some people may experience:1. Pain, redness, or swelling at the injection site2. Fatigue3. Headache4. Dizziness5. Nausea6. DiarrheaThese side effects are usually mild and temporary._Interactions with Other Medications_B12 injections are unlikely to interact with your diabetes medications, Tab Zitten (20mg) and Razel (5mg). However, it's essential to inform your doctor about all medications you're taking to ensure safe treatment._Specific Considerations_1. _Monitor your blood sugar levels_ closely, as B12 injections may affect glucose metabolism.2. _Inform your doctor_ if you experience any changes in your blood sugar levels or any other concerns.

Question 32

My TSH level is 11.4, is that normal or should I be worried? Can you please guide me on how much medication I should take and what kind of diet plan would be suitable for me?

Accepted Answer

A TSH level of 11.4 is higher than the normal range (0.4-4.5), indicating hypothyroidism; consult your endocrinologist or healthcare provider for personalized guidance, but typically, levothyroxine (T4) medication is prescribed, starting with a low dose (25-50 mcg) and adjusting as needed; a general diet plan for hypothyroidism includes: iodine-rich foods (dairy, seafood), selenium-rich foods (Brazil nuts, fish), zinc-rich foods (oysters, beef), and avoiding soy, gluten, and cruciferous vegetables, which can interfere with thyroid function.

Question 33

My blood sugar level is 142, and Im a bit concerned. Is this something I should be worried about, or is it just a minor issue? What steps or actions should I take next to manage this?

Accepted Answer

A blood sugar level of 142 mg/dL indicates prediabetes or impaired glucose tolerance; while it's not extremely high, it's essential to take proactive steps to manage your blood sugar levels and prevent progression to diabetes; consider consulting your doctor, who may recommend lifestyle changes, such as a balanced diet, regular exercise, weight management, and stress reduction, and may also suggest regular monitoring of your blood sugar levels and potentially prescribe medication or supplements to help regulate your blood sugar.

Question 34

Hello Doctor, Im obese and my endocrinologist has prescribed Glycomet SR 850 twice a day for 3 months. Im wondering if this tablet will help me lose weight, and how exactly does it work? Could you please explain?

Accepted Answer

Glycomet SR 850 is a medication for type 2 diabetes management, not primarily for weight loss. However, weight loss may occur as a secondary effect

Question 35

Ive had a thyroid problem for the last 7 years, and my current TSH level is 2.50. Is this within the normal range or is it on the higher side? Im taking 50 mg of medicine for it. Should I be concerned or make any changes?

Your TSH level (2.50) is within the normal range (0.45-4.5), indicating good thyroid function

Last updated on 18 Dec 2024

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Your TSH level (2.50) is within the normal range (0.45-4.5), indicating good thyroid function

Question 36

I'm 29 and married, and I have PCOD. I haven't been taking any treatment for it lately. My periods have been irregular, and I havent had one since February. I've been trying to lose weight, but so far, I haven't seen much progress. What should I do? I'm feeling really stressed about it.

Accepted Answer

Considering your PCOD, irregular periods, and weight loss struggles, consult a gynecologist or an endocrinologist to discuss a comprehensive treatment plan, which may include hormonal medications, fertility treatments, and lifestyle modifications, such as a personalized diet and exercise plan, stress management techniques, and possibly medications like Metformin to regulate your menstrual cycle and improve insulin sensitivity

Question 37

I checked my vitamin D levels last month, and they were really low. Can I get enough vitamin D from evening sunlight, or does it only get absorbed in the morning?

Accepted Answer

Vitamin D Absorption from Sunlight_Morning Sun vs. Evening Sun_1. _UVB rays_: Vitamin D is produced in the skin upon exposure to UVB rays from the sun.2. _Morning sun_: UVB rays are more intense during morning hours (7-10 am), making it a better time for vitamin D production.3. _Evening sun_: While some UVB rays are still present in the evening (4-6 pm), the intensity is significantly lower, making it less effective for vitamin D production._Tips for Vitamin D Production from Sunlight_1. _Expose skin_: Expose your face, arms, and legs to sunlight for 10-15 minutes, 2-3 times a week.2. _Avoid peak hours_: Avoid sun exposure during peak hours (11 am-3 pm) to minimize skin damage and skin cancer risk.3. _Supplement if necessary_: If you're unable to get enough sunlight or have a severe deficiency, consult your doctor about vitamin D supplements.Remember to always practice sun safety, such as seeking shade, wearing protective clothing, and applying sunscreen with at least SPF 30.

Question 38

Ive been using Diane-35 for heavy bleeding with PCOS, and Im on my second strip now. I started taking the first tablet from the 5th day of my period as prescribed. Ive also been doing regular walking exercise for about 45-60 minutes, 5 times a week. However, Ive gained around 2 kgs in the last two months, going from 68 to 70 kgs. My height is 5'4". Could Diane-35 be causing this weight gain, or is it something else?

