Managing Hair Loss During Hyperthyroidism Treatment: Causes and Solutions
Hyperthyroidism issues? I have hyperthyroidism and have been on medication for about six months. My blood test results are currently normal. I take 2 tablets of Inderal and half a tablet of Carbizo daily, but my hair continues to fall out. I would like to ask the doctor if these ...
Dr. Li Jian reply Internal Medicine
Typically, hair loss will improve after the thyroid antibodies return to normal. If hair loss persists, please consult a dermatologist.[Read More] Managing Hair Loss During Hyperthyroidism Treatment: Causes and Solutions
Understanding Abnormal Blood Test Results: Should You See an Endocrinologist?
Abnormal blood test results? The most recent blood test report from my check-up shows a fasting blood glucose level of 101, which is slightly above the normal range, but the hemoglobin A1c level is 5.3, which seems to be normal. Should I see an endocrinologist for adjustment or f...
Dr. Li Jian reply Internal Medicine
Fasting blood glucose levels exceeding 100 require regular follow-up visits. It is also important to consider that some individuals may have inaccurate hemoglobin A1c results due to anemia.[Read More] Understanding Abnormal Blood Test Results: Should You See an Endocrinologist?
Understanding Low TSH Levels: Should You Be Concerned?
Low TSH levels? Hello, doctor! A few years ago, I had a cold and visited a traditional Chinese medicine clinic. After taking my pulse, the practitioner suggested that I might have hyperthyroidism. I then went to a large hospital to see an endocrinologist, and my blood test result...
Dr. Li Jian reply Internal Medicine
You can retest in three months. If both TSH levels are low, it may indicate thyroid autoimmunity. Additionally, you can test for TSH receptor antibodies; if abnormal, it may suggest Graves' disease.[Read More] Understanding Low TSH Levels: Should You Be Concerned?
Understanding Your Thyroid Test Results: What Do They Mean?
Thyroid Test Report I had a thyroid blood test two days ago, and the results are as follows: Serum T3: 195.9 (70-170), Serum T4: 11.17 (4.9-12.0), TSH: 3.447 (0.34-5.60). This is the first time I have encountered such a situation. Compared to previous results, all three values ha...
Dr. Li Jian reply Internal Medicine
Currently, there are no significant abnormalities in thyroid function, and treatment is not necessary at this time. Follow-up in three months is recommended.[Read More] Understanding Your Thyroid Test Results: What Do They Mean?
Does Eating Starch and Protein Together Delay Digestion Time?
Food issues I would like to ask the doctor about the information I found online regarding the combination of starch and protein potentially delaying digestion time. I consulted a gastroenterologist who mentioned that plain rice takes about 1 hour to digest, and fish also takes ap...
Dr. Li Jian reply Internal Medicine
Rice combined with fish can take over an hour to digest because fish is a high-protein food, which requires a longer digestion time. Toast, being a refined carbohydrate, digests more quickly, while rice, as a whole food, digests more slowly.[Read More] Does Eating Starch and Protein Together Delay Digestion Time?
Understanding Food Digestion Times: Rice, Bread, and Instant Noodles
Food digestion time 1. I would like to ask if it is correct that under normal circumstances, rice takes about one hour to empty from the stomach. Is the digestion time for white bread similar to that of rice? 2. If rice takes about one hour to digest and fish also takes around ...
Dr. Li Jian reply Internal Medicine
Rice combined with fish can take over an hour to digest because fish is a high-protein food, which requires a longer digestion time. Toast, being a refined carbohydrate, digests more quickly, while rice, as a whole food, digests more slowly.[Read More] Understanding Food Digestion Times: Rice, Bread, and Instant Noodles
Understanding Digestion Time: Rice vs. Toast and Noodles
Digestion time I would like to ask the doctor, for a person with a normal constitution, if eating only half a bowl of rice (100g) along with a small amount of easily digestible fish or meat can be mostly digested and emptied within an hour. Also, how does the digestion speed of f...
