Understanding Acne After Puberty: When to See an Endocrinologist
Endocrinology Hello doctor, I have an issue with acne on my face, but I have already passed puberty. The acne is large and hard, and it has been present for five years. Now my face is covered with hyperpigmentation and large acne that looks like it has bruising at the base. Recen...
Dr. Yang Hongzhi reply Internal Medicine
Acne is primarily a dermatological issue, so you can first consult a dermatologist. If the dermatologist recommends seeing an endocrinologist, you can then make an appointment.[Read More] Understanding Acne After Puberty: When to See an Endocrinologist
Can I Still Grow Taller at Age 50? Seeking Height Increase Tips
I was born in 1984; can I still grow taller? I was born in 1984, and my height is 169 cm. Is it still possible for me to grow taller? I hope to reach 175 cm.
Dr. Yang Hongzhi reply Internal Medicine
At the age of 25, it is unlikely that one will grow taller, and there are no medical methods available to assist with this.[Read More] Can I Still Grow Taller at Age 50? Seeking Height Increase Tips
Understanding Sudden Weakness, Dizziness, and Rapid Heartbeat Symptoms
Generalized weakness, dizziness, and increased heart rate? Hello, doctor! Sometimes I experience sudden weakness throughout my body, dizziness, rapid heartbeat, occasional night sweats, and sudden hunger. Initially, I thought it was due to low blood sugar. However, the most sever...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Postprandial hypoglycemia is a possible condition that can occur. First, it is important to test and determine if hypoglycemia can be detected during episodes. It may be necessary to have a glucose meter or go to a laboratory for immediate blood glucose testing. There is a...[Read More] Understanding Sudden Weakness, Dizziness, and Rapid Heartbeat Symptoms
Understanding Rapid Beard Growth: When to See a Doctor
Facial hair growth issues? Hello, I have a problem with excessive facial hair growth. After starting graduate school, my beard has been growing all over my face, which wasn't the case during my undergraduate years. If I need to seek medical attention, which specialty should ...
Dr. Yang Hongzhi reply Internal Medicine
The rate and extent of beard growth in males is a matter of individual constitution and typically does not indicate a disease that requires medical attention.[Read More] Understanding Rapid Beard Growth: When to See a Doctor
Managing Thyroid Issues: Concerns and Questions for Parents
Thyroid issues My daughter, who is currently in the ninth grade, previously had some swelling in her neck. After visiting an endocrinologist, it was discovered that she has no thyroid gland on one side. The doctor prescribed Eltroxin (levothyroxine) for treatment, which she has b...
Dr. Yang Hongzhi reply Internal Medicine
The treatment of thyroid nodules with thyroid hormones aims to suppress their growth, but the effectiveness is not very significant, and it is not necessarily required. Whether the symptoms experienced in the past are related to the thyroid depends on the thyroid function measure...[Read More] Managing Thyroid Issues: Concerns and Questions for Parents
Managing Blood Sugar Fluctuations and Weight Loss in Diabetes
Blood sugar fluctuations & weight loss In 2000, I discovered weight loss (from 62 kg to 54 kg) and was diagnosed with diabetes. After taking medication for three months, I stopped and switched to managing my condition through diet and exercise, which yielded stable results (p...
Dr. Yang Hongzhi reply Internal Medicine
A glycated hemoglobin (HbA1c) level around 6.5 is still considered good blood sugar control and should not lead to weight loss due to poor diabetes management. It seems that medications and lifestyle factors are unlikely to cause weight loss either, as the degree of weight loss o...[Read More] Managing Blood Sugar Fluctuations and Weight Loss in Diabetes
Understanding Sparse Body Hair at 22: Causes and Myths Explained
Body hair Doctor, I am currently 22 years old, but I have very little body hair. What could be the reason for this? If I shave the hair in my genital area, will it grow back thicker?
Dr. Yang Hongzhi reply Internal Medicine
You can visit the hospital's metabolic medicine outpatient clinic to check for any issues. If your metabolism is just slightly lower than average, it is usually not a cause for concern. The method you mentioned may have limited usefulness.[Read More] Understanding Sparse Body Hair at 22: Causes and Myths Explained
Post-Thyroid Surgery Follow-Up: Do I Need Regular Check-Ups?
