Dr. Chaitanya Mamillapalli

Internal Medicine 22 years experience

Clinical history: it depends upon the clinical condition. If hypothyroidism is because of Hashimoto disease, in most cases hypothyroidism is permanent. If hypothyroid... Read More

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315 viewsAnswered >2 years ago

A 20-year-old member asked:

Is there any way to keep thyroid glands healthy, such as supplements?

Internal Medicine 22 years experience

No: most common cause of hypothyroidism is Hashimoto thyroiditis. This is not influenced by the diet.

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315 viewsReviewed >2 years ago

Dr. Gurmukh Singh agrees1 doctor agrees

A 43-year-old female asked:

I cannot fast because of severe hypoglycemia and im suppose to take synthroid (thyroxine) on empty stomach but pass out if i let stomache get empty help!?

Internal Medicine 22 years experience

Need more info: has your severe hypoglycemia being investigated? if hypoglycemia is because of diabetes medications, medications needs to be adjusted. One option of ... Read More

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309 viewsAnswered >2 years ago

A member asked:

How to treat young woman /26years old/ with osteoporosis and primary amenorhea. it is impossible to treat with hormonal therapy . thanks.?

Internal Medicine 22 years experience

Endocrinologist eval: osteoporosis in perimenopausal woman requites expert evaluation by endocrinologist. Hormonal replacement is important in maintaining bone health,in pa... Read More

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307 viewsReviewed >2 years ago

Dr. Al Hegab agrees1 doctor agrees

A 45-year-old member asked:

Is having osteoporosis serious?

Internal Medicine 22 years experience

Can cause fractures: Untreated osteoporosis results in a risk of fracture with minimal trauma, discuss with your doctor regarding treatment options.

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304 viewsAnswered >2 years ago

A member asked:

I was diagnosed with a low thyroid problem, i was pregnat at the time and was immediately put on medication. i had medicaid insurance then and was prescribed the meds by my doctor. i don't have insurance now and haven't been on my medication since 11/10/2

Internal Medicine 22 years experience

See below: Recommend repeat evaluation with repeat thyroid labs. If you have hypothyroidism, you will require thyroid replacement with Levothyroxine, which is a... Read More

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231 viewsReviewed >2 years ago

Dr. Andrew Seibert and another doctor agree2 doctors agree

A member asked:

Should i be worried about diabetes? i notice that if i have food high in sugar that i tend to get clammy and break out into a cold sweat. for example, over halloween i had 2 cookies and was drinking a glass of coca cola when i had this reaction. i'll also

Internal Medicine 22 years experience

Hypoglycemia: Symptoms of clamminess after eating high carb foods could be a manifestation of reactive hypoglycemia. Recommend endocrine referral

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315 viewsAnswered >2 years ago

A 44-year-old member asked:

What can lead to bone deform for people suffering from diabetes?

Internal Medicine 22 years experience

Charcot arthropathy: some patients with uncontrolled diabetes might can develop peripheral neuropathy, which can lead to a condition called Charcot arthropathy. In this co... Read More

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315 viewsAnswered >2 years ago

A 20-year-old female asked:

How would you know if you have diabetes inspidus?

Internal Medicine 22 years experience

Excessive urination: It is a very rare disease manifested by frequent urination and increased thirst. Typically more than 3 litres urine output/day and freqeunt urination ... Read More

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315 viewsReviewed >2 years ago

A 38-year-old female asked:

I have all the synptoms of diabetes incipidus but whem prelim bloodwork was dobe it was nirmal. what else ciuld be wrong?

Internal Medicine 22 years experience

Endo referral: diabetes insipidus is a very rare disorder. the best way to test conclusively for diabetes insipidus, is by doing water deprivation test. In this tes... Read More

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315 viewsAnswered >2 years ago

A 18-year-old member asked:

How is type 1& type 2 diabetes different?

Internal Medicine 22 years experience

See below: in type 1 diabetes,there is absolute insulin deficiency. all patients will require insulin In type 2 diabetes, is a combination of related to insulin... Read More

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309 viewsReviewed >2 years ago

Dr. Al Hegab and 2 doctors agree3 doctors agree

A 59-year-old female asked:

What are the best treatment options for both acid reflux and osteoporosis? i have read that many drugs for osteoporosis can cause heartburn and drugs that treat reflux can be harmful to your bones. i have been trying diet changes for the heartburn (somew

Internal Medicine 22 years experience

Other options: In patients with osteoporosis suffering from gastroesophageal reflux disease, there are OTHER medical treatments options available (intravenous /subcu... Read More

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315 viewsAnswered >2 years ago

A 28-year-old female asked:

What exactly does a high or low blood sugar feel like? when someone is diabetic, what exactly do they feel when experiencing either a high or low blood sugar?

