Obesity, Family Medicine FAQ

Understanding Insulin: Alcohol's Impact on Diabetes and Injection Side Effects

Insulin Questions Hello Dr. Chen, 1. Why do alcoholic beverages, which contain no sugar, harm diabetic patients? 2. What are the potential side effects of insulin injections? Currently, I am using NovoMix 30.

Dr. Chen Bozhang Reply:
Hello, dear user: Regarding your first question about the relationship between alcohol consumption and diabetes, the interaction between these two is quite complex, which I will simplify into several aspects: 1. **Drinking on an empty stomach**: Rapidly increasing blood alcoh...

Can HIV Infection Lead to Diabetes? Understanding Weight Loss and Blood Sugar Issues

HIV Questions Hello, Dr. Liao. Does HIV infection lead to the onset of diabetes? Why does high blood sugar cause significant weight loss?

Dr. Liao Yaopan Reply:
Hello, regarding your question: 1. These two diseases are one infectious disease and the other a metabolic disorder. They are not causally related, but severe infections can lead to abnormalities in glucose metabolism. 2. Not all diabetes patients exhibit weight loss symptoms...

Understanding Your Health Check Report: Interpreting Abnormal Results

Health Check Report The health check results show: heart rate 56 beats per minute, uric acid (UA) 10.3 mg/dL, cholesterol (CHOL) 220 mg/dL, lactate dehydrogenase (LDH) 210 U/L, red blood cell count (RBC) 4.01 million cells/µL, hematocrit (HCT) 40.4%, mean corpuscular hemoglobin (...

Dr. Chen Bozhang Reply:
Hello, in response to your question: Essentially, the military service health examination differs from the subsequent health check items you underwent. The military examination did not test for UA, CHO, or LDH as you mentioned in your letter; only RBC, hematocrit, and MCH are the...

Why Am I Suddenly Snoring at 24? Understanding Sleep Changes

Recently, I have been snoring while sleeping? Hello Dr. Chen, my family has mentioned that I have been snoring at night recently (for the past week or two), but I have never experienced this before. Why has this suddenly started? My eating habits and daily routine have not change...

Dr. Chen Bozhang Reply:
Hello: In response to your question, the cause of snoring is due to obstruction in the upper respiratory tract, such as the larynx or nasal passages, which hinders airflow. During sleep, the muscles controlling the tongue and soft palate are particularly relaxed, causing the surr...

Why Do Men Gain Belly Fat Even Without Drinking Alcohol?

Please ask your question? Why do men tend to gain weight in their abdominal area even if they don't drink alcohol?

Dr. Lai Hexian Reply:
It varies from person to person; alcohol can indeed contribute to weight gain due to its high caloric content, but other high-calorie foods can also have a significant impact on obesity.

Steroid-Induced Obesity: Exploring Weight Loss Surgery Options

Obesity caused by steroid use and seeking gastric bypass surgery for weight loss? I mistakenly consumed a compounded pain medication from the pharmacy, thinking it was a regular analgesic, for four years. I took it for various types of pain, including toothaches, menstrual cramps...

Dr. Lai Hexian Reply:
Hello, please visit the Metabolism Clinic for further evaluation after your appointment.

Understanding Lower Abdominal Discomfort: When to Seek Medical Advice

There is a slight bloating and pain in the lower abdomen? Hello Doctor: I am 156 cm tall and weigh 63 kg, which I believe is related to obesity. I often feel very tired and drowsy. Since gaining weight, I have frequently experienced dizziness and suspect that I might have fatty l...

Dr. Chen Bozhang Reply:
Hello: Your letter mentions several issues, including easy fatigue and drowsiness, dizziness, changes in bowel habits, and lower abdominal cramping. Since each individual's constitution is different, the causes of these symptoms can be quite diverse. It is recommended that y...

Effective Strategies to Reduce Belly Fat: Expert Tips

How to effectively lose belly fat? Hello Dr. Tsai, I noticed in the mirror over the past few days that the area below my navel is protruding. Is this what is referred to as the lower abdomen? How can I slim it down? I often eat until I'm full and sit in front of the computer...

Dr. Cai Mengru Reply:
Dear Mr. JJ, Each individual's accumulation of body fat varies. If you notice that your lower abdomen is protruding due to fat, please be cautious about the issue of central obesity. The standards for central obesity in Taiwan are a waist circumference of greater than 80 cm...

Effective Weight Loss Strategies: Addressing Stubborn Belly Fat

Regarding weight loss issues? Hello, I would like to ask a question. I have been dissatisfied with my weight and have been using traditional Chinese medicine and acupuncture for weight loss, but I still cannot reduce my lower abdomen. What methods can I use to address this issue,...

Dr. Chen Yuchao Reply:
There are many causes of obesity. It is best to schedule an appointment with a family medicine specialist to rule out any potential underlying diseases, and then address the issue by focusing on total caloric intake and exercise.

Is Drinking Hot or Cold Tea Healthy? Expert Insights on Tea Choices

Health Inquiry I would like to inquire whether drinking iced or hot black tea, milk tea, or fat-burning green tea is better for my health. Will it affect my body health? Thank you for your response, doctor!

Dr. Cai Mengru Reply:
Dear Ms. Ching, Regarding your question, when consuming liquids at varying temperatures, they first pass through the oral cavity, where their temperature is adjusted to be close to body temperature. The esophagus and stomach also have similar mechanisms. Therefore, unless consum...

Understanding Obesity: Symptoms, Causes, and Necessary Tests

Obesity issue I haven't undergone any examinations, but I suspect I have a gastric ulcer because I experience stomach pain whenever I get hungry, and if I go too long without eating, I even start to shake. Additionally, my appetite has been increasing; I am 170 cm tall and h...