Accepted Answer

Weight gain can be a side effect of Diane-35, although it does not happen to everyone. It is important to monitor your weight regularly and discuss any concerns with your gynecologist. In the meantime, continue with your regular walking exercise routine as it is beneficial for your overall health.

Question 39

My TSH level is 3.59, and I just found out Im pregnant. My gynecologist has suggested I start thyroid medication. I just wanted to check if its normal for doctors to prescribe thyroid tablets with this TSH level.

Accepted Answer

In pregnancy, it is recommended to maintain TSH levels below 2.5 for the health of both the mother and the baby. Since your TSH level is slightly elevated at 3.59, your gynecologist's recommendation to start thyroid medication is appropriate. The medication commonly prescribed for hypothyroidism during pregnancy is Levothyroxine. The typical starting dose for hypothyroidism in pregnancy is around 50-100 mcg per day, but the exact dosage will depend on your individual health situation. It is important to follow your doctor's advice and regularly monitor your TSH levels throughout your pregnancy.

Question 40

Hello Doc, We recently got my thyroid checked and the report shows TSH is 100. How can we manage thyroid levels? Also, Im scheduled for a knee replacement surgery in 10 days. Does having thyroid issues affect the surgery or recovery?

Accepted Answer

A TSH level of 100 indicates severe hypothyroidism. To control thyroid levels before your knee replacement operation, you will need to start taking Levothyroxine. The usual starting dose for adults with severe hypothyroidism is 25-50 mcg once daily. Your doctor may adjust the dose based on your TSH levels. Regarding the knee replacement operation, uncontrolled hypothyroidism can increase the risk of complications during surgery, such as heart problems and delayed wound healing. It is important to optimize your thyroid levels before the operation to reduce these risks. Make sure to inform your surgeon about your thyroid condition so they can take necessary precautions during the knee replacement surgery.

Question 41

I just got my wifes TSH test reports, and Im really concerned about her health. Her T3 is 1.15, T4 is 77.2, and TSH is 42.14. She doesnt have obvious symptoms, but her menstrual cycle was irregular twice, and she gets irritable at times. I read a bit online and learned that hypothyroidism usually happens when the thyroid is underactive and sometimes shrunken, but in her case, the gland looks inflamed instead. She hasnt gained or lost weight, and theres no hand tremor or anything like that. She does feel tired during the day and has had mood swings for about a week. Could this still be thyroid-related? Maybe thyroiditis or subclinical hypothyroidism? Her T3 and T4 levels are normal, so Im confused. Is this something serious or urgent? Were in a remote area, so Id really like to understand whats going on, the possible cause, and if its treatable. Any guidance would be really appreciated.

Accepted Answer

Your wife may be experiencing subclinical hypothyroidism. This means that while her T3 and T4 levels are within normal range, her TSH level is elevated, indicating that her thyroid gland is not producing enough thyroid hormone. The inflammation you mentioned could be indicative of thyroiditis, which is inflammation of the thyroid gland. To treat subclinical hypothyroidism, the common medication prescribed is Levothyroxine with dosage adjustments made based on individual response. It is important to follow up with regular blood tests to monitor thyroid function and adjust the dosage as needed. Given that your wife is experiencing symptoms such as tiredness, mood swings, and irregular menstrual cycles, it is advisable to consult with a healthcare professional for a proper evaluation and treatment plan. While it may not be an emergency, addressing thyroid issues is important for overall health and well-being.

Question 42

Why is my fasting blood sugar higher than my post-meal level? My fasting glucose was 155, and two hours after a meal, it was 139. Ive done the test twiceone day my fasting was 200, and then four days later, it came down to 155. What could be causing this?

Accepted Answer

It is not uncommon for blood glucose levels to be higher in the morning (fasting) compared to after a meal. This is due to the dawn phenomenon, where hormones released in the early morning hours cause blood sugar levels to rise. Additionally, if you had a high-carbohydrate meal the night before, it can also contribute to higher fasting blood sugar levels. To help manage your blood sugar levels, you can consider taking Metformin. It helps to improve insulin sensitivity and lower blood sugar levels. However, it is important to consult with your healthcare provider for proper evaluation and management.

Question 43

Im 42 years old, and my blood sugar level is 164. Lately, Ive been feeling a burning sensation in my feet and experiencing a lot of weakness. Could this be related to my blood sugar, and what should I do to manage these symptoms?

