Melioidosis Treatment

Health Q&A
Vitamin d3 tablets

Is the tata 1mg calcium and vitamin d3 advanced tablets to be swallowed with water or chewed? It also has mg, zinc and vitamin k2

MRI report anal fistula

Does this report mean I don't have anal fistula. I had two abscesses a year back both times resolved with antibiotics no surgical drainage was required. I don't have any issues since then but live in constant overthinking that what if I have a fistula silently.

Elevated triglycerides and uric acid

Male , 38 years, 186 cms , 91 kgs. Total cholestrol is 180 mg/dL. Triglycerides 201 mg/dL. Vldl 40 mg/dL. Uric acid 7.2 mg/dL. Gamma GT 18 U/L. HBAlc 5.7. Sgot 24 U/L . Sgpt 30 U/L. I have fatty liver grade 1. I am not doing any physical exercise nor dieting. My sgpt and sgot were previously 70 and 50. Total cholestrol was earlier 210. Only thing that I did is increased water intake to 2 liters daily from .75 L daily. My belly size also reduced by 40%. I never felt that water suppressed my appetite instead it increases appetite which is why i dont reduce food. I avoid sugar. Does water intake improves metabolism . What is your recommendation?.

Weight Loss Resistance

I am a 28-year-old with Thyroid and a BMI of 32.0. I have been taking 50mcg of Thyroxine for one month, and my TSH is shigh at 10.5 mIU/L, and my HbA1c is 6.0%. Despite being physically active with swimming and recently started gyming, I am experiencing complete weight loss resistance and a high Visceral Fat level of 18. My biggest struggle right now is that I feel I have absolutely no control over my hunger; I experience intense 'food noise' and the urge to binge even immediately after eating full meals. I recently completed my Vitamin D treatment, but my metabolism feels completely stalled. I would like to know if my thyroid dose needs to be increased and if I am a candidate for Mounjaro (Tirzepatide) to help manage this uncontrollable hunger ?? I really want to lose weight as I'm out of energy and all day I feel inactive and sleepy

Medical certificate

Hi, I have fever, cold, and severe throat pain, due to which I’m unable to speak properly. My job requires speaking. May I know if you can please provide a valid medical certificate online after consultation stating that I need rest and should avoid speaking or keep it minimal for a few days

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Doctors
Dr. Thomas E Wanko - Internal Medicine
Dr. Thomas E Wanko Internal Medicine (Medical School, D.O., Doctor of Osteopathic Medicine) 53 years experience OhioHealth Doctors Hospital
Forest Park West, COLUMBUS
Dr. William  Hicks - Internal Medicine
Dr. William Hicks Internal Medicine (Medical School, Fellowship in Neurology - Vascular, Residency in Neurology, Internship, Transitional Year, Medical degree, DO, Internship) 52 years experience Ohio State Brain and Spine Hospital
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Dr. Marian Kennedy Schuda - Internal Medicine
Dr. Marian Kennedy Schuda Internal Medicine (Medical School, Residency, Medical Education, Residency in Internal Medicine, Bachelor of Science (Microbiology), Doctor of Medicine) 47 years experience Emergency Medicine Physician
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Dr. Michael Timothy Kelley - General Physician
Dr. Michael Timothy Kelley General Physician (Residency, Medical School, Medical Education) 45 years experience Emergency Medicine Physician
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Dr. Michael A. Caligiuri - Internal Medicine
Dr. Michael A. Caligiuri Internal Medicine (Medical School, Residency, Summa Cum Laude, Phi Beta Kappa, Master’s Degree in Physiology, Medical degree, DO, B.A., M.A., M.D., Undergraduate Degree in Humanities and Health Science) 43 years experience The James Cancer Center
Columbus 43210, COLUMBUS