Doctor insights on:
What would cause hypoglycemia (60) with high beta hydroxybutyrate 3.2 and insulin high at 7.3? Non fasted, non diabetic.
Reactive hypoglycemi: B"sd sounds like a colleague has ordered hypoglycemia evaluation. Clinical details needed for full interpretation, but the results given would be compatible with typical post-prandial reactive hypoglycemia. Often seen in states of insulin resistance which would include pre diabetes. More than happy to discuss with the details. High BH pretty much rules out insulinoma or insulin injection. ...Read more
Advice adjusting my insulin while in metabolic ketosis to lose weight.Testing both (capillary) glucose & beta-hydroxybutyrate. ?
Liver enzyme: Gamma glutamyl transaminase / transpeptidase enzyme rises in some liver illnesses and supposedly is the first to rise in drinkers. It's a poor screen, some folks are born with lifelong high levels, but it's better than nothing. ...Read more
Other findings?: Serum level of GGT of 67 is higher than normal and suggests injury to liver. However, an isolated lab test is not a reason to worry. What did other tests show? Do you drink? If you do, abstain for 2-3 weeks and repeat the test. Are you on any medications, including herbs and over the counter drugs? Discuss all these issues with your doctor to identify the cause of liver injury. ...Read more
High energy photons: This is light of extremely short wavelengths typically produced either among the stars / in cosmic rays or by radioactive element decay. Gamma rays form the background of normal radiation in which we all live; it is substantially greater than the exposure we get from imaging scans or should get from exposures in the workplace. ...Read more
Possibly: It sounds like you had a test called a serum electrophoresis. This looks at the proteins in the serum and when they speak about the "gamma band", this refers to to one of the immunoglobulin protein components.This region has an increased band in tumors that secrete excess immunoglobulin.This is seen with multiple myeloma, one of the cancers of the blood cells. These cells normally make antibodies. ...Read more
No, I don't. Sorry. : No I don't. Sorry. Better to ask the doctor who is prescribing this for you or who is involved in your care. ...Read more
Interferon: Great google/wikipedia question. To many details for our 400 spaces here. ...Read more
I have mengimoa on the cranial nerves 3, 5and 7 .I also have trilgimal nerguia would i be a candidate for gamma knife ?
Possibly: Gamma knife is focused beam radiation that is very effective for controlling benign tumors like meningiomas. If these tumors are small, they are more effectively controlled. It also depends where they are on the nerve and if there is a risk to the nerve. With respect to the trigeminal neuralgia, gamma knife is a well accepted treatment depending on the cause(different response rates). ...Read more