Weight loss, Internal Medicine FAQ

Understanding the Risk of HIV: Should You Get Tested After Years?

Is there a chance of contracting HIV? Hello doctor, I recently went to the hospital for a check-up in the hepatobiliary and gastroenterology department due to weight loss and pain in the upper right abdomen. After a blood test, my Neutrophil count was 75.4 and Lymphocyte count wa...

Dr. Li Jian Reply:
We recommend that you consult an infectious disease specialist. Thank you for your inquiry.

Should You Seek Medical Help for High Insulin Resistance?

Is it necessary to seek further medical attention for high insulin resistance? Hello Dr. Li, I recently had a health check-up and my results are as follows: Fasting Glucose: 93 mg/dL, HbA1c: 5.4% of Hb, Insulin: 23.4 mU/L, and Insulin Resistance (HOMA): 5.4. Both my blood glucose...

Dr. Li Jian Reply:
Currently, blood glucose levels are still normal. It is advisable to focus on lifestyle modifications and weight loss, while regularly monitoring blood glucose levels.

Managing Weight Gain with Hypothyroidism: Tips and Advice

Hypothyroidism and weight gain? Hello Doctor, I just learned that I have hypothyroidism and have gained 25 kilograms over the past year. I am currently on medication, and my thyroid levels are normal, but I am still unable to lose weight. I have significant gray hair, often feel ...

Dr. Lin Wufu Reply:
Hello, please consult with the physician who is currently monitoring your condition and prescribing medication. I'm not sure if the symptoms you mentioned are directly related to hypothyroidism; additional endocrine and internal medicine blood tests may be necessary.

Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle

Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...

Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...

Understanding Weight Loss: When to Seek Medical Advice for Anxiety-Related Changes

Weight loss Before graduating from junior high school, my weight was around 57 kilograms. By high school and college, I gradually gained weight, fluctuating between 65 and 66 kilograms. On January 20, I weighed approximately 66.2 kilograms. In the following two to three weeks, du...

Dr. Hong Yuanbin Reply:
Hello, whether this weight change is normal depends on food intake and exercise levels. If the food intake is normal but weight decreases by more than 10%, it is advisable to consider a detailed examination at a family medicine clinic. Thank you for your question.

Managing Glucose Intolerance: Dietary Adjustments and Lifestyle Changes

Glucose Tolerance Abnormality and Dietary Adjustments Hello, doctor. I am the person who asked about the elevated fasting blood glucose level (#189944). Recently, my OGTT results came back with fasting: 911, 1-hour: 1822, 2-hour: 1263, and 3-hour: 61, indicating impaired glucose ...

Dr. Li Jian Reply:
1. Clinical diagnostic criteria for diabetes: Hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dL, 2-hour plasma glucose ≥ 200 mg/dL during an oral glucose tolerance test, or symptoms of hyperglycemia (including polyuria, polydipsia, and weight loss) with a random p...

Managing Hypothyroidism: Weight Loss and Long-Term Health Strategies

Hypothyroidism Hello, my girlfriend has been diagnosed with hypothyroidism after gaining significant weight, which prompted her to seek medical attention. The doctor advised that she does not need medication. I would like to know if the weight gain is indeed caused by the thyroid...

Dr. Lin Jianliang Reply:
Hello: There are many causes of hypothyroidism. For obesity caused by hypothyroidism, it is advisable to first normalize thyroid hormone levels. Then, based on the underlying cause, treatment can be initiated to see if it is possible to prevent further hypothyroidism.

Managing Hypothyroidism: Weight Loss and Long-Term Health Strategies

Hypothyroidism Hello, my girlfriend has been diagnosed with hypothyroidism after noticing significant weight gain, which prompted her to seek medical attention. The doctor mentioned that medication is not necessary. I would like to ask if the weight gain is indeed caused by the t...

Dr. Lin Jianliang Reply:
Hello: There are many causes of hypothyroidism. For obesity caused by hypothyroidism, it is advisable to first normalize thyroid hormone levels. Then, based on the underlying cause, treatment can be implemented to see if it is possible to prevent further hypothyroidism.

Managing Hypothyroidism: Weight Loss and Long-Term Health Strategies

Dr. Lin Jianliang Reply:
Hello: There are many causes of hypothyroidism. For obesity caused by hypothyroidism, it is advisable to first normalize thyroid hormone levels. Then, treatment can be based on the underlying cause to see if it can be resolved.

Understanding False Positives in Syphilis Testing: A Case Study

Is it possible for a treponemal test to yield a false positive result? I am 36 years old. In August, I donated blood and received a notification that my TPHA was positive and RPR was negative. In January, my blood donation results were still normal, all negative. In November, I w...

Dr. Hong Yuanbin Reply:
Hello, the two indices for syphilis, RPR and TPHA, show that RPR is more sensitive and can easily yield false positives, which may turn negative after syphilis treatment. On the other hand, the chance of false positives with TPHA is very low, and it typically remains positive eve...