Internal Medicine 22 years experience

Varies: High blood glucose unless are very high might not cause symptoms. Symptoms include drowsiness, cloudy vision, increased thirst and ruination. Low blo... Read More

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315 viewsAnswered >2 years ago

A 34-year-old male asked:

What's the best treatment for pre menapausale women who are suffering from sever osteoporosis ?

Internal Medicine 22 years experience

Evaluation: premature menopause is a complex area for management, and will need evaluation to determine the cause for underlying osteoporosis. I would strongly r... Read More

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301 viewsAnswered >2 years ago

A 58-year-old female asked:

Considering going back on hrt. is it safe if you have no history of breast cancer? also am at risk for osteoporosis which i think hrt helps.

Internal Medicine 22 years experience

No: Using hormone replacement in postmenopausal women, for prevention and treatment of osteoporosis is not recommended. hormone replacement up to the age ... Read More

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301 viewsAnswered >2 years ago

A 52-year-old female asked:

How can i be sure that it was a bilateral oopherectomy and the use of arimidex (anastrozole) that caused my osteoporosis and how could it have been stopped or helpd?

Internal Medicine 22 years experience

Yes: Armidex use is associated with bone loss and increased risk of fracture. In light of this, patients who are on Armidex, should have a comprehensive ev... Read More

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301 viewsAnswered >2 years ago

A 42-year-old male asked:

42 yo male. graves disease (thyroid oblated), now hypogonadism. took accutane for acne years ago?.?.? neg. pituitary tumors. larger issue?

Internal Medicine 22 years experience

Unlikely: most common cause of hypogonadism in middle aged man is weight gain and obesity. Treatment would be to to loose weight. recommend evaluation by endoc... Read More

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307 viewsAnswered >2 years ago

A 22-year-old female asked:

What is the survival rate for someone with thyroid cancer?not exactly sure what stage my mother is in just yet. thanks

Internal Medicine 22 years experience

Depends: Most thyroid cancers are papillary and are diagnosed in early stage cancer and has good prognosis.

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315 viewsAnswered >2 years ago

A 52-year-old female asked:

Now i have severe osteoporosis, does that mean i have to stay on medication forever? if not, how many years, and then what do i do?

Internal Medicine 22 years experience

Depends: Osteoporosis Treatment holiday can be considered after using medications for a period of time. Your doctor will take various factors into considerati... Read More

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301 viewsReviewed >2 years ago

Dr. Richard Zimon agrees1 doctor agrees

A 45-year-old female asked:

Dx adrenal insufficiency secondary to long term corticosteroid use. how long for body to kick in and start to normalize potassium?

Internal Medicine 22 years experience

Pursue other causes: in patients with adrenal insufficiency,secondary to prior steroid exposure, the pathology is because of pituitary dysfunction. In this type of adrena... Read More

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309 viewsAnswered >2 years ago

A 82-year-old female asked:

Should we go for an x-ray or a cat scan for possible lung metastasis from papillary thyroid cancer?(age 82)

Internal Medicine 22 years experience

Ct scan: CT scan is more sensitive for picking Lung metastasis than CXR

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232 viewsAnswered >2 years ago

A 39-year-old female asked:

What is the treatment for unbalanced hormones?

Internal Medicine 22 years experience

Broad question: Unbalanced hormones is a not defined entity in medical literature. Medical providers can give you better assistance if you clarify your symptoms , wh... Read More

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4.2k viewsAnswered >2 years ago

A 34-year-old female asked:

Are there any potential side effects to the acth simulation? i also have had thyroid cancer. currently, i have lupus.

Internal Medicine 22 years experience

No: ACTH stimulation test is a very safe test, in most patients. Some patients might experience rare side effects including injection site redness, nause... Read More

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232 viewsAnswered >2 years ago

A 39-year-old female asked:

I'm confused aftr readng!.have thyroid nodules.ws on synthroid (thyroxine).10 yrs later, diff.dr took off syn. ok for no treatment w/nodules dr.rarely ultrasnds?

Internal Medicine 22 years experience

Evolving knowledge: In the past it is not uncommon for people with thyroid nodules to be started on levothyroxine supplementation. The logic was high dose thyroxine would... Read More

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4.2k viewsAnswered >2 years ago

A 28-year-old female asked:

I have type 2 diabetes, i get a lot of stomach pains, back pains and if i'm doing something really easy i get tired in seconds. what is wrong with me?

