How to address lethargy and body aches in steroid users?
Hello doctor,
I am a 39-year-old male, currently using anabolic steroids, and I recently received my blood test results. My testosterone levels are elevated at 1800 ng/dl, with estradiol (E2) at 39 pg/ml, and cortisol at 20.88 ug/dl. Additionally, my thyroid function tests indicate normal levels of T3, T4, and TSH. Despite these results, I am experiencing persistent symptoms including low energy, neck ache, and a lack of self-confidence.
Further details from my blood test include a free testosterone level of 53.39 pg/ml and a hemoglobin level of 13.40 g/dl, with a total RBC count of 5.72. Despite these values being within normal range, I still feel lethargic, experience body aches, and lack the motivation to engage in workouts.
I am seeking guidance on how to address these symptoms and improve my overall well-being. Kindly help.
Thank you.
20 May 2024 - 1 min read
What causes fluctuations in female hormones, and what are the symptoms?
Hello doctor,
I am a healthy 42-year-old woman, 5 feet 5 inches tall and weighing 110 pounds, and would like to inquire about fluctuations in female hormones. I am still getting my period, though it is a little bit irregular sometimes. I am concerned about surges in my estradiol, luteinizing hormone, and follicle-stimulating hormone. My estrogen has been as low as 22 pg/mL and as high as 240 pg/mL. Can you confirm if these values fall within normal limits?
Thank you.
20 May 2024 - 1 min read
What are the ways to manage high blood glucose, triglycerides, and fatty liver?
I am a Diabetic patient and My creatinine level is 1.19, Triglycerides is 292, Phosphorus is 4.81mg/dl, HDL is 41mg/dl, VLDL is 68.40mg/dl, Sugar Fasting is 295mg/dl. Iam consuming Zukanorm M50/500 mg medicine and mixturd 30/70 insulin[dose:- Day-16 & Night-20]. Please, advise me. Yours faithfully, Uma Rani Deb Ghosh Age-59.
20 May 2024 - 1 min read
In what means high TSH values related to depression?
Hello doctor,
My sister is going through psychiatric treatment for depression. She had a miscarriage 10 years back and childless after that. Since the last six years, she is in depression and unable to mingle with society. Doctor asked for routine blood tests and her TSH level are above normal. She advised her to visit an endocrinologist. She is lacking energy in her day to day work and always complains of body aches like in waist area and in back. She is very silent and only responds to any query after knocking her two to three times. She cannot walk for more than 500 meters at a stretch and feels tired always. She also complains about constipation and less sleep. She is 41 years old and her weight is 97 lbs with a height of 5.2 feet. Blood pressure is normal 110 / 80 mmHg. I have uploaded her reports and her medications are tablet Arpizol 15 mg, Nexito 5 mg, Neuro D3 60K, and Optineuron.
Please advise for her TSH levels and vitamin D levels (it is low). Iron and calcium levels are low as well.
16 May 2024 - 1 min read
Does the smell of alcohol from a diabetic indicate ketosis?
Hello doctor,
My husband is a type-2 diabetic. He takes Metformin, Januvia, and Zoloft. He smokes marijuana and cigarettes. He has been on the strongest nicotine patch for the past week, but still smoking occasionally. Twice in the past week, he smelled strongly of beer or alcohol and I thought he had been drinking. He swears he was not. I am concerned he has symptoms of diabetic ketosis. He has been acting very angry and irrational. Could this be a result of using the patch and smoking? Is the alcohol smell something to be concerned about? Should he be seeing his doctor? Is it safe for him to be driving with our children in the car? If it is symptoms of ketosis does it just go away or get worse over time?
15 May 2024 - 1 min read
Endocrinology