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Questions & Answers

Q&A

Answered by Dr. Makwana Tanvi Ghanshyambhai

I have stopped diabetes medicines for six months but HbA1c is 7.4 now. Please advise.

Hello, Welcome to icliniq.com. How many years of diabetes? Any ongoing kidney issue? With creatinine of 1.88 mg/dL, you need to revise your diabetic medicines and make sure that it does not lead to an advanced level of kidney issues like diabetic nephrology. If you are not on medicine than you need to restart as improving sugar and cholesterol will slow down the kidney damage process. .

July 2, 2024

I have missed my period for two months. Can I take Regestrone again?

Hello, Welcome to icliniq.com. After going through your health history it is evident that you are having hypothyroidism and more likely clinical polycystic ovarian syndrome. In this scenario, irregular menses are very common and in some people also weight gain can occur. In my opinion, first, you need to regulate your thyroid levels to the optimum level. Second try to do as much as exercise as you can.

June 24, 2024

What does leg pain with fat around knees and joints mean?

Hello, Welcome to icliniq.com. I saw her report and photos both (attachment removed to protect patient identity). Her weight has to be reduced which can be done through some exercise. Try doing that as much as she can. Her body weight is causing main problems.

June 13, 2024

How to manage continuous eye ache, headaches, and fatigue?

Hi, Welcome to icliniq.com. All your problems are linked with your poor controlled thyroid disease. All your previous thyroid reports are out of range. You need to start Levothyroxine (Thyronorm or any other brand available in your city) 25 mcg once daily in morning on empty stomach. At least 30 minutes before eating anything.

April 19, 2024

Do higher TSH levels during the first four weeks of pregnancy affect fetal development?

Hello, Welcome to icliniq.com. I read your query and understand your concern. Having uncontrolled and such a high value of TSH (thyroid stimulating hormone) is not appropriate for fetal development. The first few weeks of pregnancy are the most important for fetal organ development. She should not have made self-medication adjustments to her thyroid when you plan for pregnancy.

November 29, 2023

I am 16 years old. How can I reduce gynecomastia without surgery?

Hello, Welcome to icliniq.com. Gynecomastia during puberty of your age is normal. It will subside in one year's time on its own. Do not worry about it. If you are overweight or obese, then you must lose weight.

October 10, 2023

I am under Levothyroxine for underactive thyroid. What kind of foods should I avoid?

Hello, Welcome to icliniq.com. Avoid raw cabbage, cauliflower, brocolli, soy and soy products like soy sauce, soy milk, tofu, strawberry, walnut, spinach, and brussel sprouts. Do not take any meals or drink except plain water for atleast 45 minutes after taking medication. Avoid taking acidity-causing foods, calcium and iron supplements with the medicine..

October 6, 2023

Can a patient who has undergone mitral valve replacement take thyroid medications?

Hello, Welcome to icliniq.com. Amiodarone can lead to this kind of thyroid problem. After stopping the drug, the thyroid disturbance can be reversed in some cases. You can start with small doses of 12.5 mcg daily for six weeks and then repeat thyroid tests again.

October 6, 2023

How to bring sugar under control during pregnancy?

Hi,Welcome to icliniq.com.I understand your concern.Make your FBS (fasting blood sugar) less than 95 mg/dl, and after two hours, PPBS (postprandial blood sugar) should be 130 mg/dl. Change your insulin dose to three times daily, as it can bring sugar under control. Start taking tablet Glycomet SR 500 mg (Metformin 500 mg) after breakfast and after dinner.

June 6, 2023

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