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Health Q&A
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?

Missed period

Hello dr.im 34 years married women hypothyroid patient since 4 years I hv regular menstrual  cycle but this month period didn't come and it's been 8 days I hv done pregnency test but it shown negative Is it need to worry for a hypothyroid patient kindly help ...

Can we ear cherries

Can diabetic patients eat cherries ..? What foods and fruits to be avoided and what need to be eaten more to keep insulin balanced ..? Plz reply

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

Glp 1 eligibility

Hi, I’m 27 years old female and currently weigh 100 kg and height is 5'5". I have been working out regularly for 6 days a week and eating normal home cooked food, but I’m not seeing any meaningful weight loss. I also have hypothyroidism — my TSH was around 11 six months ago. I do feel low energy and fatigue quite often despite trying to stay active. I’ve also noticed signs like dark pigmentation around my neck and under my eyes, which I’ve read could be related to insulin resistance. I feel like despite consistent efforts, my body is not responding, and I’m getting physically tired. I want to understand if there’s an underlying metabolic issue. Could you please guide me on what tests I should do and whether medical treatment options like GLP-1 medications would be appropriate in my case?

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Hypothyroidism

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Three Steps to Triglyceride Control

In India, whenever a patient goes for a lipid test, the results mostly revolves around low HDL, high triglyceride levels, LDL, Non HDL. This is  true in most of the cases. The intricacies of cholesterol, triglycerides, LDL, HDL, Non HDL look like  zombies looming around to the general ...

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