lipid management

Health Q&A
Unexpected Pain in Arms

My mother had pain like pins and needles in both arms from around 11 PM to 1 AM. The pain felt like pressure spreading through her arms. She felt fine later also could move both arms normally. it was more of a tingling sensation and when i put pressure on it she could feel it go through her hand and her finger She also mentions having "thick blood," but I'm unsure of ehat that means. Does she need urgent medical attention? She had no other symptoms other than this But her right arm was hurting more than the left though I read online and Im really concerned if I should get this checked

Lower chest discomfort

Dear Doctor, I would like to seek your advice regarding my 80-year-old father. In 2025, he was admitted to the same hospital with heavy breathing and discomfort in his lower chest and upper abdomen. He was diagnosed with acute gastritis, and we were told that his breathing difficulty could be related to the gastric problem. In 2026, he was admitted again with almost identical symptoms, including heavy breathing and chest discomfort, but without pain or cramps in his chest, jaw or arm. This time, he was diagnosed with acute left ventricular failure (LVF). We are confused as to why similar symptoms led to different diagnoses on these two occasions. He continues to experience these episodes, particularly after lunch and his afternoon sleep. Could you please advise whether these recurring symptoms could be related to gastritis or acid reflux, or a cardiac condition ?

Homocysteine is 17.86 & vitamin D 12.69

Hi , Sympotms: I have sometime BP elevated and gas in stomach which supplement should i take. These are my test results. Homocysteine: 17.86 µmol/L Fasting Glucose: 110 mg/dL HbA1c: 6.8% AST (SGOT): 36 U/L ALT (SGPT): 59 U/L Alkaline Phosphatase (ALP): 183 U/L Direct Bilirubin: 0.37 mg/dL CRP: 6.63 mg/L Vitamin D: 12.69 ng/mL (low/deficient) LDL Cholesterol: 123 mg/dL Non-HDL Cholesterol: 142.10 mg/dL Vitamins: all are in range except vitamin D Vitamin B1 (Thiamin): 2.33 ng/mL Vitamin B2 (Riboflavin): 34.01 ng/mL Vitamin B3 (Nicotinic Acid): 0.82 ng/mL Vitamin B5 (Pantothenic Acid): 121.48 ng/mL Vitamin B6 (P5P): 16.15 ng/mL Vitamin B7 (Biotin): 0.89 ng/mL Vitamin B9 (Folic Acid): 5.88 ng/mL Vitamin B12: 405 pg/mL

High Triglycerides 17 week pregnancy

My Triglycerides are 485. Cholesterol 236.I dnt have gestational diabetes. Gestational thyroid on 12.5 mcg. No fatty liver. Hb1ac 5.3. Avg glucose 105. Is it normal in pregnancy or need medication?

Doubt about having RCM

In my echo LA - 40 mm E/A - 1.5 Tr velocity- 2.3 No pah Ef- 64% Lv wall - 1.1 cm All chambers normal My concern is why my LA is that bigg like upper limit...does this is a sign of progressing RCM...because I have read that RCM is the one of the reason of increasing of LA... Please guide

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Doctors
Dr. James Michael Kleman - Internal Medicine
Dr. James Michael Kleman Internal Medicine (Residency, Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Class of 1987) 39 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Albert J. Kolibash - Internal Medicine
Dr. Albert J. Kolibash Internal Medicine (Fellowship, Medical School, Internship, Residency, Class of 1967, Internship, Transitional Year, Residency, Internal Medicine, Medical Education) 59 years experience Delivery OSU hospital
Weinland Park, COLUMBUS
Dr. Allan J Nichols - Internal Medicine
Dr. Allan J Nichols Internal Medicine (Fellowship, Residency, Medical School, Medical Education, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Medical degree, DO) 46 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Judson S Millhon - Internal Medicine
Dr. Judson S Millhon Internal Medicine (Medical School, Residency, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Fellowship in Interventional Cardiology) 36 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Nicholas James Davakis - Cardiologist
Dr. Nicholas James Davakis Cardiologist (Medical School, Residency - ID, Fellowship in Cardiovascular Diseases, Fellowship 2) 45 years experience Mount Carmel Grove City
South Central Hilltop, COLUMBUS