Understanding High Cholesterol: Do You Need Medication and Lifestyle Changes?
High cholesterol Triglycerides (64), high-density lipoprotein (53.7), low-density lipoprotein (160), total cholesterol (223), weight 56 kg, height 156.5 cm, exercising 1 hour daily. Is this cholesterol level too high? Is medication needed for control? Will medication be required ...
Dr. Hou Angting Reply:
Hello Aili: Your blood lipid levels are higher than normal. It is recommended that you maintain a regular exercise routine and avoid binge eating. Additionally, please visit the family medicine clinic regularly for check-ups and evaluations by your physician. Wishing you good hea...[Read More] Understanding High Cholesterol: Do You Need Medication and Lifestyle Changes?
Effective Weight Loss Strategies: Managing Body Fat and Nutrition
Weight loss issues Hello, doctor. I apologize for bothering you during your busy schedule. I would like to inquire about weight loss. I originally weighed 106 kg and was 183 cm tall. Since the end of April this year, I have started skipping rope at a rate of 140 jumps per minute,...
Dr. Ye Qianyu Reply:
Hello! You have actually achieved significant weight loss. Now, it's time to fine-tune your lifestyle habits. I recommend that you choose natural foods and low glycemic index (GI) foods as much as possible, avoid refined carbohydrates and animal fats, and increase your intak...[Read More] Effective Weight Loss Strategies: Managing Body Fat and Nutrition
Understanding Growth Issues: Height Development and Hormone Therapy
Growth issues Hello, Dr. Yeh. I read online that after the age of 14, only height will continue to grow, and that leg length is mostly determined before the age of 14. Is this true or false? I am quite concerned about my body proportions. My current bone age is over 14 years, and...
Dr. Ye Qianyu Reply:
Hello! The secretion of growth hormone typically occurs between 10 PM and 3 AM, with pulses every 60 to 90 minutes during deep sleep. Therefore, the duration and quality of sleep are very important. It is recommended to turn off the lights and go to sleep before 10 PM. Additional...[Read More] Understanding Growth Issues: Height Development and Hormone Therapy
Understanding Your Health Concerns While Living Abroad: A Guide
Recent discomforts in the body? Hello, doctor! I have been working in Japan for a long time and, due to the pandemic, I have been unable to return to Taiwan. Recently, I have been experiencing various discomforts and I am unsure whether they are psychological or physical issues. ...
Dr. Liu Hongxiang Reply:
Hello Mr. Shang-Chuan, Based on your height and weight, your BMI is 31.4, which falls into the category of moderate obesity. Your systolic blood pressure readings of 133 or 120 are within the normal range. It is recommended that in addition to dietary control, you incorporate e...[Read More] Understanding Your Health Concerns While Living Abroad: A Guide
Managing Weight Loss and Dizziness After Blood Pressure Medication
Weight is gradually decreasing? Hello Dr. Liu, about two years ago, my blood pressure suddenly spiked to nearly 200. Since then, I have started taking antihypertensive medications to control my blood pressure. Currently, I take one pill of Amlodipine and half a pill of Candesarta...
Dr. Liu Hongxiang Reply:
Hello A-Rong, According to your letter, avoiding high-calorie foods and not overeating during meals will help you approach your ideal weight after a period of persistence. Considering the average height of Taiwanese men is 173.5 cm, a weight of 78 kg results in a BMI of 25.9, wh...[Read More] Managing Weight Loss and Dizziness After Blood Pressure Medication
Understanding Vaccine-Related Fainting: Causes and What to Do Next
Vaccine injection/syncope Hello Dr. Hsiao, my husband received his first dose of the AZ vaccine yesterday, August 4th, at 9:35 AM. After the vaccination, he stayed at the hospital for 20 minutes and then rode his motorcycle home (a 5-minute ride). Once home, he started drinking w...
Dr. Xiao Yongxun Reply:
Dear Ms. Lee: 1. Syncope refers to a transient loss of consciousness and inability to maintain posture due to insufficient cerebral blood perfusion. Its characteristic feature is a rapid recovery of consciousness without the need for treatment. Syncope is a symptom, not a diseas...[Read More] Understanding Vaccine-Related Fainting: Causes and What to Do Next
Height Concerns: Understanding Growth and Remedies for Teens
Height issues Hello, doctor. 1. I am currently 17 years old, almost 18, but my height is only 156 cm. I took growth hormone supplements at ages 13 and 14, but they didn't seem to work. I tried again at 16, and it was the same result. Recently, my dad said that I have poor ...
