Pituitary Dwarfism Treatment

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 .

Diabetes and Mango

Hello doctor my age is 35 and i don't have diabetes. Can non diabetic person eat mango? I eat 8 mangoes daily in lunch and dinner. My query is eating too much mango is risky because it contains lots of sugar? Eating mangoes can risk of getting of diabetes? Please advice. Thanks

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

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.

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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
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