Managing Thyroid Hormone Levels: From Hypothyroidism to Hyperthyroidism
Hypothyroidism to Hyperthyroidism Hello Doctor, I was diagnosed with anti-microsomal antibodies at a titer of 1:1600 in 2009, and my T4 and TSH levels were normal, indicating Hashimoto's thyroiditis (hypothyroidism). From 2009 to June 2021, I took Eltroxin 50 mcg daily, but ...
Dr. Lin Jianliang reply Internal Medicine
Hello: Since everyone's situation is different, some people resume medication after stopping or reduce the dosage. It depends on individual circumstances for adjustments. Regarding the other issue, it requires an in-person evaluation to provide a response, so I cannot addres...[Read More] Managing Thyroid Hormone Levels: From Hypothyroidism to Hyperthyroidism
Understanding Fasting Blood Sugar Levels: What’s Normal?
Blood sugar issues? Hello Dr. Lin: I would like to ask a few questions. Is it accurate to measure blood glucose levels after fasting for more than 15 hours in a normal person? My son, who is slightly overweight but does not have diabetes, is currently practicing intermittent fast...
Dr. Lin Jianliang reply Internal Medicine
Hello: Fasting blood glucose refers to the first blood glucose measurement taken immediately after waking up, with at least an 8-hour interval since the last meal. A normal fasting blood glucose level should be less than 100 mg/dL.[Read More] Understanding Fasting Blood Sugar Levels: What’s Normal?
Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Hypothyroidism Treatment Issues Hello Doctor, I am a patient with hypothyroidism. I have been undergoing treatment for about three years and have been taking thyroid hormone, but there has been little improvement in my lab values or physical condition. Dietary changes and exercis...
Dr. Lin Jianliang reply Internal Medicine
Hello: Generally speaking, patients with hypothyroidism who regularly take their medication to keep thyroid hormone levels within the normal range are less likely to experience symptoms of hypothyroidism. Based on your description, it is recommended to first consult with an endoc...[Read More] Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Should You Stop Drinking Milk? Exploring Potential Health Risks
Consultation recommendations? I received a video from my family today discussing potential issues with drinking milk. Currently, I consume about 150cc of milk made from powdered milk daily. Should I be concerned about possible adverse effects, and should I stop drinking it? I cou...
Dr. Lin Jianliang reply Internal Medicine
Hello: According to the daily dietary guidelines from the National Health Administration, it is recommended that individuals with diabetes limit their dairy intake to 1-2 servings. One serving of dairy is equivalent to 240 c.c. of fresh milk.[Read More] Should You Stop Drinking Milk? Exploring Potential Health Risks
Understanding Congenital Adrenal Hyperplasia: Risks, Treatment, and Concerns
Endocrine issues, congenital adrenal hyperplasia? Hello Dr. Lin, I apologize for bothering you. Since there is no endocrinology department here, I consulted with the internal medicine department and learned that your specialty is endocrinology. I would like to ask you about my gi...
Dr. Lin Jianliang reply Internal Medicine
Hello: Congenital adrenal hyperplasia (CAH) encompasses various specific disorders. Based on the information you provided, it is difficult to determine which specific type it is. It is recommended to discuss this with her physician.[Read More] Understanding Congenital Adrenal Hyperplasia: Risks, Treatment, and Concerns
Understanding Atypia in Thyroid Nodules: Inflammation and Concerns
Thyroid nodule inflammation Hello Doctor: I recently had an ultrasound that revealed a 1.2 cm nodule. After a biopsy, the report indicated atypia. When I heard this, my mind went blank. The doctor mentioned that the ultrasound suggested the nodule appeared to be inflamed with ble...
Dr. Lin Jianliang reply Internal Medicine
Hello: The interpretation of thyroid nodule biopsy results needs to be combined with ultrasound imaging findings, medical history, family history, physical examination, blood reports, etc., for a comprehensive assessment. Based on your letter, it is difficult to provide an answer...[Read More] Understanding Atypia in Thyroid Nodules: Inflammation and Concerns
Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Prediabetes Hello, doctor. My height is 173 cm and my weight is 42.2 kg. In March, my weight was 45.2 kg. Due to weight loss, I underwent blood glucose and thyroid tests. The results showed fasting blood glucose of 96 mg/dL, hemoglobin A1c of 5.7%, eAG of 117 mg/dL, free T4 of 1....
