Doctor insights on:
Total Vs Free T4
Hypothyroidism: You are already on thyroxine; meaning you are diagnosed with hypothyroidism. Under active thyroid. Your TSH is high;t3;t4 levels are low. Your doctor has to adjust medication till the levels are in therapeutic range. Why you have hypothyroidism? Is it goiter, nodule or autoimmune?See an endocrinologist. Pls. Read thyroid nodule- http://doctorrajput.Com . Thanks. ...Read more
Female 35 fasting: TSH 1.88 and T4 free 1.2 Nonfasting results 6 months ago: TSH 1.16 and T4 free 1.4 Did fasting raise my TSH? Do I have an issue?
Thyroid is normal: Both levels are normal. the difference in the numbers is not significant. Fasting will not effect your TSH level. You do not have any issue with your thyroid. ...Read more
Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?
Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read moreSee 4 more doctor answers
37 yr old male lab results AST 57, ALT 85, vit. d 19.7, triglycerides 200, total chol 195, HDL 66. Liver ultrasound ordered. What might diagnosis be?
Blood test abnormal: There are a great many possibilities. Be sure to follow up with your doctor for accurate diagnosis and treatment ...Read more
My liver tests are as follows:
Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL
Should I be concerned
? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more
Are the WBC results 15.6, 14.4, 11.4, 13.5, 12.7, 16.7, 14.4 13.3, 12.4, 15.3, 13.9, 14.4 & 17.8 slightly, moderately or highly elevated in general?
Blood tests: There are a few diseases that leap out from blood tests. Most of the time, however, blood tests don't tell the doctor much on their own. These results fall into the second group. Good health to you. It is reassuring that the results do not consistently keep rising. ...Read more
I'm 21. Which medication is more proper for ovarian cysts(5-8mm. No free fluid) in both ovaries- homeopathy or allopathy ?
Medical systems: Homeopathy and allopathy are systems of medicine, not medications in themselves. Allopathy means "other suffering" -- and refers to using treatments that cause effects different from those of the disease being treated. Homeopathy = "similar suffering" -- and uses minute quantities of medicines that would produce in a healthy person, symptoms similar to those of the disease. Please see comment. ...Read moreSee 2 more doctor answers
My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1
e.R. Said hepatitis?
Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more
After total thyroidectomy, i131, and yrs in bipolar Meds...low ALT results and extremely low alkaline phosphate, which has been low for 4 yrs. ????
Male, 40yrs, 72kg, 5'7", ser cholstrl 214, triglycerds 387, HDL 36, LDL 98, vldl 77. Good diet, salt n sugar contrlod. What is causing prob?
My vit. d2 is 21.4 ng and my d3 is 26.3 ng for a d2/d3 total of 47.7 my Dr. says aok others say now way to low opinions?
Sounds ok if...: Sounds ok for a typical normal person. Testing for 25-OH-VitD2 and 25-OH-VitD3, and then adding the results to get the total vitamin D level, can help the doctor check the source of the vitamin deficiency and the treatment progress. There is debate over when it would be needed to do these tests. Some doctors feel that giving people more vitamin D would avoid deficiencies and avoid doing lab tests. ...Read more
Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!
Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more
My HDL is 24, trig 97, total 135 i'm a 38yo male in "good health" BP 110/60ish.
Are there any long term risks in taking 6g fish oil @60%=4g of omega3?
What for?: Why do you feel the need to take so much fish oil? First of all, you are better off getting your fish oil directly from fish like wild alakan salmon or sardines. Second, high concentrations of fish oil can cause anti coagulation that can make you susceptible to bleeding. Good health will not come from a pill. ...Read more