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Questions & Answers

Q&A

Answered by Dr. Rahul Ramji Kackar

Can high thyroid antibodies cause dry eyes and headaches?

Hello, Welcome to icliniq.com. I understand your concern. I want to know what your thyroid profile report is. Is there any disturbance with your digestion, as it can increase the autoimmunity and cause antithyroid peroxidase antibodies (TPO) to be high? For now, I suggest the following treatment: Selenium supplementation can help bring your TPO levels down. Take a tablet Thyrowel once a day after breakfast for one month and then repeat.

March 27, 2026

Can I be diagnosed with SLE without a positive ANA report?

Hello, Welcome to icliniq.com. I understand your concern. Is your concern that it is SLE or not SLE only? The treatment is more important. It is an autoimmune process that has affected different organ systems. According to me, the concern should be how to halt the progress of the illness, for which knowing if it is purely SLE or not is more of a prognostic implication rather than therapeutic.

March 10, 2026

What causes joint pain despite my negative lupus reports?

Hello, Welcome to icliniq.com. I understand your concern. How long have you having these pains? How is your gut health? What is your level of stress? Do you have an ANA, ANTI-DS DNA report? Have you tried HCQS (Hydroxychloroquine sulfate) or Sulfasalazine for these pains? With medication, you will require a proper dietary evaluation. Are you practicing any meditation and mindfulness techniques? Has any course of steroids been taken? Kindly answer all these questions, so it will be easier to diagnose the cause. I hope this helps you.

March 10, 2026

What causes extreme mood swings and heavy periods?

Hello, Welcome to icliniq.com. Your reports (attachments removed to protect the patient's identity) are well in range, and I will suggest you get your magnesium levels and an ultrasound abdomen done to look at the uterus and adnexa. Take some magnesium supplements 250 mg once a day for two weeks. Avoid carbohydrates and junk food. Do intermittent fasting 16:8 with an eating window of eight hours and a fasting window of 16 hours.

August 10, 2024

Which is the best medication to control T3 and T4 levels?

Hello, Welcome to icliniq.com. You should decrease the dose of NP thyroid to 60 mg or shift back to Levothyroxine if you tolerate it well..

July 8, 2024

I took Levofloxacin for a sinus infection, and my legs became sore. Should I ask for another antibiotic?

Hello, Welcome to icliniq.com. Do not take Levofloxacin (Levaquin). The benefit of Levaquin is that it covers atypical organisms. The same benefit can also be obtained from macrolide antibiotics like Azithromycin (Azithrocin). If you get a heart problem with Levaquin, I would suggest getting an ECG (electrocardiogram) to rule out any QT prolongation.

June 20, 2024

What are the symptoms and treatment of fibromyalgia?

Hi, Welcome to icliniq.com. I noted all your history. The site of pain around the shoulders, arms, and neck is pointing towards fibromyalgia. Let us focus and treat the underlying process which brings this pain. I will like to know more about your menstrual history.

June 20, 2024

Can thyroid disorders affect the digestive system?

Hi, Welcome to icliniq.com. In my opinion, though your thyroid profile is in range as the thyroid is more towards the upper side, you might experience some anxiety issues and stomach upset. If you do not have any digestion issues. I will suggest you keep your stress levels low practice mindfulness and meditation. Take some magnesium, eat fruits and take some green tea.

June 3, 2024

Why do I have an overactive appetite despite eating healthy?

Hi, Welcome to icliniq.com. I suggest you do not take a Mediterranean diet or paleo diet with lots of fruits and vegetables. Have 16:8 intermittent fasting. Drink plenty of water. Do relaxation and mindfulness techniques.

April 23, 2024

Are my mood swings, depression, and aggressive reactions due to high estrogen levels?

Hello, Welcome to icliniq.com. I have gone through the reports (attachments removed to protect the patient's identity), I will like to know if you are taking any testosterone supplements as the main source of estrogen in males? Testosterone conversion to estrogen can increase the levels, alcohol intake, liver disease, thyroid abnormality. So I will suggest you get a thyroid function test and LFT done. Eat a protein diet, do regular exercises and incorporate mindfulness and meditation in your routine for stress management. Take some antioxidants and St.

January 18, 2024

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