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Doctor insights on: Metabolic Physician

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What symptoms characterize metabolic acidosis?

What symptoms characterize metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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Would a "basic metabolic panel" show liver problems, in non-alcoholic?

Would a "basic metabolic panel" show liver problems, in non-alcoholic?

No: It may show abnormal sodium levels but that is very non-specific. You need the liver tests which is in a comprehensive metabolic profile. ...Read more

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Which organs get checked in a comprehensive metabolic panel?

Which organs get checked in a comprehensive metabolic panel?

Metabolic panel: A comprehensive metabolic panel tests kidney and liver function, as well as the level of common electrolytes such as sodium, potassium, and calcium. ...Read more

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Which endocrine disorders/problems would a comprehensive metabolic panel blood test NOT detect?

Which endocrine disorders/problems would a comprehensive metabolic panel blood test NOT detect?

All: Comprehensive panel abnormalities could suggest possibility of endocrine disorders or in extreme hyperglycemia detect Diabetics . Thyroid disease, adrenal diseases,etc require specific test ...Read more

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Would a normal CMP with electrolytes & kidney functioning rule out metabolic/respitory acidosis or alkalosis. ?

Would a normal CMP with electrolytes & kidney functioning rule out metabolic/respitory acidosis or alkalosis. 
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Need more informatio: To perform a complete analysis blood sample should include and arterial sample for blood (abg) gases which will aid in a complete analysis and possible diagnosis ...Read more

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Normal CBC, CMP & electrolytes. Does this exclude acid/base problems such as metabolic acidosis or alkalosis??

Sort of: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, just the fact that you are asking this question is sufficient to conclude that you do not have serious acid/base disorder. ...Read more

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What kind(s) of specialist(s) would be able to diagnose & treat glutamate metabolism disorders and nitrogen metabolism disorders?

What kind(s) of specialist(s) would be able to diagnose & treat glutamate metabolism disorders and nitrogen metabolism disorders?

1-Step Metabolomics: Any physician can order the most broad-spectrum screen for metabolic disorders: "one-step metabolomics". Here is a link to a video demonstration of the technique. http://www.jove.com/video/2014/one-step-metabolomics-carbohydrates-organic-amino-acids-quantified. ...Read more

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Dr. Andrew Ho Dr. Ho
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Can a family physician prescribe derpression and psychiatry medicines ?

Dr. Andrew Ho Dr. Ho
7 doctors agreed:
Can a family physician prescribe derpression and  psychiatry medicines ?

Saves money but: Call me old fashioned but it does not mean it is such a good idea. More ok for family, general, internist, ob/gyn etc to refill antidepressants once a patient is doing well, as part of general health maintenance. I have seen enough prolonged suffering and missed opportunities to appreciate the down side. Worth it to get started with a good psychiatrist, then transition. ...Read more

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What supplements help with metabolic myopathy?

What supplements help with metabolic myopathy?

If mitochondrial: consider antioxidants in the form of foods and vitamins, coenzyme Q 19, B complex, Vitamin C, E, D. Review any supplements with your doctor before taking, especially if taking large doses. ...Read more

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Can a Doctor of Osteopathy be considered as my primary care doctor, family doctor, or as an internist? Do they prescribe HTN medications,as necessary?

Can a Doctor of Osteopathy be considered as my primary care doctor, family doctor, or as an internist? Do they prescribe HTN medications,as necessary?

Yes: Doctors of Osteopathy (D.O.) are not limited to D.O. residencies, and can train alongside allopathic physicians (M.D.) in allopathic residency programs. There has been a convergence in philosophies over the years, and the differences between a D.O and an M.D. have become much more subtle. ...Read more

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What is a comprehensive metabolic panel composed of?

What is a comprehensive metabolic panel composed of?

Metabolic panel: A comprehensive metabolic panel tests kidney and liver function, as well as the level of common electrolytes such as sodium, potassium, and calcium. ...Read more

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Can you have a normal comprehensive metabolic panel and still have a metabolic disease ?

Can you have a normal comprehensive metabolic panel and still have a metabolic disease ?

Yes : The are a number of metabolic diseases and cmp can serve as a good tool in sorting many them out. The metabolic disease you are likely referring to is metabolic syndrome. The transaminases may be elevated in this condition on cmp and other labs are needed to make a textbook diagnosis. ...Read more

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How does primary hyperaldosteronism cause metabolic alkalosis?

How does primary hyperaldosteronism cause metabolic alkalosis?

Conn 's alkalosis : Aldo moves Na from urine and K and H out into urine. Lowering H in blood makes you more alkalotic. Also as K moves out of cells to keep blood K up H moves into cells. Less H in blood = higher pH. ...Read more

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Can a blood exam rule out kidney, liver, thyroid, endocrine etc. issues one might have?

