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Dr. Stuart Seigel

Endocrinology
WA
14 years experience male

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Endocrinology

Diabetology

Languages spoken

English

Doctor Q&A

85 Answers
9 Agrees
The number of answers this doctor has agreed with.
A 32-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Prob normal: The Tsh fluctuates within the normal range all the time. Sometimes thyroid inflammation leads to abnormal fluctuations which usually resolve on their ... Read More
A 30-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Needs an examination: PCOS can cause irreglar menses. It is however important to see an OBGYN to rule out other causes of abnormal menses. Additionally PCOS needs to be tre... Read More
A 22-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Hmmm: Difficulty gaining weight or maintaining weight could be due to many things.overactive thyroid could do it. Malabsorption of nutrients could be an iss... Read More
A member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Very broad question: That is too broad of a question. The endocrine system includes the thyroid, parathyroid, ovaries, testes, adrenal gland, pituitary gland, pancreas....... Read More
A female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Anasthesia or IR: Spinal headaches after lumbar puncture can be painful. They are positional and sitting up makes it worse. They can have an electric quality to them as... Read More
A 29-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Not typically: It is not a typical side effect. Especially if it is only being used for three days. Hydrocortisone cream can eventually cause this if used in large a... Read More
A 20-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Low calorie low carb: You should do an atkins style diet with <20g net carbs per day or < 6g per meal. Then do 1200kcal restrict. Drink 2 liters of water per day. Th... Read More
A male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Call poison center: You should call the poison control center in your area. Most likely your child will be fine. Case report studies show possibility of nausea and diarrh... Read More
A male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Monitoring: When a patient is not on thyroid hormone therapy and the TSH is bordeline with a normal free t4 then usually it can be monitored on a 6 month to yearl... Read More
A member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Depends: Without treatment Graves hyperthyroidism resolves on its own in only 10% of patients after 20 years. It is also heterogeneous and some people go into ... Read More
A member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Indeed: The treatment of hyperthyroidism depends on the cause. Sometimes its self limited. Sometimes it can be cured by surgery and sometimes radioactive iodi... Read More
A 20-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Hormone doc: That is a physician who treats the hormone glands in the body. Most often they treat diabetes, pitutary, thyroid adrenal, gonadal and bone/calcium dis... Read More
A 36-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Ignore: Do count your carbohydrates and treat them with insulin. Don't skip your insulin shots.
A 46-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Too small to worry: Generally nodules that small are usually just monitored. This is a very common finding as many people have nodules. 95% are benign. I would not worry ... Read More
A 48-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Figure it out: You can figure it out. Reduce your calories by increments of 200 until your weight is stable. Unfortunately there is no specific calorie recommendatio... Read More
A 37-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Ignore: Maintaining a healthy normal weight a avoiding refined sugars will help prevent type 2 diabetes.
A 37-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Ignore: Just like hypothyroidism, hyperthyroidism can present with fatigue.
A male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
No: For diabetics without any diabetic kidney disease or any cardiovascular disease (heart blockages) I recommend BP to be
A 29-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Non-specific: Tsh of 0.99 suggests normal thyroid function. I dont have your free thyroxine level to confirm this. Your symptoms are non-specific. Unfortunately, wh... Read More
A female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
No taper needed: With steroids its all about the duration of time on the med. Our own bodies make cortisol which is basically what is in the steroid pill. Generally if... Read More
A 42-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Post meno therapy: HRT is the replacement of hormones postemenopausally typically to treat menopausal symptoms. HRT is controversial. The controversy revolves around br... Read More
A 22-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Hard to tell: One would expect the T levels to be elevated as well. I am not sure what very high means. Sometimes in polycystic ovarian syndrome androstenedione is ... Read More
A 22-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
No: Interesting question but not usually connected. Thyroid affects heart, lung, blood, GI tract, reproductive, neurologic, skin, eyes, general metabolism... Read More
A 35-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
It could: There are a few recent studies which suggest there may be a link. One of them showed that symptoms of restless leg syndrome actually improved with vit... Read More
A 32-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Not really: the most common symptoms of hashimotos are hypothyroid symptoms. These are fatigue, cold intolerance, weight gain, hair loss, constipation, depression... Read More
A 18-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Oral d therapy: You can take oral vitamin d 250h. The amount one needs for repletion depends how low your d level is. If oral 25ohd does not work then there may be a ... Read More
A 28-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Track it 1400: The cheapest and best way to lose weight fast is to use a calorie counter app like myfitnesspal. Reduce calories to 1400 per day. In the app track EVE... Read More