Dr. Ye Qianyu Reply:
Hello! In clinical practice, factors affecting height include not only genetic predisposition but also environmental influences such as nutrition, exercise, and sleep. A small number of cases may be affected by diseases, so it is advisable to consult a metabolic specialist for ev...[Read More] Height Concerns: Understanding Growth and Remedies for Teens
Is Chest Pain and Limb Numbness Due to Anxiety or Something Else?
Is chest pain and numbness in the left arm and leg due to anxiety? Hello Doctor, I started experiencing sudden chest pain in the middle of my chest on the night of May 26th. It was most painful that night, to the point where I couldn't tolerate it and took a Tylenol. After a...
Dr. Xiao Yongxun Reply:
Dear Ms. Lee: 1. Based on your statements, the likelihood of myocardial ischemia, coronary artery disease, stroke, aortic dissection, pneumothorax, pulmonary embolism, spinal nerve root pathology, or musculoskeletal disorders is very low. Of course, a diagnosis cannot be establ...[Read More] Is Chest Pain and Limb Numbness Due to Anxiety or Something Else?
Managing High Cholesterol: When to Consider Medication and Treatment Standards
High cholesterol I recently underwent an adult health check-up at the hospital. My results were TC 308, TG 36, HDL 95.7, and LDL 178.6. My height is 149.5 cm and my weight is 47.7 kg. Due to a family history of genetic hyperlipidemia, I expected to see elevated levels. However, a...
Dr. Wu Zongying Reply:
Your total cholesterol (TC) is 308, and your LDL is 178.6, both of which are elevated. It is necessary to actively manage your diet or consider medication. High levels of TC and LDL can lead to fat accumulation in the blood vessel walls, heart, liver, or other organs in the body....[Read More] Managing High Cholesterol: When to Consider Medication and Treatment Standards
Understanding Visceral Fat: Accuracy, Classification, and Reduction Strategies
Consultation on Visceral Fat Concerns Dear Dr. Wu, I visited the clinic today, where I was asked to remove my shoes and socks and stand on a "bioelectrical impedance scale" to measure various body metrics. The measurement indicated that my visceral fat index is 15. I w...
Dr. Wu Zongying Reply:
Hello Ah-Hsiang: Since your letter did not mention your height, weight, or BMI, it is difficult to make a complete assessment. Body fat is divided into subcutaneous fat and visceral fat. Excess visceral fat is significantly associated with the occurrence of hyperlipidemia, athero...[Read More] Understanding Visceral Fat: Accuracy, Classification, and Reduction Strategies
Understanding Rapid Cholesterol Fluctuations: Key Questions Answered
Cholesterol levels can fluctuate significantly in a short period of time? Hello Doctor: On February 18th of this year, my blood test showed a total cholesterol level of 193 mg/dL and low-density lipoprotein (LDL) cholesterol of 128 mg/dL. On March 5th, my total cholesterol level ...
Dr. Liao Yaopan Reply:
Hello, blood tracking should be determined based on clinical evaluation. It is advisable to consult the physician who provided the medical advice to understand your condition, which will serve as a basis for whether treatment is necessary. Test results are an immediate response r...[Read More] Understanding Rapid Cholesterol Fluctuations: Key Questions Answered
Effective Weight Loss Strategies: Addressing Stubborn Fat and Muscle Concerns
Weight loss-related issues? Hello Doctor, I have been on the heavier side since childhood, with my highest weight reaching 98 kg at a height of 170 cm, 37% body fat, and 26% skeletal muscle. Ten months ago, due to high blood pressure and high cholesterol, I decided to lose weight...
Dr. Wu Zongying Reply:
Hello: I'm glad to hear that you have successfully lost weight. Regarding your questions and weight loss methods, here are my responses: The most effective weight loss methods generally involve controlling your diet while incorporating aerobic exercise. Previously, you were ...[Read More] Effective Weight Loss Strategies: Addressing Stubborn Fat and Muscle Concerns
Understanding Fluctuating Blood Pressure: When to See a Doctor
Occasional hypertension? Hello doctor, I have recently developed a habit of measuring my blood pressure due to feelings of chest tightness. Sometimes my first reading is around 130/82, but if I measure again after three to five minutes, it tends to be within the normal range of 1...
Dr. Wu Zongying Reply:
Hello: Without your height, weight, BMI, and blood test results, it is difficult to make a comprehensive assessment. However, based on the blood pressure values you provided, there is currently no need for medical attention. Nonetheless, a light diet, regular exercise, and weight...[Read More] Understanding Fluctuating Blood Pressure: When to See a Doctor
Understanding Blood Sugar Levels: Should You Be Concerned?