Dr. Lin Jianliang reply Internal Medicine
Hello: The normal range for fasting blood glucose levels is typically 70 to 100 mg/dL, and the normal range for hemoglobin A1c is 4 to 6%. I'm not sure what your laboratory's standard range is. For prediabetes, dietary changes and exercise can be effective in managing t...[Read More] Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Overcoming Weight Loss Plateaus: Understanding Insulin Resistance
19 years of long-term distress..? I have always wanted to lose weight and have been working on it for a long time. I found a lot of information online. My weight is 131.5 kg, and my height is 182 cm, which is really heavy. I have tried going to the gym and measured my body compos...
Dr. Lin Jianliang reply Internal Medicine
Hello: Based on your situation, it is recommended that you go to the hospital for a comprehensive examination to rule out any abnormal conditions in your body. Then, you can proceed with the next steps.[Read More] Overcoming Weight Loss Plateaus: Understanding Insulin Resistance
Understanding Cholesterol and Triglyceride Changes in Health Checkups
Health check report: Elevated cholesterol levels, but decreased triglycerides? Hello, doctor. Three years ago, my health check report showed a height of 156 cm and weight of 48.3 kg, with total cholesterol at 202 mg/dL, HDL at 85 mg/dL, LDL at 107 mg/dL, and triglycerides at 50 m...
Dr. Lin Jianliang reply Internal Medicine
Hello: The main factors affecting triglycerides include a high-fat, high-calorie diet, overweight and increased waist circumference, diabetes, alcohol consumption, and the use of female hormones. The sources of cholesterol come partly from synthesis and metabolism in the liver an...[Read More] Understanding Cholesterol and Triglyceride Changes in Health Checkups
Dietary Tips to Increase Low Triglycerides Without Raising Blood Sugar
Dietary Recommendations for Low Triglycerides Hello, doctor. I recently had a health check-up, and my triglyceride level was only 12 (compared to 20 a year ago). My low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol levels are normal, at 90 and 77, respe...
Dr. Lin Jianliang reply Internal Medicine
Hello JJ: Generally speaking, animal fats, alcohol, and increased dietary calories can lead to hypertriglyceridemia. Elevated blood lipids can contribute to cardiovascular diseases and cerebrovascular diseases. It is advisable to discuss with a physician before deciding on a trea...[Read More] Dietary Tips to Increase Low Triglycerides Without Raising Blood Sugar
Ants in the Bathroom: Could It Indicate Diabetes Symptoms?
There are ants in the bathroom? Hello doctor, my mother has a family history of diabetes. There are many ants outside my house and on the upper floor due to the flower beds. I remember that when I was in elementary school, there were always ants in the bathroom (possibly because ...
Dr. Lin Jianliang reply Internal Medicine
Hello: It is advised not to use urine to attract ants as a method to determine if one has diabetes. The other symptoms you mentioned are also not reliable indicators of diabetes. It is recommended to get tested at a hospital.[Read More] Ants in the Bathroom: Could It Indicate Diabetes Symptoms?
Understanding Morning Fasting Blood Sugar Levels in Diabetes Management
Fasting blood glucose levels upon waking are higher than blood glucose levels before bedtime? Hello Dr. Lin: I was diagnosed with diabetes in early April, at which time my blood sugar was 226, and my HbA1c was 8. Over the past month, I have been actively managing my diet and exer...
Dr. Lin Jianliang reply Internal Medicine
Hello: Many factors can affect blood glucose levels, such as dietary content, the degree of digestion and absorption, the type of antidiabetic medication, physical condition, and level of physical activity. Generally, physicians will consider all this information to determine whe...[Read More] Understanding Morning Fasting Blood Sugar Levels in Diabetes Management
Thyroid Health: Can Herbal Soups and Warm Foods Help Hyperthyroidism?
Thyroid Diet Doctor, if I have hyperthyroidism, is it okay to drink traditional Chinese herbal soups or eat foods that are more warming and nourishing?
Dr. Lin Jianliang reply Internal Medicine
There are many types of herbal tonics, and without objective evidence, their use is not recommended.[Read More] Thyroid Health: Can Herbal Soups and Warm Foods Help Hyperthyroidism?
Understanding Thyroid Issues: Should You Get Further Testing?