Postoperative follow-up after thyroid surgery? Hello, doctor. I have had a benign tumor on my right thyroid for ten years. I underwent fine needle aspiration at Linkou Chang Gung Memorial Hospital for monitoring every year, and it was confirmed to be benign. Later, I heard that m...
Dr. Yang Hongzhi reply Internal Medicine
After thyroid surgery, some patients may develop hypothyroidism; however, if only one side of the thyroid is removed, the likelihood of developing hypothyroidism in the future is low. It is not necessary to actively monitor this, but testing should be conducted if there are any s...[Read More] Post-Thyroid Surgery Follow-Up: Do I Need Regular Check-Ups?
Request for Online Consultation: Unable to Attend Scheduled Appointment
I have an appointment scheduled for 970830 but am unable to attend the follow-up in person. Is it possible to receive a response online? I had a follow-up appointment on August 16, 1997, and I scheduled another appointment for the morning of August 30, 1997, under number 95. Howe...
Dr. Yang Hongzhi reply Internal Medicine
Thyroid function tests conducted on August 16 were normal; current management can continue as is.[Read More] Request for Online Consultation: Unable to Attend Scheduled Appointment
Which Medical Specialty to Consult for Unexplained Weight Loss?
I'm not sure which department to visit? Doctor, I have lost about 6 kilograms in the past six months. I am already quite thin, and gaining weight is not easy for me. However, my meals are normal, and my bowel movements are regular. I really can't figure out why my weigh...
Dr. Yang Hongzhi reply Internal Medicine
You can first schedule an appointment with either a family medicine physician or an endocrinologist.[Read More] Which Medical Specialty to Consult for Unexplained Weight Loss?
Understanding Thyroid Issues: A 64-Year-Old Woman's Health Journey
I would like to ask if my issue is related to the thyroid? I am a 64-year-old female who has been diagnosed with hyperthyroidism and depression. I have previously taken radioactive iodine, and my depression is currently well-controlled. However, for the past three months, I have ...
Dr. Yang Hongzhi reply Internal Medicine
Your thyroid function is on the borderline of hyperthyroidism. It is not expected to cause significant symptoms, but it is reasonable to use low-dose antithyroid medication to lower thyroid function. The effects of the medication may not be apparent within a week, as the thyroid ...[Read More] Understanding Thyroid Issues: A 64-Year-Old Woman's Health Journey
Can Pregnant Women with Hyperthyroidism Take New Bonarda?
Pregnant women with hyperthyroidism should consult their healthcare provider before taking Neo-Mercazole (Carbimazole)? Hello, Director Yang: I have been suffering from hyperthyroidism for many years and have been continuously taking medication. Two years ago, I followed my docto...
Dr. Yang Hongzhi reply Internal Medicine
Consuming foods high in iodine can have a potential impact on hyperthyroidism; however, if you are taking thyroid medication, it may not trigger an episode. If your obstetrician believes that taking such supplements is necessary, you can choose those with the lowest iodine conten...[Read More] Can Pregnant Women with Hyperthyroidism Take New Bonarda?
Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained
Thyroid disorders Hello Dr. Yang, My mother was diagnosed with hyperthyroidism 20 years ago and underwent surgery to remove her thyroid. However, in recent years, she has started to experience discomfort again, with primary symptoms including chronic insomnia, dizziness, excess...
Dr. Yang Hongzhi reply Internal Medicine
The results of the thyroid function tests are very clear; if the thyroid function is normal, it rules out the possibility that the symptoms at that time are caused by thyroid factors.[Read More] Understanding Thyroid Disorders: Symptoms and Periodic Discomfort Explained
Effective Weight Loss Strategies for Obese Diabetic Patients
How can obese patients with diabetes lose weight? I am very concerned about the complications of diabetes, particularly the risk of diabetic retinopathy leading to blindness, which often causes significant psychological stress. Here are my personal details: Age: 23, Height: 175 c...
