Endocrinology

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Mixtard discontinued

I have been using Mixtard 30/70. Suddenly it has been stopped and pharmacies have no stock of Mixtard. I want to know the alternatives for this insulin. Not the expensive Rhyzodeg buy easily affordable and easily available one in the pharmacy.
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Thyroid function

My free t4 and tsh are normal but free t3 is low and total t4 is 5 and total t4 is 0.71 From 1.5 year my total t4 and t3 is coming slightly low but weight gain problem and no any symptoms. Is my thyroid gland nirmla functioning
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Neck swelling

Swelling in thyroid gland n USG done showing diffusly Heterogeneous parenchyma with multiple I'll defined hypoechoic nodules shattered throughout bilateral parenchyma and decreases vasculity in color Doppler -S/o  Chronic thyroditis
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Diabetic query

I have diabetes from last 8 yrs and blood pressure i am taking glycomet sr 500 once my hba1c is 6.9 should i increase the dose twice or no need and my height is 5 f 6inch and weight is 55 kg pls give suggestions
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Regarding high tsh level

I am 12 weeks pregnant and my tsh level is 5.8...which is not good. I am taking thyroxin empty stomach 75mcg earlier it was 50mcg after going through report doctor suggested me to take 75 mcg... My concern is that I want to take Thyropace medicine as a supplement. Is it safe to have it during pregnancy. I have had this medicine earlier nd it was good to me Pls suggest
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Stroke and diabetics

Mother got mild TIA. Fasting sugar : 147 mg/dL Hba1c: 7.67 BP: 135/78 Medications: Metaformin 500 mg twice a day, Glimepiride 2mg before dinner, Ecospirin gold 20 before bed, Eltroxin 100mg Kidney test reports very much Ok. Egfr: 89.83 Want to avoid glimepiride due to TIA episode. Please suggest alternate Medications for diabetics to be bring values under control.
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Suggest protein or energy powder

Please suggest protein or energy milk powder for diabetic person who is 67 years old . Thank you
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Lab report result analysis

Dear Doctor, I got my annual medical check report. I want you to check and suggest cases which are not ok Thanks Savinaya
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Pre diabetes and high cholesterol

High cholesterol levels ‎Previous test done in June 2025 and present test in nov 2025 ‎Prediabetic range - 6 in HbA1C ‎ June and nov results ‎Total cholesterol -  265,247,        ‎ HDL direct - 43, 39,        ‎ LDL direct -191,164,   ‎Triglycerides - 238,196,      ‎ Non HDL - 222.2, 208.2,     ‎ VLDL- 47.5, 39.1,      ‎TC/HDL ratio - 6.2, 6.3,      ‎LDL/HDL ratio - 4.5, 4.2,       ‎HDL/LDL ratio - 0.22, 0.24,      ‎  Trig/HDL ratio - 5.57, 5.02 ‎Just used fenugreek soaked seeds and brisk walking for 20 mins ‎Is there any need to use tablets and can we manage it by lifestyle modifications?  if yes, what all can be followed? ‎Usage of medication has any side effects in long run? ‎How to know whether is it genetical? ‎Cardiac markers test results :(test was done in June 2025) ‎Apolipoprotein A1 - 123,   ‎Apolipoprotein B - 141,      ‎Apo B/Apo A1 ratio - 1.1,     ‎Lipoprotein A - 23.92,     ‎ HS- c reactive protein - 3.9 ‎ ‎
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Hba1c test

Last month my hba1c was 6.1 and then stopped total sugars , weight was 79 which is now 74.4, after one month hba1c is 5.3 ,didn't took any medicines, what should be next steps, can sweets be taken occasionally? What about potato and other vegetables and fruits? Before the first hba1c test I used to take sweets daily basis so maybe the test was elevated because of that?
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