Can a blood exam rule out kidney, liver, thyroid, endocrine etc. issues one might have?

Life isn't so simple: There are many types of blood tests. Nobody does all the tests on each patient (that would consume all the world's medical resources). Screening tests for the more common problems or the more common blood test abnormalities are often done... and can rule out organ disorders that cause blood test abnormalities. Realize that a problem in an organ may or may not cause blood test changes. ...Read more

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In untreated addison's disease, would basic metabloic panel always be abnormal? Low sodium, increased k?

In untreated addison's disease, would basic metabloic panel always be abnormal? Low sodium, increased k?

Never say always: As addison's disease (primary adrenal failure) progresses, there will most likely be obvious hyponatremia and hyperkalemia. But these changes may be subtle in the early stages, and the diagnosis can be be more properly suspected with a presentation of prolonged nausea, vomiting, anorexia, weight loss, low blood pressure, and weakness. ...Read more

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What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?

What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?

Difference....: If your ph in your blood is lower than normal, then you have an acidosis. If the ph in your blood is higher than normal, then you have an alkalosis. To figure out if the abnormality is respiratory or metabolic, you need to know the carbon dioxide level. An arterial blood gas test would give the information needed to diagnose the disorder, including whether or not there is compensation! ...Read more

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Which physician diagnoses insulinoma? Diabethologist? Thanks

Which physician diagnoses insulinoma? Diabethologist? Thanks

Insulinoma: Yes, an endocrinologist would be a good place to start. Are you ever hypoglycemic? (Low blood sugar) ...Read more

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What kinds of doctors treat metabolic disorders (glutamate metabolism, nitrogen metabolism, methylation disorders)?

Methylation: Methylation disorders (mthfr and comt) can affect as much as 25% of the general population. Integrative medicine doctors will generally treat, also functional medicine and a holistic medicine. ...Read more

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What kind of doctor should treat metabolic syndrome?

What kind of doctor should treat metabolic syndrome?

Most!: I believe that all physicians should know how to recognize the possibility and confirm this with tests. However, as a specialist, i find my internal medicine and fp colleagues miss it frequently, even with family history. So an astute fp, im should do it regularly. If not, see a cardiologist or sports physician, or physician nutritionist to both diagnose and treat! ...Read more

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Why doctors consider drugs like ( rifampicin & isoniazid) as risk factor of metabolic syndrome?

Why doctors consider drugs like ( rifampicin & isoniazid) as risk factor of metabolic syndrome?

Metab syndrome: An insulin-sensitizing agent, such as metformin, is often used as hyperglycemia treatment in patients with metabolic syndrome. Literature suggests that metformin may help to reverse the pathophysiologic changes of metabolic syndrome. Cannot find any evidence that Rifampin is a risk factor for metabolic syndrome. ...Read more

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Why do different doctors give different fasting times for the exact same comprehensive metabolic panel? I've been told anywhere from 8 to 12 hours.

Why do different doctors give different fasting times for the exact same comprehensive metabolic panel? I've been told anywhere from 8 to 12 hours.

9 hours minimum: For a lipid profile you should fast for a minimum of 9 hours. For fasting glucose 8 hour may suffice. To be on the safe side it is better to aim for 12 hour fast. ...Read more

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Are there any medicines that can increase metabolic rates in obese? Some doctors claim there are! What are they? Can they help with diet & exercise?

Are there any medicines that can increase metabolic rates in obese? Some doctors claim there are! What are they? Can they help with diet & exercise?

Below: Yes there are medications that can be used to supplement diet and exercise for Wt loss. Suggest you discuss this with your health care provider for full information, side effects, and then decide on the most appropriate course of action for youj. ...Read more

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Do doctors screen for metabolic disorders after birth?

Do doctors screen for metabolic disorders after birth?

The state does: In the US, each state screens different metabolic disorders... most will screen for the most common ones like PKU. Testing is done at the state lab and abnormal results are communicated to the primary doctor and in some states to the expert panel. ...Read more

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What kind of doctor should I see to test for metabolic syndrome?

What kind of doctor should I see to test for metabolic syndrome?

Specialist or PCP!: A good family phycisian will know your build (apple/pear), and also know your family hx. Checking b p is standard, getting your lipids interpreted, and finally your hgba1c, complete the picture. Bmis are ok, but body composition analysis is better. You should leave knowing your ideal weight. ...Read more

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What kinds of doctors treat metabolic disorders (glutamate metabolism, nitrogen metabolism, methylation disorders)?

Methylation: Methylation disorders (mthfr and comt) can affect as much as 25% of the general population. Integrative medicine doctors will generally treat, also functional medicine and a holistic medicine. ...Read more

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"what information does metabolic panel blood test gives to a doctor about a patient's health?"

