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Doctor insights on: Adrenals More T3 Or Fibromyalgia

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Which make you lose weight more, T3 (liothyronine) or t4?

Which make you lose weight more, T3 (liothyronine) or t4?

T3T4: T3 (liothyronine) or tri-iodothyronine, is the immediate acting form of thyroid hormone, as opposed to T4 which is the storage form. Both are involved in metabolism but are not weight loss medicines. ...Read more

Dr. Laurence Badgley
1,364 doctors shared insights

Fibromyalgia (Definition)

Widespread pain and tenderness on palpation of specific muscle points, associated with variety of other symptoms that include fatigue, sleep disturbances, depression, ...Read more


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Can masturbation for more than 3 yeas everyday cause neurological disorder?

Can masturbation for more than 3 yeas everyday cause neurological disorder?

No, but ...: There has been no convincing evidence to tell the tale of concern as described. So, do not worry. Of course, anything going in moderation has been always a good advice for average person's daily living. More on overindulgency? Go to http://formefirst.com/eNewsletter05.html. ...Read more

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Could TSH 0.6 & ft4 0.9 & extreme fatigue/low body temp possibly suggest pituitary problems? More workup or seek other etiology?

Could TSH 0.6 & ft4 0.9 & extreme fatigue/low body temp possibly suggest pituitary problems?  More workup or seek other etiology?

Work up: Hopefully, you have been referred to an endocrinologist to discuss these laboratory results. Single values in a vacuum often do not tell the whole story, and the hypothalamic, pituitary, thyroid, end organ axis can have a number of reasons for these results. Best to discuss with the person who ordered the tests to get an appropriate referral and make sure you're up to speed with the plan. ...Read more

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Muscle twitching throughout body for 5 years. No loss of strength or atrophy. Never dx w/ BFS. Brain MRI norm. Get vitamin + mineral spectrum test?

Muscle twitching throughout body for 5 years. No loss of strength or atrophy. Never dx w/ BFS. Brain MRI norm. Get vitamin + mineral spectrum test?

Muscle Twitching: There are so many good pain management doctors, like Dr Michael Moskowitz and Dr Lee Wolfer in the San Francisco area that could work through this. I mention their names so you can review their websites and then compare to someone you find. Typically you need someone to think outside the box. Good luck. Dr Rich Blake ...Read more

Dr. Ira Katz Dr. Katz
2 doctors agreed:
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On a ACTH stimulation 3 time point base number 8, 30 min =23.5, 60 min = 39.6 does this suggest secondary adrenal insufficiency?

Dr. Ira Katz Dr. Katz
2 doctors agreed:
On a ACTH stimulation 3 time point base number 8, 30 min =23.5, 60 min = 39.6 does this suggest secondary adrenal insufficiency?

Not Enough Info: The baseline of 8 mcg is a borderline morning value and normal in the evening. The time of the day, ACTH value, reason for the test, how long the condition has been present for are all important. If it is secondary adrenal insufficiency it is likely new in onset. This test does completely rule out primary adrenal insufficiency though. ...Read more

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I see an MS doc on Thursday. In the meantime, I'm nervous. Neurogenic bladder, L5 numbness, migraines, fatigue, memory trouble. How likely is MS?

I see an MS doc on Thursday. In the meantime, I'm nervous. Neurogenic bladder, L5 numbness, migraines, fatigue, memory trouble. How likely is MS?

Being nervous: will not change the outcome in any way. It's best to go to this visit with positive attitude and listen carefully to what the doctor tells you, which will be based on a thorough history and physical examination. Speculation breeds anxiety. ...Read more

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Do you need an endocrinologist for very low vitamin d (blood test=10) w/ strong symptoms like fatigue, muscle aches, anxiety, general weakness?

Do you need an endocrinologist for very low vitamin d (blood test=10) w/ strong symptoms like fatigue, muscle aches, anxiety, general weakness?

Depends: Not absolutely essential, as family practice / internal medicine can initiate treatment, and as long as respond, no problem. If complex / delayed response, then endocrine can help. ...Read more

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Symptoms. Include fatigue, wt gain, sleep problems, hair loss, low iga, pinpoint petechiae on arms, migraines, brain fog, sore throat? Thoughts re dx

Symptoms. Include fatigue, wt gain, sleep problems, hair loss, low iga, pinpoint petechiae on arms, migraines, brain fog, sore throat? Thoughts re dx

Autoimmunity: Hi! sorry to hear you have so many symptoms. Autoimmune diseases frequently cause several symptoms, especially in young women. The issues with fatigue, hair loss, low iga, and petechia are suspicious for itp, lupus, and other autoimmune conditions. Definitely seek medical attention. ...Read more

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Low vitamin d (12), fatigue with muscle and joint pain. Daily issue, restless legs at night...Possible fibromyalgia? How to test for it?

Low vitamin d (12), fatigue with muscle and joint pain. Daily issue, restless legs at night...Possible fibromyalgia? How to test for it?

Physical exam: The best test for fibromyalgia is a physical exam by a skilled physician knowledgeable in fibromyalgia. There is no lab or imaging study that can confirm fibromyalgia. Be aware that vitamin d deficiency can mimic fibromyalgia-- i would not diagnose fibromyalgia unless a person has corrected their vitamin d deficiency. It can take 9-12 months to correct a low vitamin d. ...Read more

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Re. Osteochondroma - mhe - has any one worked on the syndromes associated with the metabolic issues; particularly narcolepsy, fatigue and more?

