Hormonal Imbalances

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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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Small testes

Sir I am 25 years old and my testes size is very small..like a 13- 14 years old boy...but testosterone and fsh LHS level is normal...can improve testes size by any harmones theropy
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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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Thyroid related

I was taking 100 mg thyronorm tablet. Now my thyroid is undercontrol. I want to consult tamil speaking dr only.
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Growth Harmone - Endocrinologist

Want to incrase growth harmone as i have seen many of those take seramolein and tesamorelien to boost Hgh for muscle building . Any Endocrinologist can think in guidelines we can do that reach out to
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Gwoth harmone - endocrinologist

Have seen people taking sermor or tesamorelien to boost hgh for muscle building , any harmonespecilist who can give guidance on the same want to build athletic physicals
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Foot fissures

I have diabetes since 4 years my hba1c is 6.7 and I am taking glycomet sr 500 and olmy 20 i have cracked foot not paining is it serious pls suggest for medicine any ointment for this
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