A 46-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Carbs: With diabetes its all about carbs. If the cocoa almonds have lots of sugar, carbs will be higher. Bare Almonds are low in carbs. Look at the label and... Read More
A 55-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
< 180: In a person without type 2 diabetes a 2 hour postprandial of < 140 is normal. For diabetics we recommend pre-prandial (before meal) 70-130 and 2hou... Read More
A 22-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Low sugar validity: In a non-diabetic, a sugar of 60 is normal. Glucometers overall are pretty accurate. True hypoglycemia is only true in a non-diabetic if it is accompa... Read More
A female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
No: No... that is quite unlikely. Persistent Swollen lymph nodes and fevers is concerning. You should see your general practitioner asap.
A 50-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Nope: no. There is no clinical effect from taking bitter melon that would be so pronounced as to negate the need for metformin or januvia (sitagliptin). Bot... Read More
A 39-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Definitely possible: urine epinephrine is not that helpful when it comes to diagnosing adrenal gland disorders given the short half life of the hormone. Anxiety does lead ... Read More
A 56-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Good question: Erectile dusfunction may not be related to your low testosterone. It could be true true and unrelated. The initial choice for treating ED is viagra (s... Read More
A 25-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Def. discuss with GP: If this is a new presentation of recurring headache it should be discussed with your primary physician. Morning headaches raise a red flag so discussi... Read More
A 32-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Life expectancy: There isnt any hard number to answer that question with. If diabetes is poorly controlled then the life expectancy is surely shortened. I have many ty... Read More
A 24-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Hyperthyroidism cure: Graves disease is autoimmune thyroid disease. Your body makes antibodies which stimulate your thyroid to make more hormone. RAI essentially destroys t... Read More
A 45-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Proper insulin dosin: exercise only leads to a 3-5% total body weight loss which isnt that much. Lowering insulin dose is not the trick to losing weight. As one loses weigh... Read More
A 33-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Broad question: Thats a broad question. Type 1 diabetes is an autoimmune disease. It is only 30% genetic. Type 2 diabetes is 80% genetic. It starts off with insulin r... Read More
A 36-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Ignore: Acquiring Type 1 diabetes is not the fault of the patient. It's an autoimmune disease.
A 52-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Depends: Thyroid nodules are evaluated with ultrasound. Depending on the nodules characteristics we may want to biopsy one or more of them. Then they are follo... Read More
A 34-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Borderline hypo: It is when your directly measured thyroid hormone levels are normal but your tsh (pituitary hormone) is elevated suggesting very mild hypothyroidism. ... Read More
A 33-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Not really: Hashimotos is autoimmune destruction of the thyroid. Some people have very little of this and the thyroid can still function normally. When hashimotos... Read More
A 34-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Risk of getting dm1: Type 1 diabetes risk is 4-8% in offspring of an affected mother and slightly higher when its an affected father. It can be up to 30% if both parents h... Read More
A 49-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Good question: the paleo diet is essentially a lower carb limited processed food diet. I think its great. Anytime you remove something from your diet...you will lose... Read More
A 37-year-old male asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Ignore: The lower the carbs the lower the insulin needed which equals more predictable and stable sugars.
A member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
It depends: people can get postpartum thyroiditis. That usually presents with a hyperthyroid phase followed by a hypothyroid phase and usually back to normal thyr... Read More
A 64-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Heart dz diet: diet usually can only reduce the bad cholesterol at most by 10%. You want to reduce saturated fat and increase mono and polyunsaturated fats. Eat only... Read More
A 32-year-old member asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Nothing to worry: A simple goiter is a mild enlargement of your thyroid. In this case simple means there are no concerning features on physical exam to warrant any furt... Read More
A 17-year-old female asked:
Dr. Stuart Seigel
Endocrinology 14 years experience
Ok: Bromicriptine and ibuprofen do not interact with each other. Taking them together is likely to be ok.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
72
Thank you notes
HealthTap member
Mar 5, 2015
Very knowledgeable and gives clear and concise answers. Very comforting. Blessed to have doctors like him to reach out to when you have ?'s or don't understand a thyroid problem from your own Doctor!
HealthTap member
Mar 31, 2015
Dr. Seigel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Seigel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This saved my life. Thank you. Praise God, & thankyou! My endocrinologist said my oncologist erred saying Im cancer free from PET results b/c TSH suppressd. I was devastated! THANKS
HealthTap member
Thanks. I'm on a RD sponsored 1700 calorie diet and am totally exhausted but with the dose I'm on I've been told weight loss is not going to happen.
HealthTap member
Thank you, your answer was very helpful! My surgeon does 400 a yr. and that's his specialty . Rex Surgical

Education & Training

Medical/Graduate school

Virginia Commonwealth University School of Medicine, VA
Graduated 2008MD

Awards

Founding Rx Editor, First Place, National - Winter
2015
HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less