Precocious Puberty Treatment

Health Q&A
Fat Loss is a Myth for me Now🥺

Hello Doctor, I am a 25-year-old male with a height of 163 cm and current weight of 95 kg. Around September 2025, I weighed 92 kg, but despite consistent gym training (primarily strength training), my weight has increased slightly. My estimated body fat is around 32–34%. I have developed good strength (I can squat ~160 kg), and I believe I have gained muscle, but it is not visible due to higher body fat. My main challenge is controlling hunger and maintaining a calorie deficit, even though I train regularly and consume around 100 grams of protein daily. I wanted to ask whether a medication like Semaglutide would be appropriate in my case to help control appetite and support fat loss. Could you please guide me on: 1. Whether I am a suitable candidate for this medication 2. Potential risks or side effects considering my profile 3. Whether lifestyle changes alone would be preferable before starting medication 4. Any tests or evaluations required before considering this option Thank

Change of medicine needed

My brother has diabetic since 9 years his  hba1c now is 6.5 he is taking glycomet sr 500 once in the morning and olmy 20 for bp no need to change medication one doc prescribed sitacip m 50/500 do we need change medication or not and  one more question if one day if he took  sitacip m 50/500 by mistake the next day changed to glycomet will have any side effects or sugar fluctuation will be there thankyou

Blood glucose level high

For the last few months my blood glucose level has been higher than normal at 135 during FBS. Any recommendations or suggestions would be helpful.

If my sugar is very high?

I am diabetic since 6 years. It is been couple of months my sugar is 137/160 with hb1ac 7.5 . I was prescribed - [Empaglyde 10/100/1000 - glyciphage SR (19m) - Imeglyn 500 But after having that i was very unwell. I couldn't get up from bed and was weak. I stopped the medicine i was okay. I am confused if this is the right prescription for me. Need guidance!

Diabetes and pregencey

​Hi dr I am 32 Years And now 5 week pregnant also. ​Weight Journey: Reduced from 66.5 kg to 57.5 kg in 3 months (Jan to March). ​Medical History: ​HbA1c in December: 7.0% (Fasting sugar was between 98–116 mg/dL)post meal always below 120 in glucometr.Recent HbA1c (March 22): 5.6% (Achieved through only diet and exercise). ​Current Diet Plan: ​Lunch: 4 tablespoons of Rice + High Protein (Fish/Egg/Pulses) + Salad. ​Breakfast & Dinner: 1 or 2 small portions of Wheat or Ragi. ​Frequency: Eating small portions every 2–3 hours. ​ ​Since April, my home glucometer shows readings below 100 mg/dL (Fasting: 91–97, Post-meal: 89-95). In January, these were consistently between 110–120 mg/dL. Is it possible my glucometer is faulty, or is this drop normal due to my weight loss and early pregnancy? current and same diet sufficient for the baby's development?which test should i perform to get my actual glucose level at this stage ogtt or norml blood test??

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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