Thyroid issues Recently, I had a blood test for my thyroid due to issues with hand tremors, and my TSH level came back slightly low. Do I need to get further testing? I have been experiencing persistent low-grade fever, fatigue, insomnia, irritability, reduced menstrual flow, and...
Dr. Lin Jianliang reply Internal Medicine
Hello: Further related tests for the thyroid gland can be conducted.[Read More] Understanding Thyroid Issues: Should You Get Further Testing?
Normal Thyroid Levels but Still Experiencing Hair Loss: Possible Causes and Solutions
Thyroid indices are normal, yet hair loss persists? Hello, doctor. Last year, I experienced sudden and abnormal hair loss and was diagnosed with hyperthyroidism. I have been managing the symptoms with medication, and my lab results have been normal during follow-up visits. Howeve...
Dr. Lin Jianliang reply Internal Medicine
There are many factors that contribute to hair loss. Depending on your situation, you may want to consider thyroid medications and conditions unrelated to the thyroid. Certain thyroid medications may potentially lead to hair loss. As for conditions outside of the thyroid, there a...[Read More] Normal Thyroid Levels but Still Experiencing Hair Loss: Possible Causes and Solutions
Does Anemia Affect Blood Sugar Diagnosis Standards? Understanding the Impact
Does anemia affect blood sugar diagnostic standards? Recently, my health check report showed a fasting blood glucose level of 101 and a hemoglobin A1c of 5.8. I am very concerned about diabetes, but I have thalassemia. Does this condition affect blood glucose levels or the standa...
Dr. Lin Jianliang reply Internal Medicine
Hello: Mediterranean anemia can affect the binding of glucose to hemoglobin, which in turn can impact the levels of glycated hemoglobin.[Read More] Does Anemia Affect Blood Sugar Diagnosis Standards? Understanding the Impact
Can Thyroid Issues Cause Gray Hair? Nutritional Solutions Explored
Gray hair issue? Hello, doctor! Since my thyroidectomy, my hair has been turning white. I have searched a lot of information online, but none of it mentions what nutrients I can take to restore my hair color. It only states that people with hypothyroidism experience this. I would...
Dr. Lin Jianliang reply Internal Medicine
There are many factors that can cause hair to turn white, with thyroid issues being just one of them. Other factors also play a role. To determine if thyroid supplementation is adequate, a blood test can be performed. If hair turns white, it is advisable to consult a dermatologis...[Read More] Can Thyroid Issues Cause Gray Hair? Nutritional Solutions Explored
Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Issues with blood lipids and blood glucose? Hello Dr. Lin, I have a few questions regarding my blood sugar and lipid levels. Below are my test results from two health check-ups spaced seven months apart: - Total Cholesterol (TCH): 235 mg/dL, 256 mg/dL (Reference value: <200)...
Dr. Lin Jianliang reply Internal Medicine
1. According to your Glu AC and HbA1C, they are currently within the standard range. 2. Whether you need to take lipid-lowering medication depends on other risk factors, such as a family history of cerebrovascular disease or cardiovascular disease, among others. 3. It is currentl...[Read More] Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Managing Rapid Heartbeat and Thyroid Medication: A Patient's Journey
My heart is racing? Currently, I take 250 mcg of thyroid hormone daily, but my heart rate has become very uncomfortable, averaging 120 beats per minute. When I walk or climb stairs, it almost reaches 150. Although I am happy to have lost 15 kilograms, I often feel short of breath...
Dr. Lin Jianliang reply Internal Medicine
After reading your letter, I am unable to ascertain your general condition from your description. Given your uncomfortable symptoms, I recommend that you inform your attending physician immediately. Discussing your situation with them will help ensure your health.[Read More] Managing Rapid Heartbeat and Thyroid Medication: A Patient's Journey
Understanding Blood Sugar Levels: Is 103 mg/dL Normal?
Blood sugar issues I apologize, but my blood sugar level in the health check report is 103.00. Is this abnormal? However, I had half a slice of toast 1 to 2 hours before the test. Is this within the normal range? Thank you for your response.
Dr. Lin Jianliang reply Internal Medicine
Fasting blood glucose level: 70-100 mg/dL. Two hours after eating: within 140 mg/dL. Eating half a slice of toast 1 to 2 hours before the examination does not qualify as fasting blood glucose, so the results are not valid.[Read More] Understanding Blood Sugar Levels: Is 103 mg/dL Normal?