"what information does metabolic panel blood test gives to a doctor about a patient's health?"

Much: In the 1970's, using the chemical ("metabolic") profiler for screening was "controversial." today it's cheap and is the usual way in which we pick up several common treatable diseases before symptoms occur -- the hepatitis family, alcoholic / lifestyle / medication-induced liver injury, wilson's, hemochromatosis, parathyroid disease, blood lipid problems. The key is interpreting it! ...Read more

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Do i need to go to an endocrinologist to be diagnosed with metabolic syndrome or can my primary care doctor do it?

Primary doc: Pcm should be able to do this. "diagnosing" this is straightforward, but of limited utility since there is no specific treatment for the "syndrome." treatment is targeted at the individual components of the syndrome obesity, hypertension, elevated trig ( and low hdl) and elevated fasting blood glucose. ...Read more

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What do you advise if doctor ordered a blood test on my daughter including a complete metabolic panel and a CBC w/diff?

What do you advise if doctor ordered a blood test on my daughter including a complete metabolic panel and a CBC w/diff?

Hard to say: The reasons why the tests were ordered are not available for us to review. (history, physical, docs concerns) As such, I would suggest that consulting the site is less relevant than following your docs orders. I wouldn't order the tests for fun.They would be done to rule in or rule out a specific set of concerns. ...Read more

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Does serequel (anti psychotic) causes metabolic syndrome? does it lower metabolism? im a body builder. i use it to sleep. my doctor knows.

Does serequel (anti psychotic) causes metabolic syndrome? does it lower metabolism? im a body builder. i use it to sleep. my doctor knows.

Seroquel (quetiapine) and obesity: Seroquel (quetiapine) is associated with weight gain, as are most of the newer antipsychotics. Seroquel (quetiapine) is not as bad as some others. Your "conditions" list bipolar disorder, and Seroquel (quetiapine) can be very useful for this. If you need to take Seroquel (quetiapine) for your mental health condition, and it works, then follow your doctor's advice and watch your diet / exercise carefully to avoid obesity ...Read more

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What physicians use the pythagorean therom?

What physicians use the pythagorean therom?

Nice question: In mathematics, the pythagorean theorem or pythagoras' theorem is a relation in euclidean geometry among the three sides of a right triangle (right-angled triangle). In terms of areas, it states: in any right-angled triangle, the area of the square whose side is the hypotenuse (the side opposite the right angle) is equal to the sum of the areas of the squares whose sides are the two legs ...Read more

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What is a physician?

What is a physician?

An M.D. or D.O.: In the United States, a physician is a person with an M.D. Or a D.O. Degree from a medical school. A small number of physicians received their degrees in other countries that use abbreviations different from M.D. Or D.O., but they have equivalent degrees and so are also called physicians in america. There are other "healthcare practitioners" that are called doctors but are not physicians. ...Read more

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What kind of physician treats scoliocis?

What kind of physician treats scoliocis?

Orthopedic surgeon: Scoliosis, an s-curving of the back, is usually first seen by pediatricians. They will refer such a patient if there is a problem to an orthopedic surgeon for evaluation and correction. An adult with scoliosis probably would go straight to an orthopedic surgeon. ...Read more

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How should I address my physician's assistant?

How should I address my physician's assistant?

Mr or Mrs or Ms: Mr or ms or mrs is perfectly fine. Some like to be called by their first name. ...Read more

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What is your opinion of a physician assistsnt?

What is your opinion of a physician assistsnt?

See below: Physician assistants practice the art and science of medicine under the supervision ANS sponsorship of a physician. As such they are vital members of the health care team, especially in underserved areas. I go to one. ...Read more

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Could you explain what is an integrative physician?

Could you explain what is an integrative physician?

Integrative Medicine: Integrative medicine doctors seek to treat the whole person (spiritually, physically ; emotionally) ; often use alternative and standard medical approaches. ...Read more

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How do physicians treat lymphedema?

How do physicians treat lymphedema?

Compression: It is treated with a pump, compression with support hose. Internist may try water pills with some effect. I have found enzymes helpful in realist cases such as bromelain, a pineapple enzyme 3-6 a da in divided doses 1 hour before or 2 hours after meals. ...Read more

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Is physician-assisted suicide ethical?

Is physician-assisted suicide ethical?

It is not legal: People with terminal illnesses need not suffer pain/ indignity. Discussing one's views re: faith, life, death, and medical care with one's doctor is very important as is having an advanced health care directive and polst made. Hospice can make the experience before natural death more humane. One need not resort in suicide; which is not legal, moral, biblical, and many think, not ethical. ...Read more

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