Internal Medicine 22 years experience

Improve diabetes : Tiredness could be a manifestation of uncontrolled diabetes. Improving blood sugars with targeting pre meal blood sugars 80-140, will help improve ... Read More

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4.2k viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide a tip on how to ask your doctor about living with hypothyroidism.

Internal Medicine 22 years experience

Ignore: If taking calcium or iron supplements separate it from levothyroxine administration by 4 hours.

Created for people with ongoing healthcare needs but benefits everyone.

315 viewsAnswered >2 years ago

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with hyperthyroidism.

Internal Medicine 22 years experience

Ignore: Dont stop your antithroid medication abruptly, without your doctors advice.

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308 viewsAnswered >2 years ago

A 46-year-old member asked:

Can be a hyperthyroid. is hyperthyroid cancerous since it is still a large mass and a tumor?

Internal Medicine 22 years experience

Question not clear: Radiodine uptake scan of the thyroid gland can select the thyroid nodule that need to be biopsied. If on the uptake scan the nodule is not taking the... Read More

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4.2k viewsAnswered >2 years ago

A 37-year-old male asked:

Please share a tip in the form of a haiku on dealing with low testosterone.

Internal Medicine 22 years experience

Ignore: Obesity induced low testosterone levels, can significantly improve with weight loss.

Created for people with ongoing healthcare needs but benefits everyone.

308 viewsReviewed >2 years ago

A 36-year-old member asked:

I am a hypothyroid male, how much longer until i feel better?

Internal Medicine 22 years experience

3-4 months: With adequate levothyroxine replacement, biochemical labs of thyroid function will normalize in about 2-3 months and most of the symptoms should be ... Read More

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4.2k viewsAnswered >2 years ago

A 39-year-old member asked:

Please tell me what system does osteoporosis affect?

Internal Medicine 22 years experience

Bone: Osteoporosis is conditions of bones with decrease bone strength , which results in increase in risk of fractures. It is common in postmenopausal wome... Read More

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4.2k viewsReviewed >2 years ago

Dr. Arnold Beresh agrees1 doctor agrees

A 81-year-old female asked:

My endo want to do whole body scan with i-123 before having me go on rai for pap thyroid cancer. shouldn't he do the rai first &whole body scan later?

Internal Medicine 22 years experience

It is done sometimes: In some situations, a diagnostic scan with I 123 is performed before a treatment with high dose Radiodine, to identify the amount of disease burden a... Read More

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232 viewsAnswered >2 years ago

A 42-year-old member asked:

Could diabeties keep a person from walking?

Internal Medicine 22 years experience

NO: Diabetes by itself does not have direct impact on walking.When diabetes is uncontrolled for a long duration of time, it can damage the nerves and path... Read More

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4.2k viewsReviewed >2 years ago

Dr. A. tarig Ahmed agrees1 doctor agrees

A 37-year-old male asked:

Please provide some do's and don'ts on living with hypothyroidism.

Internal Medicine 22 years experience

Ignore: Take levothyroxine on empty stomach with water. Wait at least 1/2 hour before eating food.

Created for people with ongoing healthcare needs but benefits everyone.

315 viewsAnswered >2 years ago

A 50-year-old member asked:

Could hypothyroidism cause high calcium in blood or its just hyperthyroid?

Internal Medicine 22 years experience

Extremely rare: Hypothyroidism does not cause high blood calcium levels by itself. Very rarely hypothyroidism can be associated with autoimmune adrenal disease and ... Read More

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4.2k viewsAnswered >2 years ago

A 34-year-old female asked:

How should i take levothyroxine and metformin together? timing?

Internal Medicine 22 years experience

Different times: Metformin should be taken with food to minimize stomach side effects. Levothyroxine should be taken on empty stomach and should wait atleast 1/2 hour... Read More

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4.2k viewsAnswered >2 years ago

2 thanks

A 37-year-old male asked:

Please provide some do's and don'ts on dealing with low testosterone.

Internal Medicine 22 years experience

Ignore: Testosterone replacement is not panacea for symptoms like fatigue, low energy levels.

Created for people with ongoing healthcare needs but benefits everyone.

308 viewsReviewed >2 years ago

A 37-year-old male asked:

Please share an interesting fact about dealing with hyperthyroidism.

Internal Medicine 22 years experience

Ignore: Monitor for side effects of medications while on antithyroid medication.

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308 viewsAnswered >2 years ago

A 32-year-old member asked:

How do i know if i have secondary amenorrhea?

