Health Q&A
High sugar

English translation: “My father is diabetic. He is on medication. After 3 months, his test results showed fasting 230 and PP 300. I have shared the medicines he is taking. What should be done now?”

Query regarding GLP-1 or Mounjaro

Can a patient taking Warfarin safely start a GLP-1 medication like Mounjaro, considering potential effects on INR levels, diet, weight changes, and the need for close monitoring to avoid risks of bleeding or clotting?

TSH 3, Thyronorm 50 mcg continue?

71 yr F, in April 2025, TSH of 10 detected on routine health first time. T3 T4 till now normal. No symptoms till now.After this Thyronorm 50 mcg was started. TSH came 0.13 , so 25 mcg. *After 2 mnths, TSH 5.6, so 37.5 mcg *After 4 mnths, TSH 9.6 , so 50 mcg *After 2 mnths, tsh now normal 3.3. Now, Told to continue 50 mcg. Come after 4 mnths. 71 yrs, has early liver disease, cause unknown but at present liver and other all blood test normal, no symptoms. Hypertension.   hba1c of 6.4. ppbs 142, low hb, rbc 5. (1) Can taking 50 mcg for 4 mnth at tsh 3 cause it to go low? (2) If tsh is normal, can medicine be stopped. Is medicine necessary seeing these tests? Thanks

Semaglutide options

Hi, I am a 27-year-old female with weight : 100 kg and height : 165.1cm and recently got my blood tests done with the following results: * HbA1c: 7% * Fasting Blood Sugar: ~155 mg/dL * Postprandial Sugar: ~286 mg/dL * TSH: ~10 (on Thyronorm, 25 mcg) * Lipids slightly elevated I am obese and I work out 6 days a week and have a nomal diet, but unable to lose weight at all... Given my condition I wanted to ask: Can semaglutide be considered in my case? If yes, I would like to consult immediately. Please help. Thank you.

Need suggestion to what to do

My father who is 58 years old tested for diabetes recently he is having constant 300+ diabetes This is the report findings Pankind Labs Alt. NARESH PAL SINGH Result HbA1C (Glycosylated Hemoglobin) Sample: Whole Blood, EDTA HbA1c 13.00 H Method: High Performance Liquid Chromatography (HPLC) 326.40 Η Mean Plasma Glucose Method: Calculated Result recheacked, Kindly correlate clinically. Remarks: Fasting Plasma Glucose 283.04 Η Sample Plasma Fluoride - Fasting Kindly give advice .

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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
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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
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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
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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
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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
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