Endocrinology

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Semaglutide options

Hi, I am a 27-year-old female with weight : 100 kg and height : 165.1cm and recently got my blood tests done with the following results: * HbA1c: 7% * Fasting Blood Sugar: ~155 mg/dL * Postprandial Sugar: ~286 mg/dL * TSH: ~10 (on Thyronorm, 25 mcg) * Lipids slightly elevated I am obese and I work out 6 days a week and have a nomal diet, but unable to lose weight at all... Given my condition I wanted to ask: Can semaglutide be considered in my case? If yes, I would like to consult immediately. Please help. Thank you.
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Need suggestion to what to do

My father who is 58 years old tested for diabetes recently he is having constant 300+ diabetes This is the report findings Pankind Labs Alt. NARESH PAL SINGH Result HbA1C (Glycosylated Hemoglobin) Sample: Whole Blood, EDTA HbA1c 13.00 H Method: High Performance Liquid Chromatography (HPLC) 326.40 Η Mean Plasma Glucose Method: Calculated Result recheacked, Kindly correlate clinically. Remarks: Fasting Plasma Glucose 283.04 Η Sample Plasma Fluoride - Fasting Kindly give advice .
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Hba1c of 5.9

6 months ago my hba1c was 6.1, stopped taking Sweets and reduced weight from 80 to 70, my height is 5.6 feet , was taking canthex capsules, then hba1c came to 4.7 after three months, now further 3 months I do the test again and hba1c is 5.9 , considering I'm taking fruits daily and some sweets too and started taking potatoes too, what should I do, thyroid function test and random blood sugar and fasting blood sugar are normal
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Sugar and Bp

My uncle's age is 70years.he has sugar and bp.From last 6months onwards he is getting a feeling like vomiting and feeling like low energy and always in sleeping and not to eat properly. My I know proper reason and whom to contact meaning which doctor diabetic or general physician
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Type 1 and belly button discomfort

Hello dr, I have typ 1 diabetes from long time and frim almost like 7 to 8 years i feel this dull and mild pain like just at belly button inside and up.sometimes its there and then again its not there for few weeks. I just little worried, can it be chronic pancreatisis.
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Glp 1 eligibility

Hi, I’m 27 years old female and currently weigh 100 kg and height is 5'5". I have been working out regularly for 6 days a week and eating normal home cooked food, but I’m not seeing any meaningful weight loss. I also have hypothyroidism — my TSH was around 11 six months ago. I do feel low energy and fatigue quite often despite trying to stay active. I’ve also noticed signs like dark pigmentation around my neck and under my eyes, which I’ve read could be related to insulin resistance. I feel like despite consistent efforts, my body is not responding, and I’m getting physically tired. I want to understand if there’s an underlying metabolic issue. Could you please guide me on what tests I should do and whether medical treatment options like GLP-1 medications would be appropriate in my case?
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Can it be reversed

Diagnosed a1c 6.1,fatty liver, dyslipidemia,no sleep  after that controlled diet and lost 19 kg weight(previously 88 kg)waist size from 37 to 31, regulated sleep (8hrs), physically activity increased,reversed fatty liver and got normal lipids. Will hba1c  Drop now?
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Persistent pedal oedema since 1 month

Dear Sir, Could you please suggest what should I do? My father, Age 72 years, on steroids for ILD, Dilzem 90 Serum albumin: 2.35 (ref 3.5 -5) Is pedal oedema due to low albumin or Dilzem or any other reasons? Should albumin be supplied to treat oedema? Please see reports attached.
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Weakness and fatigue

My father aged 60 years had undergone Coronary Artery Bypass Grafting (CABG) in 2021. He recovered well after the surgery and does not have any known history of diabetes or high blood pressure. However, for the past couple of months he has been experiencing occasional dizziness and sudden weakness. When we checked his blood pressure it was normal, but we still decided to take him to the hospital. He was kept under observation for 24 hours and all the reports came back normal. The doctor discharged him and suggested that the problem might be due to gastric issues. Recently, he has been getting tired easily, so we decided to check his blood sugar and lipid levels. His fasting blood sugar was 166 and triglycerides were 266. After one month, we repeated the tests and his fasting sugar was 151 and triglycerides were 208. At present, he sometimes feels weak and is not able to walk fAt present, he sometimes feels weak and is not able to walk fast as before. We are concerned about his health.
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Hyperthyroidism -

Condition: Hyperthyroidism My mother is 65 years old and has been suffering from hyperthyroidism since 2020. She has been taking prescribed medicines regularly, but her condition has not improved significantly. Her TSH levels are consistently very low, and even during medication the thyroid test results keep fluctuating. I have the latest thyroid reports available and can share them for review. Recently, we have noticed several concerning symptoms: Loss of appetite Extreme sensitivity to smells (she cannot tolerate strong smells) Gradual muscle weakness and muscle loss Irregular and fast heartbeat, sometimes her pulse reaches around 140 General weakness and discomfort We would like guidance on why the thyroid levels are not stabilizing despite medication and what further treatment or tests might be required.
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