Unexplained Weight Loss with Normal Thyroid Levels: Possible Causes
Significant weight loss with normal thyroid function tests? Hello Dr. Lee, In early November last year, during my health check-up, my height and weight were 181 cm and 58.7 kg, respectively. Aside from being underweight, all other indices were normal (including CEA and fecal occ...
Dr. Li Jian Reply:
If thyroid function is normal, it may be advisable to consult a gastroenterologist to investigate whether the weight loss is related to chronic diarrhea.[Read More] Unexplained Weight Loss with Normal Thyroid Levels: Possible Causes
Concerned About My Height Growth at Age 13: Seeking Medical Advice
I feel like I'm not growing taller? Hello, doctor. I am 13 years old, and I feel like I haven't grown taller recently. My dad is 172 cm and my mom is 161 cm. My diet is normal, and I drink plenty of milk. Sometimes I stay up late, and I am also working on my abs. In the...
Dr. Xie Rongyuan Reply:
Hello: If there is a concern about not growing taller, it is advisable to visit a pediatric endocrinologist to check for any issues with growth hormone. Growth hormone secretion is lower during the day, while it is significantly released during sleep, particularly between 10 PM a...[Read More] Concerned About My Height Growth at Age 13: Seeking Medical Advice
Understanding Thyroid Issues: Low Free T4 and TSH Levels Explained
Thyroid issues Hello, doctor. I am 20 years old, with a height of 160 cm and a weight of about 48 kg. I have lost 10 kg in just one year. Recently, I had a blood test for my thyroid, and my Free T4 level was 0.76 and my TSH level was 0.695, both of which appear to be low. I did s...
Dr. Hong Yuanbin Reply:
Hello, if you have hyperthyroidism, free T4 levels would be elevated and TSH levels would be decreased. Conversely, if you have hypothyroidism, the opposite would be true. Your blood test results suggest that your significant weight loss may not be due to a thyroid issue. I would...[Read More] Understanding Thyroid Issues: Low Free T4 and TSH Levels Explained
Why Am I Not Growing Taller? Understanding Growth Patterns in Teens
I feel like I'm not growing taller? Hello doctor, I am 13 years old. Ever since I experienced a growth spurt of about 10 centimeters when I was 11, I have been growing less and less. I usually go to bed at 9:30, but sometimes I stay up past 10. I regularly exercise, drink mi...
Dr. Hong Yuanbin Reply:
Hello, regarding height, it is likely influenced by genetics. I suggest you first consider your parents' heights. You can calculate the average height by adding your father's height and mother's height, then dividing by two, and adding about 10 centimeters; this co...[Read More] Why Am I Not Growing Taller? Understanding Growth Patterns in Teens
Understanding High Cholesterol: The Role of HDL and Health Risks
High cholesterol Hello, my mother is currently 61 years old and recently had a health check-up with the following results: height 167 cm, weight 51 kg, BMI 18.3, blood pressure 138/81, pulse 75, blood glucose 102 (slightly elevated), triglycerides 51, cholesterol 322 (severely el...
Dr. Lin Jianliang Reply:
Hello: High total cholesterol can be partly attributed to high-density lipoprotein (HDL), while low-density lipoprotein (LDL) is a significant factor contributing to cardiovascular disease. Whether or not to take medication depends on health insurance regulations, which consider ...[Read More] Understanding High Cholesterol: The Role of HDL and Health Risks
Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Microalbumin Hello Doctor, During my health check on January 3rd, I found that my "urine microalbumin (UMA)" test result was 41.3 mg/L, with a normal range of 0-20 mg/L. Additionally, I have gallbladder polyps, prostatic calcifications, weakly positive urine ketones, ...
Dr. He Yonghe Reply:
Hello Mr. Li, Gallbladder polyps should be monitored at least once every six months, and urine protein should be tracked together. There's no need to worry; you can return to Taiwan for follow-up.[Read More] Understanding Microalbuminuria: Causes, Risks, and Treatment Options
Concerns About Excess Growth Hormone in a Rapidly Growing Child
Suspected excessive secretion of growth hormone? Hello, my child is 7 years old and is almost 150 cm tall. We have seen a pediatric endocrinologist twice, and they said there is no precocious puberty, but her bone age is advanced by 1 to 2 years. We did a blood test once, and the...
Dr. Li Jian Reply:
Since your child is only seven years old, it is recommended that you consult a pediatric endocrinologist. Thank you.[Read More] Concerns About Excess Growth Hormone in a Rapidly Growing Child
Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Heart sound changes In auscultation, there are specific characteristics of heart sounds that can help differentiate between S1 and S2. S1, the first heart sound, is primarily associated with the closure of the atrioventricular valves (mitral and tricuspid valves) at the beginning...
Dr. Hong Yuanbin Reply:
Hello, auscultation can indeed help infer S1 and S2 heart sounds, but this requires a professional cardiologist's assessment. For the general public, it is sufficient to distinguish whether the heartbeat is regular and to assess the heart rate. A stethoscope cannot accuratel...[Read More] Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Can Growth Hormone Therapy Help Increase Height in Young Adults?
