Familial Glucocorticoid Deficiency Treatment

Health Q&A
USG ABDOMEN

Hello! This are my reports!! I have fatty liver grade 1. Currently i am on medication. My meds are :- 1) actibile 300 tablet daily twice for 30 days, 2) Upline E mega softgel capsule daily once for 30 days 3) vitamin d3 60k IU once every week for 8 weeks.. I have just one query.. what is multiple GB polyps in report? Is it concerning? Pls elaborate in detail. And another thing is i have started gym a month ago.. my weight was 124 kgs.. i have reduced 6 kgs till now. Is it safe to take one scoop of protein powder in this condition? Or avoid? Please reply in detail if possible. Thanks

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?

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?

Type 1 and belly button discomfort

Hello dr, I have typ 1 diabetes from long time and frim almost like 7 to 8 years i feel this dull and mild pain like just at belly button inside and up.sometimes its there and then again its not there for few weeks. I just little worried, can it be chronic pancreatisis.

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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
Weinland Park, COLUMBUS