Dr. Aaron Neinstein

Internal Medicine 15 years experience

It depends: If you have been told that you have an "overactive adrenal gland, " you must make sure you see an endocrinologist. The adrenal gland produces many dif... Read More

5.1k viewsReviewed >2 years ago

A 52-year-old female asked:

My mch came back at 25.3 yet doc didn't even mention it. at what levels do doctors become concerned?

Internal Medicine 15 years experience

Don't worry about it: As long as your hemoglobin is normal, don't worry about your mch, as it doesn't really matter. If you don't have an anemia, then the MCH is not impor... Read More

5.1k viewsReviewed >2 years ago

5 thanks

A 43-year-old member asked:

How would i know if my thyroid meds are still working?

Internal Medicine 15 years experience

Check thyroid levels: To tell if your thyroid medications are working, you should see your doctor to a) discuss how you are feeling and b) get your thyroid levels checked t... Read More

5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 28-year-old female asked:

Is taking vitamin d safe if your pregnant and which is better 400unit or 1000?

Internal Medicine 15 years experience

Yes: Yes, vitamin d is safe during pregnancy, and is in fact often recommended during pregnancy, as low levels can potentially be harmful. The proper dose... Read More

5.1k viewsReviewed >2 years ago

Dr. Liza Kunz and another doctor agree2 doctors agree

A 36-year-old member asked:

Can you tell me the difference between osteoporosis and osteopenia?

Internal Medicine 15 years experience

T-scores different: Osteoporosis is defined by a t-score of less than -2.5 on a bone density test (dexa). T-score compares your bone density to that of a healthy 30 year ... Read More

5.1k viewsReviewed >2 years ago

A 43-year-old member asked:

Could you tell me if there is no other sign exept high blood sugar levels, can that be type 2 diabetes?

Internal Medicine 15 years experience

Yes: Yes, type 2 diabetes can be "clinically silent, " meaning you may not have any symptoms at all. The only sign that you have it may be the high blood s... Read More

5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 52-year-old male asked:

My tsh is low normal. t3 (liothyronine) is normal. t4 is a little high. my tsi is low normal. could i have graves' disease ?

Internal Medicine 15 years experience

Probably not: People with graves disease typically have a low TSH along with high free T4 and/or high free t3 (liothyronine). Most people also have a high tsi tite... Read More

5.1k viewsAnswered >2 years ago

A 23-year-old female asked:

Is it possible to have a normal body temperature with hypothyroidism?

Internal Medicine 15 years experience

Yes: Yes, it is often true that people with hypothyroidism have normal body temperature. Most people with hypothyroidism do not have every single sign and... Read More

5.1k viewsAnswered >2 years ago

A 22-year-old male asked:

I have excessive thirst and have to urinate a lot. it often wakes me in the night with my underwear half wet. i was tested for diabetes very recently.

Internal Medicine 15 years experience

See a doctor: Having excessive thirst and urination that wakes you at night along with bed-wetting can be a sign of many different problems. Being tested for diabet... Read More

5.1k viewsAnswered >2 years ago

2 thanks

A 46-year-old member asked:

What kind of natural remedies can i use for hyperthyroidism?

Internal Medicine 15 years experience

None that are proven: There is no natural remedy for hyperthyroidism that has been studied and proven to be effective. If you have graves disease, the most common form of h... Read More

5.1k viewsReviewed >2 years ago

2 thanks

A 61-year-old female asked:

I'm taking 50 mg per day of metformin for type 2 diabetes. my after meal blood sugar levels are sometimes between 190-210. is that a problem?

Internal Medicine 15 years experience

Yes: You probably mean 500 mg per day, as it does not come in 50mg pills. This is a very low dose of metformin. Also, it depends how long after your meal y... Read More

5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

6 thanks

A 38-year-old female asked:

33 year old husbands blood creatinine level is 1.18( ref. range is 0.50-1.20). is this on the high end of normal, and should we be worried?

Internal Medicine 15 years experience

It depends: A creatinine of 1.18 in a 33 yr old man may or may not be considered high depending on the person and the situation. People who are very muscular tend... Read More

5.1k viewsAnswered >2 years ago

A 42-year-old female asked:

I was diagnosed with hypoglycaemia, i'm not diabetic. i have to eat every 2 hours & stay off sugar, why? if blood sugar is low, don't i need sugar?

Internal Medicine 15 years experience

It depends: You should see an endocrinologist to discuss this further. The main question is whether your blood sugar actually gets low or whether you just feel li... Read More

5.1k viewsReviewed >2 years ago

1 comment

4 thanks

A 26-year-old male asked:

Bilirubin direct and indirect fluctuate (indirect 1.2, direct 0.1, total 1.3...another test: indirect 0.43, direct 0.54, total 0.97), lfts normal.

Internal Medicine 15 years experience

Might be Gilbert's: A relatively large portion of the population has something called gilbert's, which is completely harmless, and causes elevated indirect bilirubin in t... Read More

5.1k viewsReviewed >2 years ago

6 thanks

A 44-year-old member asked:

Adult height is 5'7. if i took human growth hormones, how much taller would i be?

Internal Medicine 15 years experience

No taller: At age 44, taking hgh (human growth hormone) will not make you any taller. Once your growth plates, or epiphyseal plates, have fused (closed), you can... Read More

5.1k viewsReviewed >2 years ago

A 29-year-old female asked:

I have hyper thyroidism what r the.problems related to it?

Internal Medicine 15 years experience

Nothing if treated!: If treated appropriately, you do not have to have any long-term consequences from hyperthyroidism. If left untreated, the most serious concern is a he... Read More

5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

12 thanks

A 33-year-old female asked:

Seeing an endocrinologist 5/21. have extensive medical records seemingly unrelated. what history is most important to an endo? what info is must have?

Internal Medicine 15 years experience

Bring all data: As a new consult, we typically like to see all of your old lab values, any old imaging that you may have had done (xrays, ct scans, mris), and any pat... Read More

5.1k viewsAnswered >2 years ago

A 56-year-old male asked:

Should atenolol and metoprolol taken at the same time walgreens pharmacist advised not to?

Internal Medicine 15 years experience

No: These are both from the same medication class, beta-blockers. It would be extremely unusual for a physician to prescribe these simultaneously and cou... Read More

5k viewsAnswered >2 years ago

A 22-year-old female asked:

I am 5'5 and weigh 150lbs. is this overweight and what is the recommended weight?

Internal Medicine 15 years experience

On the border: A height of 5'5" and weight of 150 pounds gives you a bmi of 25. Bmi, or body mass index, is the accepted way of determining whether a person is overw... Read More

5.1k viewsAnswered >2 years ago