Health Q&A
Protein in urine

Hi Last month on routine checkup of urine acr the result comes 60 mg/dl My egfr was 88 and creatinine is 1 , Liver function test and lipid profile was normal, urine re was normal. Hb1ac was 5.9 and fasting was 110 and pp was 141 I am taking jalra m 50/850 , Shelcal M, OXCQ 200 AND THYRONOM 50mcg Today I tested my sugar is 97 and pp is 115 and urine acr is 5mg/dl Shall I test again after 2 month or wait to go to my doc afterwards or now .

Diabetes and Mango

Hello doctor my age is 35 and i don't have diabetes. Can non diabetic person eat mango? I eat 8 mangoes daily in lunch and dinner. My query is eating too much mango is risky because it contains lots of sugar? Eating mangoes can risk of getting of diabetes? Please advice. Thanks

Eye heaviness with lower energy

After every meal around after 3 hours my eye gets heavy and I feel low energy and sleepy, my eye gets heavy and slight burning feel and lethargy

HOMA-IR 6.4 at 29 — metformin needed?

29M, 98kg, 178cm (BMI 31). Fasting labs 22/06/2026. Fasting Glucose: 93 (normal) HbA1c: 5.7% (borderline) Fasting Insulin: 54 mIU/L (high, ref 2.6-24.9) HOMA-IR: 6.4 (high, ref 0.7-2.0) ALT 64, GGT 98 ( fatty liver), Vit D 16 (deficient). Hypertension on Cilnidipine. No diabetes. Endocrinologist advised only weight loss and vitamin D. But my HOMA-IR is 3x the upper limit. Should I be on metformin at this stage to address insulin resistance and protect against diabetes, or is weight loss alone the right approach? Also open to GLP-1 if appropriate given BMI 31.

Pictutary microadenoma

My prolactins level were high and doctor suggested MRI These are the findings "There is an ovoid nodule measuring 6.6 x 8.8 x 5.7 mm (AP x TR x CC) seen in pituitary gland on left side, which appears isointense on T1, heterogeneously hyperintense on T2, hypoenhancing on early phase of dynamic contrast images and intense homogeneous contrast enhancement on delayed images of dynamic study. Pituitary stalk is deviated towards right side. Imaging findings are suggestive of pituitary microadenoma. Serum prolactin estimation is suggested." I am very worried, what does it mean ?

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Doctors
Dr. Joshua J. Joseph - Internal Medicine
Dr. Joshua J. Joseph Internal Medicine (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Fellowship in Clinical Research Fellowship, Fellowship in Diabetes Research) 20 years experience Nationwide Children's Hospital
10 recommendations Canal Winchester, COLUMBUS
Dr. John D Blackman - Internal Medicine
Dr. John D Blackman Internal Medicine (Fellowship, Residency, Medical School, Residency - ID, Fellowship 2) 42 years experience OhioHealth Endocrinology Physicians
Columbus 43213, COLUMBUS
Dr. Elena A Christofides - Internal Medicine
Dr. Elena A Christofides Internal Medicine (Medical School, B.S., Residency - ID, Fellowship 2) 31 years experience MediZen Institute - Columbus Short North
Short North, COLUMBUS
Dr. Rundsarah Majed Tahboub - Internal Medicine
Dr. Rundsarah Majed Tahboub Internal Medicine (Residency, Medical School, Medical degree, DO, Fellowship in Endocrinology, Diabetes, and Metabolism, Residency in Internal Medicine, Medical Residency in Family Medicine, Fellowship in Endocrinology and Metabolism, Family Practice Residency) 28 years experience Millhon Clinic
Flint, COLUMBUS
Dr. Angela R Caffaratti - Family Physician
Dr. Angela R Caffaratti Family Physician (Residency, Medical School, Residency - ID) 28 years experience Ohio State Richard M. Ross Heart Hospital
Weinland Park, COLUMBUS