Blood sugar issues? Hello doctor, I had blood and urine tests done earlier this year, and everything was normal, but my blood sugar was 91, which seems to be on the borderline of normal. Recently, I've been sweating easily, and I'm worried that I might have diabetes. Sh...
Dr. Wu Zongying Reply:
Hello: Your previous blood glucose level was 91 mg/dL. Although you have issues with being overweight and a higher BMI, it is unlikely that you will develop diabetes quickly from the beginning of the year until now. I would like to know what your weight was at the beginning of th...[Read More] Understanding Blood Sugar Levels: Should You Be Concerned?
Understanding Abnormal Urinalysis Results: What They Mean for Your Health
Health examination report issues? Hello Doctor: Recently, the employee health check report was released, and there were some red flags in the report. I would like to inquire about the possible issues related to the following items/test values/units/reference: - Epith. (Sediment)...
Dr. Ye Qianyu Reply:
Hello! Based on your description, the urine test needs to be rechecked. Please return for a follow-up appointment one week after your menstrual period ends, and collect a midstream urine sample for testing, as this will minimize the impact on the results. Regarding the blood test...[Read More] Understanding Abnormal Urinalysis Results: What They Mean for Your Health
Understanding Weight Concerns: Tips for Healthy Weight Gain
Weight issues Doctor, I have a question. Since my first height and weight measurement in middle school, I was 59 kg and 159 cm tall. In eighth grade, I grew to 165 cm and weighed 58 kg. By ninth grade, I reached 173 cm and weighed 57 kg. Over these three years, my weight has fluc...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight loss issues. If you have already increased your food intake and there is still no progress in your weight, I recommend that you visit a metabolic specialist to evaluate any potential endocrine problems.[Read More] Understanding Weight Concerns: Tips for Healthy Weight Gain
Experiencing Rapid Heartbeat When Standing: What You Need to Know
When standing up, I feel my heart racing or beating more forcefully? Height 161 cm, weight 47 kg, severe nasal allergies. I have had these symptoms since the eighth grade and I'm very worried about what might happen. Sometimes I wake up without these feelings, but at times I...
Dr. Liao Yaopan Reply:
Hello, if you continue to feel unwell, please make sure to have your parents take you to a pediatric cardiologist for evaluation. Online consultations are not equivalent to an in-person visit and cannot provide a diagnosis or treatment recommendations. Changhua Hospital cares abo...[Read More] Experiencing Rapid Heartbeat When Standing: What You Need to Know
Can I Still Grow Taller at 16? Understanding Growth and Development Issues
Height and Development Issues Hello, doctor. I am currently a 16-year-old high school freshman, with a height of 155 cm and a weight of 44 kg. Is there still a chance for me to grow taller? Also, I have never had my menstrual period; is this normal? Thank you for your response, d...
Dr. Ye Qianyu Reply:
Hello! Since you are already 16 years old, a comprehensive assessment including aspects such as secondary sexual characteristics is necessary. It is recommended that you visit a pediatric endocrinology clinic for evaluation as soon as possible.[Read More] Can I Still Grow Taller at 16? Understanding Growth and Development Issues
Post-Surgery Health Decline: Understanding Symptoms and Next Steps
After the surgery, my father's health has deteriorated significantly? My father is currently 53 years old and has been smoking for at least 30 years. He does not drink alcohol and occasionally chews betel nut. He has obstructive sleep apnea and underwent extensive surgery in...
Dr. Liao Yaopan Reply:
Hello, it is essential to return to the outpatient clinic of the primary surgeon for follow-up after surgery. Any concerns should be discussed and evaluated with the attending physician, who will determine if a referral to another subspecialty is necessary. Chronic diseases shoul...[Read More] Post-Surgery Health Decline: Understanding Symptoms and Next Steps
Breath-Holding Concerns: Understanding Symptoms and Risks
Issues after breath-holding Hello, doctor. Today, while passing through a basement area, I encountered a very strong smell of paint. I was wearing a mask, but the odor was still quite intense. I held my breath for about 40 seconds and only breathed again after leaving the area. L...
Dr. Xiao Yongxun Reply:
Hello! 1. Since each person's height and weight vary, lung function also differs; based on your description, the likelihood of developing a pneumothorax is relatively low, so there is no need to worry too much. 2. The most common symptoms of pneumothorax include chest tightn...[Read More] Breath-Holding Concerns: Understanding Symptoms and Risks