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Fsh and pituitary and HPA axis

18 years male . Gynochamestia since 12 . Low libido issues and never had morning erections . Tested for total and free testosterone . Total testosterone came normal around 850 ng/ dl . Free testosterone came very low around 1.7 ng / dl . Which is less than 0.2% of total testosterone. Checked fsh ,lh and prolactin . LH and prolactin came normal with both in mid range but FSH came back less than range around 1.4 miu/ dl which the lab says to be more than 1.6 miu/ dl . Had history of eating disorder during puberty . No doctors near me seem to understand the importance of free testosterone . They just look at total testosterone and dimiss my concerns . Fact of FSH and free testosterone being very low makes me fear of developmental issues in pituitary and other glands . Don't seem to understand the next step , i don't want to be too late as it is already very late .
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About water used

Just a general question. I have been worrying about N Fowleri infection ever since I read about it. Had consulted a few doctors too. One ENT specialist told me that he too uses underground water, in fact many people I know use underground water that we draw using jet motor pumps or submersible pumps that we store in overhead plastic tanks. So question is dear Doctors how do you treat your water supply if you also use private underground water. Is isn't possible that we put bleaching powder everyday in the overhead water tank. I read on CDC website that whole house UV filter may not work that well. Whole house RO purification system is quite costly. Do we just take the risk as it is very rare infection or bathing, washing face is not that risky. I read on Quora that water has to be forced up like if one snorts or sniffs vigorously or jumps in a pool without holding nose. I really want to overcome this fear and only proper knowledge can help. You being experts can advise.
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Shoulder and arm pain

Hello, I am 59 year old lady , belonging to India but am in Denver, USA currently and won't be able to come back to India for the next 4 months. For almost last 1 month I am having severe pain in the right side of my shoulder and right arm, at times going up to fingers. It's not constant but hurts a lot when I do any work or lift my hand/arm. In fact I have to think before lifting my hand. I had been a patient of breast cancer and had been treated in 2015. Had lumpectomy . It was in my left breast. Had been diagnosed even HER2 positive and was treated for this also. I don't have any problem in left side. I am not under any medication for cancer, though am taking 1 tablet daily of Telista AM for high BP. Don't have any other problem at all . I also take multiple vitamins regularly at certain intervals but no other medicine. I had suffered from COVID here in USA around 25 days before but this pain in arm I had beforehand . Kindly provide your valuable suggestion. Thanks
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Stomach discomfort, uneasiness

I'm suffering from a strange problem. I'm unable to burp completely and hence burp many times a day but not satisfactorily. This causes severe uneasiness, inconsistent stools, dizziness, stomach bloating, heaviness, burning sensation. Everyday i have different symptoms but heavy head and dizziness is there throughout  and panic attack sometimes at night making me unable to sleep. Have visited many doctors like gastro, neuro, etc and all reports like endoscopy, colonoscopy, ECG, echo, mri brain, vit b12 and vit d, thyroid are normal. Had all sorts of gastro medicines like, ganaton, lesuride, sompraz, pan, gaviscon etc but of no use. Feeling really uncomfortable and couldn't concentrate on anything bcoz of this. I've no anxiety issues or depression. In fact I hit the gym regularly and muscular. I don't take any supplements as well. But I'm feeling miserable inside bcoz of these issues. Have any doctor treated someone like this symptoms. Please let me know and I'll connect.
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Infertility

Hi I'm married for 3 years now and trying to conceive from 2 years .ihave pcod my periods are irregular and hypothyrodism.i had ovulation induction with times intercourse for 6 cycle but all of them were failed.my doctor suggested diagnostic  hysterolaproscopy in which everything was fine and then tried ovution induction with time intercourse again for 3 cycles .I never had follicular study in those cycles my doctor told that it was not necessary.then i had 3 failed IUI s in which I came to know that my endometrial thickness was not up to the mark and took the medicines for it and it improved to 10mm.my doubt is that in those 9 cycles of ovulation induction my endometrial could be less probably that could be reason it failed?if yes then we just had 3 failed is the trial enough before   moving to IVF considering the fact that there was no follicular study in the previous ovulation induction and i had low et in the 3 IUI cycles and improved only after taking medicines
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Low oxygen after knee replacement

