In what means high TSH values related to depression?
Hello doctor,
My sister is going through psychiatric treatment for depression. She had a miscarriage 10 years back and childless after that. Since the last six years, she is in depression and unable to mingle with society. Doctor asked for routine blood tests and her TSH level are above normal. She advised her to visit an endocrinologist. She is lacking energy in her day to day work and always complains of body aches like in waist area and in back. She is very silent and only responds to any query after knocking her two to three times. She cannot walk for more than 500 meters at a stretch and feels tired always. She also complains about constipation and less sleep. She is 41 years old and her weight is 97 lbs with a height of 5.2 feet. Blood pressure is normal 110 / 80 mmHg. I have uploaded her reports and her medications are tablet Arpizol 15 mg, Nexito 5 mg, Neuro D3 60K, and Optineuron.
Please advise for her TSH levels and vitamin D levels (it is low). Iron and calcium levels are low as well.
16 May 2024 - 1 min read
Does the smell of alcohol from a diabetic indicate ketosis?
Hello doctor,
My husband is a type-2 diabetic. He takes Metformin, Januvia, and Zoloft. He smokes marijuana and cigarettes. He has been on the strongest nicotine patch for the past week, but still smoking occasionally. Twice in the past week, he smelled strongly of beer or alcohol and I thought he had been drinking. He swears he was not. I am concerned he has symptoms of diabetic ketosis. He has been acting very angry and irrational. Could this be a result of using the patch and smoking? Is the alcohol smell something to be concerned about? Should he be seeing his doctor? Is it safe for him to be driving with our children in the car? If it is symptoms of ketosis does it just go away or get worse over time?
15 May 2024 - 1 min read
What could be done to manage weight gain due to PCOS?
Hi doctor,
I was told I have PCOS after a scan but after telling the doctors something was wrong as I kept gaining weight. I was put on Metformin but I started gaining even more weight so I stopped taking it. My facial hair increased and I still had very slow weight loss. I then started taking it again and the weight loss has started again. Is this common? I am on 500 mg once a day. I am currently 260 lbs.
15 May 2024 - 1 min read
Why do I get hypoglycemia during exercise, brain fog, and fatigue?
Hello doctor,
I get hypoglycemia during exercise, fasting or not, brain fog, fatigue. This has been happening daily for a month. Prior I had been exercising an hour a day five days a week, no issue. Currently still aiming for five but symptoms will start out on my bike or on the treadmill. I had a gastric bypass 11 years back. I rarely get the hypoglycemia episode when I would eat sugar. History of insulin resistance. Glucose is always under 100. Insulin was 9 six months back. It was 6 two weeks ago, glucose was 88. Ferritin 15, d-20. Currently, I am having Neurontin 800 four times a day, Vyvanse 50 once daily.
15 May 2024 - 1 min read
Should I increase Thyroxine dose to avoid miscarriage?
Hi doctor,
I am four weeks pregnant after ICSI. My doctor prescribed me 50 mcg of L-Thyroxine. My TSH value was 4.86 mIU/L for four weeks. My TSH value is now 2.8 mIU/L. The normal value during pregnancy is up to 2.5 mIU/L. Please advise if I should increase Thyroxine dosage to avoid the risk of miscarriage.
Thanks.
15 May 2024 - 1 min read
Endocrinology