Re. Osteochondroma - mhe - has any one worked  on the syndromes associated with the metabolic issues; particularly narcolepsy, fatigue and more?

Not associated: To the best of my knowledge mhe or multiple heridary enchondrosis is not associated with metabolic problems and typically is manifested more by the phyisical manefestations of the growths. In this disease some can progress to chondrosarcomas so any growth that rapidly grows or becomes overly painful requires observation. ...Read more

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Would whey protein drinks help with the symptoms of fibromyalgia or other muscle conditions ?

Would whey protein drinks help with the symptoms of fibromyalgia or other muscle conditions ?

No!: Fibromyalgia is not muscle disease, but one of central pain modulation! exercise is far more important in fms & other disorders of muscle! ...Read more

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Had sev tests to DX leg/arm tingling &.dizziness like evoked potential, EMG, MRI, etc. Would any of them cause a 2-3 inch growth in height @ age 38?

Had sev tests to DX leg/arm tingling &.dizziness like evoked potential, EMG, MRI, etc. Would any of them cause a 2-3 inch growth in height @ age 38?

Not likely: Over our lifetime,most of us lose height primarily due to disc degeneration (Which it it appears was at least 1 thing being worked up by your Neuro)& cartilage loss in large weight bearing joints i.e. the knee.By 38 most people have obtained their max height & the tests you noted don't change that.However, depending on precisely how your ht is measured,i.e. w/shoes vs. w/o the readings will be off ...Read more

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Have lorazepam, 1 mg, for anxiety. Taking 1/2 of one @ bed. Helps insomnia, muscle pain and hot flashes(?!) Does that seem reasonable or concerning?

Have lorazepam, 1 mg, for anxiety. Taking 1/2 of one @ bed.  Helps insomnia, muscle pain and hot flashes(?!)  Does that seem reasonable or concerning?

Lorazepam: is a benzodiazepine drug, most commonly used for the short-term treatment of anxiety, seizures, insomnia and other anxiety related disorders. Lorazepam has been found to be physically and psychologically addictive. If concerned, ask your doctor for more information. ...Read more

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Have fibro and arthritis uppper arms muscle spasms would cymbalta help more than lyrica (pregabalin) need pain med?

Have fibro and arthritis uppper arms muscle spasms would  cymbalta help more than lyrica (pregabalin) need pain med?

Apples & oranges: While both medications have indications from the fda for the treatment of fibromyalgia, they are very different. Cymbalta is an serotonin-norepinephrine reuptake inhibitor also indicated for the treatment of major depression as well as generalized anxiety disorder. Lyrica (pregabalin) works through GABA and is also indicated for seizure disorder. Your physician should be able to help you decide. ...Read more

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Fever, not move 1-3 cm neck nodes, enlarged sub gland, night sweats, loss 20 lbs in 5 months. many tests no answer. Mayo says genetic or chronic cance?

Fever, not move 1-3 cm neck nodes, enlarged sub gland, night sweats, loss 20 lbs in 5 months. many tests no answer. Mayo says genetic or chronic cance?

More information : In order for you to get an appropriate answer, you will need to provide more detailed information. I suggest that you set up a consultation with a HealthTap Dr. of your choosing. Otherwise, you need to be more specific about what you would like answered in this informal forum. ...Read more

Dr. Alan Ali Dr. Ali
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Symptomes: abdominal obesity, baldness, brachydactyly, depression, low energy level, muscle twitching, small penis, small testes. What doctor to see?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Symptomes: abdominal obesity, baldness, brachydactyly, depression, low energy level, muscle twitching, small penis, small testes. What doctor to see?

Genetic/Endocrine?: First get thorough medical workup by a family physician (internal medicine), then further referrals depending on outcome. ...Read more

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Can Trileptal cause, or aggravate, tics or muscle twitches? What should I look out for. I'm taking 75mg, at the moment, for Bipolar 1 Disorder.

Can Trileptal cause, or aggravate, tics or muscle twitches? What  should I look out for. I'm taking 75mg, at the moment, for Bipolar 1 Disorder.

?: It may cause tremors as a side effect, you are on a low dose though, at any rate, not all listed side effects should be be experienced. Keep a diary of your symptoms for next appointment with your doctor and discuss with him/her, as you are on other medications too, which don't seem to interact, good luck ...Read more

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Hypothyroid. T3 (liothyronine) 1.8(1.6-3) T4 16(9-21) experiencing symptoms such as chronic fatigue, exhaustion, feeling faint, mental illness,etc really need help?

Hypothyroid. T3 (liothyronine) 1.8(1.6-3) T4 16(9-21) experiencing symptoms such as chronic fatigue, exhaustion, feeling faint, mental illness,etc  really need help?

Need more info: It is a little challenging to answer as our thyroid test units here in the States are different from yours. But if we had the TSH (thyroid stimulating hormone), also known as thyrotopin, value we might be of more help, Consider writing back and adding that. You have a combination of conditions that can cause fatigue and exhaustion. I hope you can find some help. All the best to you. ...Read more

Dr. Jesse Krakauer
460 doctors shared insights

Liothyronine (Definition)

Liothyronine is a thyroid ...Read more


Dr. David Geffner
459 doctors shared insights

T3 (Definition)

T3 is a thyroid ...Read more