Question 1

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 2

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...

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 3

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 4

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 5

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 T...

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 6

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.

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Related Questions

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...

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?

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?

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 T...

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?

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