She had total knee replacement for both knees since she had osteoarthritis 4th grade.No pre-existing condition of diabetes,heart prior to surgery.Is overweight though & has thyroid and hypertension for which the medicines were continuing. he surgery went fine & she was shifted to general ward within 24 hrs of surgery after being in icu for observation.There were no complications till then but the next day her knees bled & she had problem breathing & chest xray was taken (attached) which shows mild pneumonia.Right now, she is on supplementary oxygen but her oxygen level ( pulse oxymeter) dips to 60-70 as soon as she's off the oxygen. Although the doctors say that she's recovering and she does seem fine other than the fact she's unable to get up to urinate and defecate. Also, there doesn't seem to be any neurological or cardiac condition Is the oxygen dip normal or is it something to worry about because as per my understanding,post surgical pneumonia can have very adverse effects ?
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Varicocele Grade 3

From the past 5-6 years, my left testicle shows a bit weird in shape and size. It looks huge but the fact is its not the testis which is big in size but the veins which have grown or come down in the scrotum and got attached on the upper side of the left testis. I dont feel any pain but I am unaware of what and why this happened to me. I have gone through an ultrasound of Abdomen, Pelvis and Scrotum. All seems to be normal but the left testicle is a bit smaller in size(36 x 14mm) whereas the right one is 43 x 16mm. Impressions are: 1. Grade 3 Left Varicocele 2. Grade 1 Right Varicocele 3. Small right Epididymal cyst 4. Mild decreased size of the left testicle 5. Normal study of right testicle. I hope there is nothing to be worried of and everything will be fine with normal medication. Eagerly waiting for a positive response in this regard. Please help me out and let me know about what needs to be done and also if there is something to which I need to be worried of. Thank you.
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Probiotic and prebiotic blend supplement

I don't have any medical condition. I am not on any medication. In blood test reports in February this year, I was revealed to have iron deficiency, vit d insufficiency, b12 low levels, I was advised by a nutritionist to take oral supplements for vit D, iron, B12, B9(the iron supplements, i have seen, come with b9 added to them, so not specially but I am having to take b9, and I informed a nutritionist about this and the quantity of B9, she said it was okay if my iron supplement has b9 too). I have been taking these supplements, and am soon going to start a b-complex. I have some digestion issues(these issues have been existing since long before, in fact years before starting iron supplementation), I have daily bowel movements but I am not able to have a feeling of complete evacuation, and feel like I only have had 70-80% evacuation. Can I take a supplement for prebiotics and probiotics(prebiotics: 115 mg(or more)/day, probiotics: 20 Billion(or more)CFUs with 16 strains/day)?
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Abdomen pulsation

I don't know what the cause is,but I'm been experiencing strange abdomen pulsation just like heart-beat.I want to correct the fact,that I am not a lean person,rather my weight last recorded time was about 70-74kg.My body size is normal i.e sleek sized hands,arms,legs except my stomach or belly is a little fat(not excess fat like those obesity ones),where I think I had enough fat or cholesterol content on my two waists.I would like to say one thing,that I used to eat a lot...lot of spicy and fast food 3-4 months ago.Is it the cause of these spicy foods?Along with that,I'm feeling like my chest is beating something like irregularly.Now,my body muscle mass are loosening.Please doctors,advice me something like medications or tips,as there were lockdowns so I can't go to outside?
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Mild pressure or pain right side navel

From Jun of 2018 I have noticed a mild pressure or pain to the right side of my belly button.. I have had a C-section in Mar2017 and follow up sonography due to my pressure or pain of my abdomen... Nothing came through in the sonography except the known fact of two uterine fibroids... This mild pressure or pain subsided and eventually I didn't notice it or maybe it came n went occasionally over the past Yr... At no time has this caused me to stop in my tracks or disrupted my daily chores or activities... However of late again I have noticed this mild pressure or pain right side of my belly button , if I press it it can cause a dull pain ... And usually I do not feel it once I pass a stool or wind... What can this be as doctor is unable to find anything except putting it down to constipation or gas getting trapped...is it a cause for concern...worried about things like cancer or tumors or anything fatal... Hope someone can share some light on it
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