Hi, Welcome to icliniq.com. I understand your concern. Do you have any other associated symptoms like painful menstruation? Do you have headaches? For how long this problem is going on? Do you feel you bleed more or is it usual? There are many causes of irregular menses. Any mental stress? Or having exams or any other stress-related activity can affect the regularity. There are hormonal disturbances that can lead to menses irregularities.
Hi, Welcome to icliniq.com. I understand your concern. What is the HbA1c (glycated hemoglobin) value that shows your average sugar over the last two to three months? Diabetes has many complications, so it is not just about bringing down the numbers, but to monitor and treating complications associated with diabetes. Check your eyes for retinopathy. Check your kidneys for the urine albumin creatinine ratio.
Hi, Welcome to icliniq.com. Your TSH is in the normal range. Your TPO, as you mentioned, is high, indicating an autoimmune condition. So right now, you should continue with the same dose of Levothyroxine because it is maintaining your TSH (thyroid-stimulating hormone) in normal range. Check your TSH again after six to eight weeks.
Hi, Welcome to icliniq.com. I have seen your blood works. (attachment removed to protect patient identity). It is all normal. Usually, during the acute attack of gout, we do not start Allopurinol or uric acid decreasing medications as it can exaggerate the situation.
Hello, Welcome to icliniq.com. I have read your query and understand your concern. I will try my best to provide you with the best available treatment. I have seen his medications and the test reports (attachments removed to protect the patient's identity) you have sent me. His sugars are really up, and it has been for months; it seems as if his HbA1c is over 10.
Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Your ongoing symptoms despite Hydrocortisone treatment for adrenal insufficiency need urgent medical review. Persistent severe fatigue and muscle weakness suggest possible under-replacement, electrolyte imbalance, or related complications. Your current Hydrocortisone dose is 30 mg daily (15 mg in the morning and 15 mg in the evening), which is higher than the usual adult range of 15 to 25 mg per day.
Hi, Welcome to icliniq.com. Good day. Thank you for your query. I suggest the following. If his fasting sugar is over 150 mg/dL, I suggest increasing his Lantus (Insulin Glargine) every day for two units until fasting blood sugar comes down to less than 150 mg/dL.
Hello, Welcome to icliniq.com. I can understand your concern. Elevated DHEAS (dehydroepiandrosterone sulfate) levels can cause signs or symptoms of hyperandrogenism in women. High levels may be due to PCOS, congenital adrenal hyperplasia, insulin, stress, elevated prolactin, alcohol, and certain medications like ADHD medications, Alprazolam, and Bupropion. Most mild-to-moderate elevations in DHEAS levels are of unknown origin.
Hello, Welcome to icliniq.com. I read your query and understand your concern. Fever is the most common adverse effect associated with Zoledronic acid infusion. Flu-like symptoms, such as fever, chills, bone pain, arthralgias, and myalgias, are occasionally reported but typically resolve within 24 to 48 hours and usually do not require treatment. Some other common side effects (occurring in 1 % to 10 % of cases) include nonspecific infections, asthenia, mucositis, chest pain, and leg edema.
Hi,Welcome to icliniq.com.Thanks for your query.Your investigations report shows your HbA1c is higher than your target. It shows average blood sugar levels over three months of time. You are already taking three different types of medications.
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