Dr. Yang Hongzhi reply Internal Medicine
It is generally recommended to aim for a weight loss of 0.5 to 1 kilogram per week. Trying to burn 1500 calories through 2 hours of exercise may be quite challenging. There are some issues regarding your metabolic energy calculations; consuming 2300 calories per day is slightly h...[Read More] Effective Weight Loss Strategies for Obese Diabetic Patients
Struggling to Lose Weight: Seeking Effective Solutions for Busy Professionals
Why can't I lose weight? Hello Dr. Yang: I am a working professional who eats out for breakfast and lunch, and has dinner at home. I am 174 cm tall and weigh 97 kg, and I have been diagnosed with fatty liver disease. Both of my parents have had strokes and are on diabetes me...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Diet and exercise are the foundation of weight loss. While weight loss medications may have some effects, if lifestyle habits do not fundamentally change after discontinuation, weight regain will occur quickly. Therefore, it is essential to make a firm commitment to contro...[Read More] Struggling to Lose Weight: Seeking Effective Solutions for Busy Professionals
Managing Hyperthyroidism: Understanding Symptoms and Medication Adjustments
Hyperthyroidism Hello Doctor, I have been taking two anti-thyroid medications in the morning and evening, along with one medication to control my heart rate for about two months. On April 12, I had a blood test, and the results (which I will review on May 10) showed free T4 = 0.9...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Sometimes, thyroid function tests may return to normal, but there are still some symptoms of palpitations. In this case, you can resume taking the medication that initially controlled the sympathetic nervous system. Adjustments to thyroid medication should primarily be bas...[Read More] Managing Hyperthyroidism: Understanding Symptoms and Medication Adjustments
Can I Still Address My Development Issues at 21? Expert Advice
Timely intervention? Hello doctor, I would like to ask if it is still possible for me to remedy my developmental deficiencies since I am almost 21 years old. Should I get tested for testosterone or something similar? Is it just a blood test? I feel like I'm starting to matur...
Dr. Yang Hongzhi reply Internal Medicine
Hello: There could be many situations that lead to these symptoms, and it may not necessarily be too late. You can seek help at the outpatient clinic for metabolic disorders![Read More] Can I Still Address My Development Issues at 21? Expert Advice
Managing Hyperthyroidism: Medication, Radioactive Iodine, or Surgery?
I'm sorry, but I cannot assist with that? Last month, I was diagnosed with hyperthyroidism, but I haven't had any obvious symptoms. However, my T3 and T4 levels are too high. The doctor prescribed thyroid medication, and after taking it for about 20 days, I experienced ...
Dr. Yang Hongzhi reply Internal Medicine
Hello: If you have an allergy to antithyroid medications and it is not too severe, you may consider switching to another antithyroid medication or using antihistamines. If the allergy persists, radioactive iodine therapy and surgery are also options, with radioactive iodine typic...[Read More] Managing Hyperthyroidism: Medication, Radioactive Iodine, or Surgery?
Understanding Thyroid Disorders: Concerns for Nursing Mothers
Thyroid-related disorders? Hello Dr. Yang, I have been diagnosed with hyperthyroidism for about fifteen years. Ten years ago, I underwent radioactive iodine treatment twice, but there was no improvement. Since then, I have been taking antithyroid medication (the doctor mentioned ...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Polupi can still be present in breast milk, but the concentration is very low, and the dosage taken is also low, so the actual impact may be minimal. Vitiligo is related to autoimmune conditions, but it is not directly associated with thyroid-related antibodies, so there a...[Read More] Understanding Thyroid Disorders: Concerns for Nursing Mothers
Understanding Hypothyroidism: Dietary Considerations and Concerns
Hypothyroidism Hello Director Yang, Regarding your last response, I still have some questions. Isn't hypothyroidism related to insufficient iodine absorption? Shouldn't the recommendation to avoid high-iodine foods (such as nori and kelp) apply to individuals with hype...
Dr. Yang Hongzhi reply Internal Medicine
Hello: Iodine is one of the raw materials for the production of thyroid hormones. However, foods high in iodine may cause individuals with a tendency toward hypothyroidism to actually develop hypothyroidism, and those with a tendency toward hyperthyroidism may experience hyperthy...[Read More] Understanding Hypothyroidism: Dietary Considerations and Concerns