Internal Medicine 22 years experience

Absence of periods: Secondary amenorrhea is defined as absence of periods for more than 6 months in a woman who was having normal menstrual cycles before.

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4.2k viewsAnswered >2 years ago

A 37-year-old male asked:

Please share a tip in the form of a haiku on dealing with hyperthyroidism.

Internal Medicine 22 years experience

Ignore: Discussed about possibility of using radioiodine as a treatment option for hyperthyroidism.

Created for people with ongoing healthcare needs but benefits everyone.

308 viewsAnswered >2 years ago

A 42-year-old female asked:

Can a wbs after radioactive iodine identify other tumors elsewhere in body? what info is determined after this scan in those with thyroid cancer?

Internal Medicine 22 years experience

No: Whole-body radiodine scan finds out where any remaining thyroid tissue/thyroid cancer spread, in your body after radioactive iodine treatment, and doe... Read More

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232 viewsReviewed >2 years ago

Dr. Gurmukh Singh and 2 doctors agree3 doctors agree

A 47-year-old female asked:

My mean plasma glucose is 111; hba1c is 5.3. my doctor said i don't have diabetes, but isn't my glucose high?

Internal Medicine 22 years experience

No: A1c between5.7 to 6.5 indicated pre diabetes. > 6.5 indicates diabetes. Having said that diabetes is more like a gradient disease- by that what i ... Read More

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4.2k viewsReviewed >2 years ago

Dr. Jeffrey Unger agrees1 doctor agrees

2 thanks

A 23-year-old male asked:

Is having a fast metabolism, 23 y/o male, good for me? if not how do i slow it down? my body seems to burn right through anything i eat swiftly. slim

Internal Medicine 22 years experience

Would not be worried: So called fast metabolism may not persist, and u will start gaining weight as you age. You do not need to be fat to suffer from metabolic side effect... Read More

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4.2k viewsAnswered >2 years ago

A 52-year-old female asked:

Calcium 10.6, then 10.2 ( 1 wk apart), vitamin d 15, pth 67, rt upper abd pain, rt flank pain, fatigue, primary or secondary hyperparathyroidism?

Internal Medicine 22 years experience

Both primary and sec: patient likely has combination of primary and secondary hyperparathyroidism.calcium level is high 10.6, intact PTH is not suppressed. This would indi... Read More

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315 viewsReviewed >2 years ago

Dr. Ed Friedlander and another doctor agree2 doctors agree

1 comment

A 32-year-old member asked:

Calcium in blood or its just hyperthyroid, what's he difference?

Internal Medicine 22 years experience

Question not clear: Hyperthyroidism can cause mild high calcium levels in a small group of patients, because of increased extraction of calcium from the bones. Long sta... Read More

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4.2k viewsAnswered >2 years ago

A 25-year-old female asked:

What does it mean when my tsh is .007? had complete thyroidectomy due to metastatic papillary thyroid cancer and take levothyroxine 125 mcg daily.

Internal Medicine 22 years experience

See below.: Your lab TSH of 0.07 is indicative of the levothyroxine dose being high.In thyroid cancer patients, depending on the risk and staging, dose of levoth... Read More

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232 viewsAnswered >2 years ago

A 35-year-old member asked:

What is the effect of a prolactin-producing adenoma?

Internal Medicine 22 years experience

Abnormal sexual func: 49 year old male with prolactin producing adenoma. Symptoms can include breast growth, sexual dysfunction and osteoporosis and headaches .

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315 viewsReviewed >2 years ago

1 comment

A 35-year-old member asked:

What does a 24 hr calcium urine test consist of?

Internal Medicine 22 years experience

24 hour urine sample: 24 hour urine calcium level is up taking to evaluate the calcium status in the body. This can be used to determine, if patient is having too much cal... Read More

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309 viewsAnswered >2 years ago

A member asked:

My sister in law has thyroid cancer which has spread to her bones and spine also she has cervical cancer and uterine cancer we want to know the rough time scale we have left for her?

Internal Medicine 22 years experience

Needs more info: metastatic thyroid cancer, can have variable prognosis and dependence upon the type of thyroid cancer. We will need specific information to onset this... Read More

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309 viewsAnswered >2 years ago

A 27-year-old member asked:

What's the biggest challenges of managing osteoporosis? my mom was just diagnosed at the age of 55.

Internal Medicine 22 years experience

Taking medication: osteoporosis is a silent disease and does not cause symptoms in the absence of fracture. Medications can help with osteoporosis, and has shown to hel... Read More

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301 viewsAnswered >2 years ago