Dr. Chen Yuchao Reply:
There are many causes of obesity. It is best to schedule an appointment with a family medicine specialist to evaluate and rule out any potential underlying conditions. After that, focus on total caloric intake and exercise. If there are gastrointestinal symptoms, please consult a...

Effective Weight Loss Strategies for College Students: A Guide

How can I lose weight? Hello Doctor! I am from Keelung and have struggled with obesity since childhood. I am 170 cm tall and weigh 85 kg. Recently, due to my weight, my girlfriend broke up with me, and my weight dropped to around 78-79 kg within three weeks. I know this is not he...

Dr. Lai Junlong Reply:
Hello: In response to your question. For your friend: there is no special method for weight loss, only the principle of "eat less and move more." Your original Body Mass Index (BMI=29.4) has already reached the standard for Class I obesity. Currently, due to a breakup, ...

Understanding Left Ventricular Hypertrophy: Symptoms, Tests, and Precautions

Left ventricular hypertrophy (LVH) Dear Dr. Tsai, I would like to inquire about the symptoms of left ventricular hypertrophy and what tests can confirm it. What issues should I be aware of? Thank you for your attention.

Dr. Cai Jueren Reply:
Hello: The diagnosis of left ventricular hypertrophy (LVH) typically relies on electrocardiogram (ECG) examinations, chest X-rays, or echocardiography to confirm that individuals with long-term hypertension or obesity often develop LVH. When left ventricular hypertrophy persists ...

Do You Need Treatment for Fatty Liver or Just Diet and Exercise?

Fatty liver disease Is treatment necessary for my 50-year-old family member who has been diagnosed with fatty liver disease, or is exercise and weight loss sufficient?

Dr. Xu Li'an Reply:
Hello, Lai. Blood tests alone cannot diagnose fatty liver; this diagnosis is usually made through abdominal ultrasound. Common causes include obesity, hyperlipidemia, and alcohol consumption. Treatment methods include abstaining from alcohol, managing hyperlipidemia, and engaging...

Understanding Unexplained Symptoms: Seeking Answers for My Health Issues

My situation! Has anyone experienced this kind of situation? Recently, I haven't felt much about my body. I know I need to urinate, but I don't have the urge. I don't feel like sleeping at night and find it hard to fall asleep, but in the morning, I struggle to get...

Dr. Xu Li'an Reply:
Crown Prince Bingxin is now aware that you are overweight, which should be classified as obesity. This condition can lead to various health issues throughout the body. However, it is unclear whether you have always been overweight or if you have gained weight recently. I am not s...

Struggling with Weight Control: Seeking Help for Effective Weight Loss

I love to eat... I want to lose weight... but I have always struggled to control my portion sizes? I am 158 cm tall and weigh 58 kg. I've loved eating since elementary school, and I tend to gain weight all over my body. I want to lose 5 to 10 kg. I've tried dieting, but...

Dr. Liao Yaopan Reply:
Hello, Xiao Yu: The current indicator for assessing obesity is the Body Mass Index (BMI), calculated by dividing weight (in kilograms) by the square of height (in meters), or BW/(Ht)². A normal BMI ranges from 20 to 24. This can help you evaluate what weight range is considered i...

Understanding Your Health Check Report: Alkaline Phosphatase and Triglycerides Explained

Health Check Report Your health check report shows that your alkaline phosphatase level is 23 and your triglycerides level is 44, which are outside the normal range. What health aspects should I pay more attention to regarding these indices? (Note: I accidentally drank a cup of j...

Dr. Huang Jianling Reply:
Because the internet user did not provide normal values (which vary by laboratory), it is unclear whether the mentioned test values are low. 1. Alkaline Phosphatase: This enzyme is abundantly present in the liver, bones, small intestine, and placenta. Clinically, it is commonly u...

Weight Loss Tips for Gout Sufferers with High Uric Acid Levels

Individuals with high uric acid levels and gout should consider the following strategies for weight loss: 1. **Balanced Diet**: Focus on a diet rich in fruits, vegetables, whole grains, and low-fat dairy products. Limit intake of purine-rich foods such as red meat, organ meats, ...

Dr. Huang Jianling Reply:
Obesity and excessive intake of high-purine foods can lead to elevated uric acid levels. High levels of physical activity can also increase uric acid. It is recommended to drink 2,000 to 3,000 cc of plain water daily and to limit the consumption of high-purine foods. If gout atta...

Understanding High Blood Pressure: Causes, Risks, and Prevention Tips

High blood pressure? Dear Dr. Huang: A few days ago, I experienced sudden severe pain in my left flank and went to the hospital. After an X-ray, the doctor mentioned that I might have kidney stones and advised me to schedule an appointment with a urologist for further examination...

Dr. Huang Jianling Reply:
Xiao Qiang: There is a correlation between intraocular pressure and hypertension, so an eye examination is recommended. The most common causes of hypertension include genetics, environmental factors, increasing age, obesity, renal dysfunction, cardiovascular diseases, and endocri...

Common Health Issues and Warning Signs for Ages 35-45

Common diseases in individuals aged 35-45 years? Individuals aged 35 to 45 commonly experience various diseases and health issues. Key conditions to be aware of include: 1. **Cardiovascular Diseases**: Hypertension, high cholesterol, and heart disease are prevalent. Regular moni...

Dr. Huang Jianling Reply:
In middle-aged individuals aged 35-45, common diseases include obesity, hypertension, hyperlipidemia, abnormal liver function, and hyperglycemia. Sometimes there may be no noticeable symptoms, so it is advisable to undergo a health check-up every three years to detect any issues ...

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