Accepted Answer

Your blood sugar level of 164 indicates uncontrolled diabetes, which can lead to symptoms like burning feet and weakness. To help manage your symptoms, I recommend taking Metformin 500mg twice daily before meals to control your blood sugar levels. Additionally, you can take Vitamin B12 supplements to help with the burning sensation in your feet. Make sure to follow up with your healthcare provider for further evaluation and management.

Question 44

What's the normal fasting blood sugar level? I recently had some tests done, and my HbA1c came back as 5.2, with a fasting blood sugar of 104 and a mean plasma glucose of 102.5. Is this normal, or should I be concerned about anything?

Accepted Answer

A fasting blood sugar level of 104 mg/dL is slightly above the normal range. The normal range for fasting blood sugar is typically considered to be less than 100 mg/dL. Since your HB1AC is 5.2, which is within the normal range, and your mean plasma glucose is 102.5 mg/dL, it is recommended to monitor your blood sugar levels closely. You may consider making lifestyle changes such as increasing physical activity and following a healthy diet. In some cases, medication such as Metformin may be prescribed to help manage blood sugar levels.

Question 45

Hi doctor, Ive been diabetic for about 17 years now, and my blood sugar levels usually range between 180 and 240, both fasting and after meals. I also struggle with sleep and often wake up feeling groggy and exhausted in the mornings. Im really worried about my sugar levels and how its affecting my energy. Can you suggest ways to help me control my blood sugar more effectively and get better sleep?

Accepted Answer

Focus on a healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit your intake of sugary and processed foods. Aim for regular physical activity such as brisk walking for at least 30 minutes a day. Establish a bedtime routine to improve your sleep quality. Avoid screens before bed, create a comfortable sleep environment, and aim for 7-9 hours of sleep per night. Regularly monitor your blood sugar levels throughout the day and keep a log to track patterns. This will help you and your doctor make informed decisions about your treatment plan. Remember, these are general recommendations. It's important to consult with your healthcare provider for personalized advice and adjustments to your diabetes management plan.

Question 46

My wifes TSH level is 8, but her FT3 and FT4 levels are normal. Is this considered hypothyroidism? What treatment should she follow? I read online that it could be subclinical hypothyroidism, and some sources mention doing an antibody test. Should we get that test done too?

Accepted Answer

Based on the high TSH level and normal FT3 and FT4 levels, it is likely that your wife has subclinical hypothyroidism. The treatment for this condition typically involves taking Levothyroxine. The usual starting dose for Levothyroxine in adults with subclinical hypothyroidism is 25-50 mcg per day. It is important to follow up with regular blood tests to monitor thyroid function and adjust the dosage as needed.

Question 47

I'm diabetic since 4-5 months. My recent HBA1C reading shows as 5.6%. What does this mean? And what is the normal range for mean blood glucose level? Mine is at 122 mg/DL.

Accepted Answer

normal hba1c is 5.6 and if your fasting is 122mg/dl then it comes under pre diabetic range

Question 48

I am 43 yrs old obese IT professional having 148 Blood glucose level at fasting.
I am taking 1 tab Asomex LT for hypertension daily at bed time.
Suggest me some medicine for my high blood glucose levels

Regards,
Chirabrata Majumder

Accepted Answer

Fasting blood glucose should not exceed 100mg/dl. The initial drug of choice for first line treatment of type 2 diabetes mellitus is Metformin 500mg. However, in order to get a more comprehensive understanding of your condition, you should undergo a panel of tests including FBS, PPBS, HbA1C, and URE. This data will help to curate a more effective treatment plan for you. You should also look into lifestyle modifications such as diet control, regular exercise, stress management and cessation of smoking/drinking (if you are a smoker/drinker).

Question 49

Tsh is 17. Hypothyroidism since last 2 years. How to bring it to normal level. Taking 100mg electrocin every day. Pls suggest.

Accepted Answer

With a TSH level of 17, your hypothyroidism treatment needs adjustment. Here's a step-by-step plan:

*Medication Adjustment*

1. *Consult your doctor*: Inform your doctor about your current TSH level and medication (100mg Electrocin).
2. *Dose increase*: Your doctor may increase your levothyroxine (T4) dosage to achieve normal TSH levels.

*Lifestyle Changes*

1. *Diet*: Ensure adequate iodine intake through foods like seafood, dairy, and iodized salt.
2. *Selenium-rich foods*: Include selenium-rich foods like nuts, seeds, and fish to support thyroid function.
3. *Regular exercise*: Engage in moderate-intensity exercise, like brisk walking, to improve overall health.
4. *Stress management*: Practice stress-reducing techniques like yoga, meditation, or deep breathing exercises.

*Monitoring and Follow-up*

1. *Regular TSH tests*: Schedule follow-up TSH tests every 6-8 weeks to monitor treatment progress.
2. *Adjust medication as needed*: Work with your doctor to adjust your medication dosage based on TSH test

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