Dr. Li Jian reply Internal Medicine
The stomach is responsible for grinding and sterilizing food, while complete digestion and absorption occur in the small intestine, with no fixed rate. In terms of gastric emptying time, carbohydrates and sugars are emptied the fastest, taking only about one hour.[Read More] Understanding Digestion Time: Rice vs. Toast and Noodles
Left Side Chest Pain: Is It Muscle Strain or Something More Serious?
Left lateral chest pain? On December 26th, after working at the factory, I had to lift heavy bags. When I got home that day, I didn't feel any pain, but by Monday afternoon, I suddenly experienced severe, spontaneous pain on the outer side of my left chest. It was also painf...
Dr. Li Jian reply Internal Medicine
Pain triggered by arm movements or pressure is more akin to muscular or neuropathic pain, often associated with lifting heavy objects. Visceral pain typically does not present with pressure sensitivity. If symptoms persist without improvement, please visit an internal medicine ou...[Read More] Left Side Chest Pain: Is It Muscle Strain or Something More Serious?
Understanding Mucus in Stool: Causes and When to Seek Help
There is mucus when passing gas and stool? This morning, as usual, I went to the bathroom and felt a release of gas, which made me feel like something else came out. I thought it was stool, so I wiped with toilet paper and noticed some white, slightly transparent mucus. I looked ...
Dr. Li Jian reply Internal Medicine
It should be normal colonic mucus. If there are symptoms, you can visit a gastroenterology clinic for evaluation and a fecal occult blood test.[Read More] Understanding Mucus in Stool: Causes and When to Seek Help
Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Diabetes: Postprandial Hyperglycemia Hello Dr. Lee, I would like to ask you some questions regarding diabetes. 1. My father was recently diagnosed with type 2 diabetes, and he has been controlling his diet and exercising regularly every evening. Initially, his blood sugar level...
Dr. Li Jian reply Internal Medicine
1: It seems that dietary control is very strict, but postprandial blood glucose levels still do not decrease. It may be helpful to discuss medication adjustments with your physician to assist in lowering postprandial blood glucose. 2: Smoking accelerates microvascular and macrova...[Read More] Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Understanding HbA1c Levels: Are You at Risk for Prediabetes?
Glycated hemoglobin (HbA1c) 5.7? Hello doctor, during a health check at my company on August 15, my fasting blood glucose was 85 mg/dL, but my hemoglobin A1c was 5.7%. Three months later, I went to a nearby clinic for a recheck, and my fasting blood glucose was 80 mg/dL, while my...
Dr. Li Jian reply Internal Medicine
A hemoglobin A1c level of 5.7 to 6.4 is considered prediabetes, while a level of 6.5 or higher is classified as diabetes.[Read More] Understanding HbA1c Levels: Are You at Risk for Prediabetes?
Understanding Elevated Thyroglobulin Antibodies: When to Seek Medical Advice
Abnormal levels of thyroid globulin antibodies? In the past few years after receiving high-dose iodine-131 treatment, my thyroglobulin levels have been consistently below 1, rarely exceeding 2. However, this time my thyroglobulin antibody (aTG) level is 15. Should I schedule a fo...
Dr. Li Jian reply Internal Medicine
This antibody index needs to be evaluated in reference to the initial surgical period, a series of blood test changes, and the follow-up results of the thyroid ultrasound in order to make a judgment. Please return to the original hospital for regular check-ups.[Read More] Understanding Elevated Thyroglobulin Antibodies: When to Seek Medical Advice
Understanding Consistent Hemoglobin A1c Levels of 5.7: Causes and Management
Glycated hemoglobin (HbA1c) 5.7? Hello, Doctor: If I have been testing my hemoglobin A1c and fasting blood glucose every 3-6 months over the past few years, with the hemoglobin A1c consistently at 5.7 and normal fasting blood glucose (around 90), and my BMI has been stable at 16....
Dr. Li Jian reply Internal Medicine
If there are doubts about the accuracy of glycated hemoglobin, one can also have glycated albumin tested at a major hospital as a reference.[Read More] Understanding Consistent Hemoglobin A1c Levels of 5.7: Causes and Management
Understanding Sebaceous Gland Disorders: Symptoms and Specialist Guidance
Sebaceous gland abnormalities Symptoms: 1. Several small white spots on the inner side of the lips (appeared at the end of October, confirmed by a dentist as sebaceous glands). 2. Dense small white spots on the upper eyelids and around the eyes (have been present for some time, c...
