Fir- Non - Surgical Spot Reduction

Health Q&A
Prediabetic

I am prediabetic,Require guidance for the same .How to control my condition,what food etc or tips I need to follow

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.

Thyroid medication

My thyroid levels are under control at 2.589 (TSH) But my doctor suggested that I take Thyronorm 50 mcg daily. I have been doing that for four years now. I take the tablet at 8 am on empty stomach. It is a bit inconvenient for me. Can I take it in the evening say at 5 pm daily. I eat dinner at around 9.30 pm. In between, I drink juice during badminton at 8 pm and eat a small bite of brownie at 7.45 pm. Please advise if it is ok to take the tablet at 5 pm. Thanks.

Extreme health anxiety

I was getting throat infections often, so I went and saw an ENT specialist. He immediately asked me to do a CT scan for sinus - PNS CT scan. He gave medicines too. The next day I went to the scan center, there were many warning signs. Even the nurse said it has radiation. Even ChatGPT said CT scan has radiation and shouldn't be done unnecessarily. I should have said, I will think about it and come tomorrow. But I paid the money then they asked to sign a paper that they are not responsible for any side effects. Then the report came back and the doctor said no sinus problem. But I feel extremely anxious about the side effects. I read so many articles online and they said even one CT scan can increase the cancer risk in future especially in women who are younger. I am around 25 years old, female. I asked the doctor and he gave me an anti-depressant but I am still not convinced. I am still feeling extremely lost. I feel like I spoiled my future. Please someone help me from this mental pain

Isn't masturbate harmful?

I am looking for answers only from endocrinologist. I wanna know from endocrinologist. Is masturbate harmful and unhealthy habit for brain and body or not? Or you also feel it doesn't have any negetive effects I believe it's very unhealthy habit

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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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