Endocrinology

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Muscular pain on legs

On medicine now glycomet gp2 bd, muscular pain on legs and fatigue 9AM - 12AM for last 10 days, we take full body check up, HB1AC - 6.8, Vitamin B12 - 355, Vitamin D(25-OH) - 16.7, TSH - 8.8, LFT and RFT are normal,. What is the reason of that problem how treatment?
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My TSH is 27.52 IU/L

What should I do. Which food to avoid. Which food to consume. And how much dangerous  TSH 27.5 is. ?
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Blood test report

Got a full body blood test done BS (f) 102 , AG ratio 1.48 ,Triglyceride - 215.. HBA1c-6.5 , ESR -21 calcium 11.60. thyroid , iron , heemoglobin and other are normal do..need advice in this report.
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Metmorfin Alternative

Under deabetic medication for 10yrs Taking metmorfin 500mg thrice a day combined with Lantus 10unit insulin Kidney test are normal but in border line What best alternative of Metmorfin can be given which has minimum side effects ...
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How to lower prolactin

My prolactin levels were high - 48.70 but I didn't get a pooled prolactin test done. How can I lower it. Do I need meds? I have pcod and my doctor said she would only prescribe meds if it's over 50 in pooled prolactin test
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Lactic acidosis?

Type 2 diabetes, on medicine, metformin - 1g bd, glimepiride 2 mg od since 2 yr. Hb1ac - 6.8, fbc and pp normal, creatinine - 0.5,muscular pain on legs and fatigue. For last 10 days, last two days I reduce to metformin 500 mg bd, now ok no pain feeling good, is it lactic acidosis?
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Foot and ankle swelling

I'm asking this question for my grandmother, she is having blood pressure and diabetes. Her blood sugar levels are high, fasting blood sugar is around 200mg/dl and postprandial blood sugar is around 300 to 400 mg/dl. She is also having blood pressure. So why is this foot or ankle swelling is it due to to high blood glucose and hypertension? Or some other cause
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Levothyroxine 88mcg

Levothyroxine 88 mcg is not available at any chemist in our area, Navi Mumbai. Instead Thyroxine is available, brand name is Eltroxin 88 mcg. As per chemist Thyroxine cannot substitute Levothyroxine. I want to know your opinion in this regard.
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High blood sugar

My mother fasting sugar is 233 and she take Tenlimac 20 for long time before food and sugar is 372 today. What dose should she take or need to change medicine. Can we try Glucobay 50 at night and tenlimac 20 in morning as my father is taking the same and his sugar is under control.
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UNDER ACTIVE THYROID

I got my thyroid profile tested and got TSH value of 96 followed by T3 of 46 and T4 of 1.8 Please suggest of endocrinologist. Thanks!
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