Can physicians use growth hormone for treatment? At 21 years old and 148 cm tall, there are limited options for increasing height, as most individuals reach their maximum height by the end of puberty. However, here are some potential approaches: 1. **Consult an Endocrinologist**...
Dr. Lin Jianliang Reply:
Hello: Based on your situation, it may be necessary to consult a specialist to determine if you are a suitable candidate for growth hormone therapy.[Read More] Can Growth Hormone Therapy Help Increase Height in Young Adults?
Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Significant weight loss after childbirth? Hello Doctor, before my pregnancy, my weight was approximately 65 kg (height 159 cm, BMI was overweight). During my pregnancy, I had gestational diabetes and used short-acting insulin (once in the morning). At the time of delivery, I weig...
Dr. Li Jian Reply:
Postpartum weight loss can also be evaluated by checking thyroid function, as thyroid dysfunction can affect weight.[Read More] Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
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:
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:
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:
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
Understanding Body Temperature: When to Worry and COVID-19 Concerns
Temperature Inquiry Due to the pandemic, there is heightened sensitivity to temperature readings. Recently, my ear temperature has been fluctuating around 37.1 to 37.5 degrees Celsius, and sometimes it even reaches 37.8 degrees when the thermometer is inserted deeper into the ear...
Dr. Hong Yuanbin Reply:
Hello, indeed, each person's baseline body temperature is different, and thermometers can have discrepancies. It is recommended to use a thermometer from a hospital or a public health facility for measurement. If it reads around 37 degrees Celsius, this may be your baseline ...[Read More] Understanding Body Temperature: When to Worry and COVID-19 Concerns
Understanding Height and Weight Changes in Aging: A Guide for Families
Mother's height and weight issues? Hello, doctor. My mother is 58 years old, and I would like to ask about her health check-up report. The report shows that her height and weight are normal, but she has been losing a few millimeters in height each year, totaling a decrease o...
Dr. Li Jian Reply:
If you experience a decrease in height, you can visit an orthopedic clinic to check for osteoporosis. If you have experienced weight loss, you can go to a metabolic clinic to check for diabetes or thyroid dysfunction.[Read More] Understanding Height and Weight Changes in Aging: A Guide for Families
Managing Fluctuating Creatinine Levels: Causes and Solutions
What should be done if creatinine levels fluctuate and increase over a short period? In January 2020, the urea nitrogen level was 0.88, in July 2020 it was 1.22, in January 2021 it was 1.14, in February 2021 it was 0.98, and in April 2021 it was 1.26. There was foamy urine, but t...
Dr. Wu Jiyu Reply:
Based on the data you provided, the calculated e-GFR (estimated Glomerular Filtration Rate) values are 95, 66, 70, 84, and 63, which indeed show some variation. Recommendations are as follows: 1. If there is no proteinuria, a low-protein diet is not necessary at this time, but a ...[Read More] Managing Fluctuating Creatinine Levels: Causes and Solutions
Understanding Blood Sugar Levels: Are You at Risk for Prediabetes?
Blood glucose level is 102, but glycated hemoglobin (HbA1c) is normal? Hello doctor, my height is 176 cm and my weight is 77 kg. My fasting blood glucose level is 102 mg/dL, but my hemoglobin A1c is 5.5%. Am I considered to be in the prediabetic range, or do I need to retest my f...
Dr. Li Jian Reply:
Fasting blood glucose levels exceeding 100 mg/dL raise concerns for prediabetes, and regular monitoring is necessary. Both hemoglobin A1c and fasting blood glucose have their respective reference values; no single number can provide complete assurance, so both should be considere...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Prediabetes?
Understanding Common Concerns About Genital Health and Anatomy
Genital issues Hello, Doctor. A few days ago, I visited a urologist and discovered for the first time that the foreskin can be retracted for cleaning. After cleaning, I noticed a small, not very noticeable fold or a round spot on the glans. The doctor said it was normal sebaceous...
Dr. Hong Yuanbin Reply:
Hello, whether there is a lump can only be determined through direct palpation. It is recommended to consult a urology clinic. Thank you for your inquiry.[Read More] Understanding Common Concerns About Genital Health and Anatomy
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:
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
Understanding HIV Transmission Risks: Blood, Menstrual Cycle, and Clothing
Infectious Concerns If there is someone else's blood or bodily fluids, such as semen, on my clothing and my genital or anal area comes into contact with it, is there a risk of contracting HIV? Additionally, if I happen to be on my menstrual period, does this count as direct ...
Dr. Hong Yuanbin Reply:
Hello, the conditions you described do not meet the criteria for HIV transmission, and you will not contract HIV from these situations. Please do not worry, and thank you for your question.[Read More] Understanding HIV Transmission Risks: Blood, Menstrual Cycle, and Clothing