Hello, Welcome to icliniq.com. Precocious puberty can be called when the onset of puberty is eight years or below for girls and nine years or below for boys. The beginning is not synonymous with a growing beard, which is a more advanced stage. Staging is usually done with a scoring system called tanner staging which considers pubic hair, testicular and penile development. You should note the first changes in these aspects.
Hi, Welcome to icliniq.com. To get rid you of your worries, I should let you know the usual level of prolactin in different conditions. The upper limit of normal for many assays of serum prolactin is approximately 24 ng/mL. In non-pregnant and non-lactating patients, monomeric prolactin concentrations of 24 to 47 ng/mL are likely to be induced by stress or drugs, and a repeat measurement is indicated. Levels between 47 to 236 ng/mL are likely to be due to either drugs, a microprolactinoma (less than 0.
Hello, Welcome to icliniq.com. Expected height of your sister should be, 2.54 x (75+67) /2) -6.5(+/-) 3.9 inches = 173.
Hi, Welcome to icliniq.com. If you are taking treatment for hypothyroidism, it is to see that you get the right dose. But whether you are being over replaced or under replaced should be determined by periodic thyroid function test, if a single hormone, then TSH which shows amplified suppression and elevation of both T4 and T3 in hyper and hypothyroidism (here I presume, as you are being replaced, you initially were diagnosed as primary hypothyroidism, which is the most prevalent thyroid disorder). Serum TSH (thyroid-stimulating hormone from the pituitary) should be done four to six weeks to adjust the dose till the appropriate treatment dose has been settled (TSH normal for a few follow ups at a particular dose), and then, every six months to one year. Manufactured proprietary Levothyroxine tablets are more comfortable to change the dose with since they have exact dosage preparations, 25, 50, 100 or 150 micrograms, and they and they have only Levothyroxine (T4), no rapidly acting T3.
Hello,Welcome to icliniq.com.Traditionally soluble insulin is the agent of choice for uncontrolled DM (diabetes mellitus) or GDM (gestational diabetes mellitus) in pregnancy. Rapid acting analog insulin aspart is a safer choice along with diet and tolerable exercise. Diet and exercise are tried first. Nowadays, many of the guidelines allow Metformin in gestational diabetes.
Hello, Welcome to icliniq.com. The problem with natural medical products is that even when they are useful, they are not in an exact dose which could be provided in the newly manufactured products. For instance, armor thyroid is extracted from porcine thyroid gland which contains both T4 and T3 usually in the biological ratio, but their concentration may vary depending on the type food of these animals are fed, especially iodine concentration in the food. This is the product responsible for your new symptoms, which are that of over replacement of thyroid hormone, and you did the right thing by having the dose. But whether you are being over replaced or under replaced should be determined by periodic thyroid function test, if a single hormone, then TSH which shows amplified suppression and elevation of both T4 and T3 in hyper and hypothyroidism (here I presume, as you are being replaced, you initially was diagnosed as primary hypothyroidism, which is the most prevalent thyroid disorder).
Hello, Welcome to icliniq.com. In chronic liver disease, testosterone level may fall, the ratio with estrogen may alter, and in advanced disease, there may be testicular atrophy, gynecomastia. Recent studies show testosterone level can predict the outcome of end-stage liver disease. The functional status of your liver is still reasonably well, protein synthesis, one function, and your serum protein levels are normal, so it is not worrying. Recent studies also showed intramuscular testosterone (250 mg monthly) improve the life and well-being of men with chronic liver disease and low testosterone.
Hello, Welcome to icliniq.com. Your BMI is 33.75. So you have obesity class-I. Your fasting blood glucose is high, but not high enough to call it diabetes.
Hello, Welcome to icliniq.com. Metformin is weight neutral or may cause mild weight loss. Fargixa, which is Dapagliflozin, causes weight loss and some dehydration. So you can omit Fargixa, and take Sitagliptin, Metformin combination, e.g.
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