Health Q&A
Protein in urine

Hi Last month on routine checkup of urine acr the result comes 60 mg/dl My egfr was 88 and creatinine is 1 , Liver function test and lipid profile was normal, urine re was normal. Hb1ac was 5.9 and fasting was 110 and pp was 141 I am taking jalra m 50/850 , Shelcal M, OXCQ 200 AND THYRONOM 50mcg Today I tested my sugar is 97 and pp is 115 and urine acr is 5mg/dl Shall I test again after 2 month or wait to go to my doc afterwards or now .

Prediabetes

Can Istamet 50/500 dose be increased in prediabetes? Hba1c has risen from 6.3 to 6.4 in past 1 year. FBS mostly remains high normal 100-110. PPBS remain 130-140. Weight is 52.4 kg, 72 yrs Can I take Istamet 50/500 (sitagliptin/metformin) two tabs once a day if I m not diabetic but have Prediabetes? Is it safe to take  in early liver cirrhosis with no symptoms?

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?

Eye heaviness with lower energy

After every meal around after 3 hours my eye gets heavy and I feel low energy and sleepy, my eye gets heavy and slight burning feel and lethargy

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.

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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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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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