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Weight Loss Resistance

I am a 28-year-old with Thyroid and a BMI of 32.0. I have been taking 50mcg of Thyroxine for one month, and my TSH is shigh at 10.5 mIU/L, and my HbA1c is 6.0%. Despite being physically active with swimming and recently started gyming, I am experiencing complete weight loss resistance and a high Visceral Fat level of 18. My biggest struggle right now is that I feel I have absolutely no control over my hunger; I experience intense 'food noise' and the urge to binge even immediately after eating full meals. I recently completed my Vitamin D treatment, but my metabolism feels completely stalled. I would like to know if my thyroid dose needs to be increased and if I am a candidate for Mounjaro (Tirzepatide) to help manage this uncontrollable hunger ?? I really want to lose weight as I'm out of energy and all day I feel inactive and sleepy
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Perfect numbers morning but worst later

Hi! I have reactive high bp for years now- taking telmisartan 40 mg- my best bp readings are in the morning- stress free clear mind but as day progresses the bp shoots n stays around 135/85 till evening n heart rate can rise high esp if i walk around - yesterday it was 125/130 while doing normal house work Doctor not giving any extra med since it will lower the true baseline of morning- Will exercise n weight loss help to reduce this!
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Medical certificate

Hi, I have fever, cold, and severe throat pain, due to which I’m unable to speak properly. My job requires speaking. May I know if you can please provide a valid medical certificate online after consultation stating that I need rest and should avoid speaking or keep it minimal for a few days
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Pankreoflat And Aritozyme togther

Can Pankreoflat Tablet ( Pancreatin plus dimethicone) ans Aristozyme Tablet be taken on same day? Is it safe to taks this combination for indigestion and bloating?
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Multivitamin suggestion

Please recommend multivitamin and calcium tablet for 60+ years female with vegan option and dosage details...
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Internal piles

Hi all I have been diagnosed with internal piles from last 3 months have noticed bleeding on the surfaces of the stool. I never tried stool softener but I heard it is good to take that can you please suggest a stool softener which i can take daily in order to make my stool better and soft mushy kind. The first pic you see of anus is without Straining and the second pic is u see is with straining. Also tell me it is which grade.
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Blood test analysis

Hello , My Ferritin level is 24 Vit b12 is 270 Rest cbc and iron studies are attached in picture below Kindly analyse and please tell if i have iron deficiency. Can i take feromore xt supplement? It has iron bisglyvinate, folic,methylcobalamin and zinc. This iron salt is gentle on stomach..can i take it? I have tried ferrous ascorbate,it gave me stools and bad gi issues.
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Sore Throat out side home mostly

Please Help Please I have a exposure with girl 1st sex work and sex done with condom and no break in condom 2nd sex with my frnd and I also use condom and after sex of 10 min condom break and in sometime I change to new condom and vagina sex done ITS HIV RISK?? After that sex of 55th and 80th day tonsilitis happens and it's solve in 3 days Now from day 100 to 130 sore throat gale kharash outside Home me feeling and when I return home it's normal I taken allergy medicines also for 1 week I have a work of Rapido bike Me also have right side corner gum swollen earlier it happend 20 days back it's solve that time it's in left corner and now it's in right side corner gum It's all hiv Symptom?? Please help MY FRIEND WHICH CONDOM BREAK WTH HER SHE TEST HIV RAPID CARD SERUM 1 & 2 FROM HER ARM BLOOD TAKEN ITS NEGATIVE SHE TEST AFTER OUR SEX OF 54TH DAY I HAVE CHECK THRUGH DOCTOR NEAR TO ME ABOUT SORE THROAT HE SAID NOTHING ABOUT THAT
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Intusive thought

Over the past 3 months I had panic attacks with dizziness, chest pain, fear of death. Consulted ENT, Ayurvedic, Cardiologist, then Gastroenterologist. Endoscopy showed GERD, LPR, H. pylori. Anxiety reduced after diagnosis but intrusive thoughts began (vivid dreams/images of harming self/others, “what if” scenarios). No intent, but distressing.  Physical symptoms: chest pain, right-side neck/ear pain, one-sided head pain, fatigue, numbness, detached feeling. Labs: Vitamin D very low (14.99 ng/mL), calcium 9.9, B12 injections ongoing.  Medications: Nexito 5 mg (vivid dreams), Paroxetine ER 12.5 mg + Peelar 20 mg (worsened stomach), Magnesium glycinate (helped briefly, reduced intrusive thoughts last 2 days). Quit smoking/drinking 3 months ago.  Anxiety fluctuates; stress/news/work trigger panic (latest after office fight). Still working but fear losing control. Financial strain from repeated visits. need guidance on which dr to visit further need more help
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Bite from 6months old dog.

Hello, i was bitten(like she brushed her tooth onto my finger) by a pet dog who is 6months old and not vaccinate. No blood but a slightly visible scratch. What should i do? Do i need rabies vaccination? As there was no blood. And there is no pain as well.
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