Dr. Li Jian reply Internal Medicine
Excessive hair loss and weight loss can be evaluated for thyroid function abnormalities, while sebaceous gland issues should be referred to a dermatologist.[Read More] Understanding Sebaceous Gland Disorders: Symptoms and Specialist Guidance
Understanding Insomnia After Hyperthyroidism Treatment: What to Expect
Hyperthyroidism and insomnia? I have been treated for hyperthyroidism for four months. Last week, my test results were normal. Since the onset of hyperthyroidism, I have been experiencing insomnia. I would like to ask the doctor, if my levels are normal, shouldn't my sleep a...
Dr. Li Jian reply Internal Medicine
Based on my experience with outpatient patients, after successful treatment of hyperthyroidism, insomnia tends to gradually improve. If insomnia persists, it may be advisable to consult a physician specializing in psychosomatic medicine.[Read More] Understanding Insomnia After Hyperthyroidism Treatment: What to Expect
Can I Take Birth Control Pills While on Levothyroxine for Hypothyroidism?
Is it appropriate to take oral contraceptives while using Ongentys 50 micrograms? I have Hashimoto's thyroiditis and hypothyroidism, and I am regularly taking Levothyroxine 50 micrograms. However, due to irregular menstruation, I am considering adjusting my menstrual cycle b...
Dr. Li Jian reply Internal Medicine
Emergency contraceptive pills and thyroid hormones do not produce serious or major interactions; however, regular monitoring of thyroid function is still necessary.[Read More] Can I Take Birth Control Pills While on Levothyroxine for Hypothyroidism?
Can You Take Birth Control Pills While on Levothyroxine for Hypothyroidism?
Is it suitable to take emergency contraceptive pills while on 50 micrograms of Entacapone? I have Hashimoto's thyroiditis and hypothyroidism, and I have been regularly taking Levothyroxine 50 micrograms. However, due to irregular menstruation, I am considering adjusting my m...
Dr. Li Jian reply Internal Medicine
Emergency contraceptive pills and thyroid hormones do not produce serious or major interactions; however, regular monitoring of thyroid function is still recommended.[Read More] Can You Take Birth Control Pills While on Levothyroxine for Hypothyroidism?
Can Taking Levothyroxine Affect the Use of Birth Control Pills?
Is it appropriate to take a pre-exposure prophylaxis (PrEP) pill while on 50 micrograms of Entacapone? I have Hashimoto's thyroiditis and hypothyroidism, and I have been regularly taking Levothyroxine 50 micrograms. However, due to irregular menstruation, I am considering ad...
Dr. Li Jian reply Internal Medicine
Emergency contraceptive pills and thyroid hormones do not produce serious or major interactions; however, regular monitoring of thyroid function is still recommended.[Read More] Can Taking Levothyroxine Affect the Use of Birth Control Pills?
Understanding Your Blood Sugar Test Results: Are They Normal?
Blood glucose recheck results? Hello Dr. Lee! A few days ago, I consulted you about my blood sugar issues and followed your advice to do another blood test. I had dinner at 8 PM the night before the test and did not drink any water after midnight. The blood draw was done around 9...
Dr. Li Jian reply Internal Medicine
The current test results are considered normal; however, if there is an issue with overweight or a family history of diabetes, it may be advisable to consider a follow-up in one year.[Read More] Understanding Your Blood Sugar Test Results: Are They Normal?
Understanding Hypothyroidism: Heart Palpitations and Treatment Insights
Hypothyroidism and Palpitations Hello Dr. Lee, I would like to ask you a question. Last year, I underwent an advanced health check-up and was diagnosed with hypothyroidism. I am currently taking one tablet of Eltroxin 50 mcg. I often experience severe palpitations and sometimes h...
Dr. Li Jian reply Internal Medicine
Palpitations are often a symptom of hyperthyroidism. When taking thyroid hormone, thyroid function should be monitored every three months to determine if it is normal and whether lifelong medication is necessary. Regular blood tests are required to assess this.[Read More] Understanding Hypothyroidism: Heart Palpitations and Treatment Insights