obesity management

Health Q&A
Last 7 years suffering from diabetes

Present day12/07/26 Fasting. 221 sugar And i am not raking any medicine previously i took but some tine it helped to reduce the sugar But it did not work later i was also not punctual in taking madicins

350 Random sugar

350 Random sugar Which tablet i use regularly B. P normal All organ's well functioning Iam eating brown rice, jonna roti, raagi jaava

TSH 5.6, Thyronorm 62.5

TSH 10 diagnosed first 1 year back & started on 50 mcg after which TSH 0.13. On 25 mcg TSH came 5.6 On 37.5 , TSH 9 On 50 mcg TSH 3.3 On 50 mcg,  current TSH 5.6 and Thyronorm dose increased 62.5 mcg Patient 72 yrs has liver disease hypertension prediabetes. No thyroid symptoms, weight 52.40 kg. Is Thyronorm dose given now of 62.5 for TSH 5.6 appropriate?

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.

My FBS is Greater Than PPs

Dear Sir, My Fasting Blood sugar 97 and My post pandrial sugar 83, and my Recent HBA1c : 5.4 Why is my FPS Is Greater Than PP (from  almost 20 days ). Is this Any problem ?? How can I overcome this? Sometimes I'm feeling tired. Pls Help

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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
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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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