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Doctor Q&A for Dr. Frederick Singer

A 33-year-old female asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Keep normal weight: The best prevention diabetes is to avoid overweight.
A 35-year-old member asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Calcitriol: Calcitriol
A 38-year-old member asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Weakness.: If the hypercalcemia is moderate to severe it could cause muscle weakness which is reversible with correcting the problem.
A 48-year-old member asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Rarely does.: If Fosamax (alendronate) is taken for more than 5 years a very small percentage of patients may develop necrosis of a portion of the jaw. Good dental hygiene may reduce the chance of developing this problem.
A 40-year-old member asked:
Dr. Frederick Singer
Endocrinology 58 years experience
No: Only toxic doses of vitamin D might worsen blood pressure if high blood calcium is produced. 10,000 units or less daily would have no effect.
A 34-year-old member asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Yes.: Highly pigmented skin reduces the effect of sunlight on stimulation of vitamin D production in the skin.
A 38-year-old member asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Not available in USA: Strontium ranelate is not approved for use in the USA. Studies in Europe suggest it helps prevent fractures but long term safety is an issue. There are better drugs available.
A 63-year-old male asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Change therapy: Testosterone injections are the least desirable form of treatment but the cost is less. It would be preferable to receive the hormone through the skin without use of a needle. The blood levels do not fluctuate as they do with injections.
A female asked:
Dr. Frederick Singer
Endocrinology 58 years experience
Thyroid tests needed: It would be most unusual to have symptoms of both hypothyroidism and hyperthyroidism. You need thyroid tests to determine if there is a thyroid problem.
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