Managing High Cholesterol: Tips for Balancing HDL and LDL Levels

High total cholesterol Hello, Doctor. During my health check-up, I found that my total cholesterol is above the normal range. I have noticed a trend of increasing total cholesterol in the past few years: total cholesterol (161→186→194→227), triglycerides (60→58→82→79). This time,...

Dr. Lin Jianliang Reply:
Hello: 1. Currently, there are no primary methods for treating elevated high-density lipoprotein (HDL) cholesterol; however, if HDL cholesterol levels are already high, it is advised not to supplement with related health products. 2. If HDL cholesterol is elevated, do not supplem...

Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk

Weight loss In July of this year, after being diagnosed, I continued to have a poor appetite and trouble sleeping. In August, I started a new job that brought a lot of stress, and I had a persistent cough after the diagnosis, which only improved by the end of September. Before th...

Dr. Hong Yuanbin Reply:
Hello, regarding diabetes, a single blood glucose test is not sufficient to determine if there is a concern for diabetes. It is recommended to consult with a specialist in Metabolism or Family Medicine. As for weight loss, it is advisable to maintain a regular routine and engage ...

Managing High Uric Acid and Liver Function: Best Specialist Options

What is the best way to manage high uric acid levels and elevated liver function tests? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level: 8.9 mg/dL. 2....

Dr. Li Jian Reply:
High uric acid and fatty liver can benefit from consulting a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication.

Managing High Uric Acid and Liver Function: Best Specialist Options

Dr. Li Jian Reply:
High uric acid levels and fatty liver can benefit from consultation with a nutritionist for education and guidance. Weight loss is essential; if dietary control is insufficient, consider seeking treatment from a metabolic specialist for medication management.

Managing High Uric Acid and Liver Function: Best Specialist Options

What is the best way to manage elevated uric acid levels and slightly elevated liver function indices? Thank you, doctor, for taking the time to address my concerns. I have recently received blood test results showing the following: height 165 cm, weight 70 kg. 1. Uric acid level...

Understanding Post-Treatment Reactions to Syphilis: What to Expect

Reactions after syphilis treatment? Hello, Doctor Liao. I went for an anonymous rapid syphilis test on August 13, and on August 18, I was informed that the result was positive for syphilis. On August 19, I made an appointment at the Infectious Disease Department of Pingtung Hospi...

Dr. Liao Zhongxin Reply:
Transmission Methods: 1. Close contact during sexual intercourse and other sexual activities is the primary route of transmission. Direct contact of wounds with secretions, bodily fluids, and other excretions (such as semen, blood, and vaginal secretions) from skin or mucosal les...

Understanding Fatty Liver: Normal Liver Enzymes and Health Implications

I'm sorry, but I cannot assist with that? Hello Doctor, my liver enzyme levels have returned to normal. Does this mean that my fatty liver disease has resolved, or is it possible for fatty liver disease to have normal liver enzyme levels? Could I currently just have simple m...

Dr. Hong Yuanbin Reply:
Hello, normal liver enzyme levels indicate that there is no inflammation in the liver. Weight loss can indeed improve fatty liver. As for whether the fatty liver has improved, follow-up ultrasound examinations are necessary to determine that. I agree with your physician's re...

Understanding Fatty Liver: Normal Liver Enzymes and Your Health Status

Continuation 173038 Fatty Liver Issues Hello Doctor, my liver enzyme levels have returned to normal. Does this mean that my liver has resolved the condition of fatty liver disease, or is it possible for fatty liver disease to have normal liver enzyme levels? Or is it currently ju...

Dr. Hong Yuanbin Reply:
Hello, a normal liver index indicates that there is no inflammation in the liver. Weight loss can indeed improve fatty liver. As for whether the fatty liver has improved, it still requires follow-up with ultrasound to determine. I agree with your physician's opinion that an ...

Understanding Bowel Issues: Signs of Colon Cancer and When to Seek Help

Issues related to bowel movements? Hello, doctor. Thank you for taking the time to respond despite your busy schedule. Since my mother is a colorectal cancer patient, I have been particularly attentive to related issues. Recently, I experienced constipation for a while, but after...

Dr. Hong Yuanbin Reply:
Hello, in addition to the appearance of stool, you can also check for any recent unusual weight loss or abdominal pain. If there are none, the likelihood is low. Another simple screening tool is the fecal occult blood test, which can be performed at most laboratories. If the test...

Managing Weight Loss and Health for Night Shift Nurses

Moderately obese night shift nurse? Hello, doctor. I am a nurse who has been working night shifts for a long time. Over the past three years, I have gained 30 kilograms (currently classified as moderately obese, with a history of polycystic ovary syndrome). Since last year, I hav...

Dr. Li Jian Reply:
Drink water at your convenience, while always being attentive to any urinary tract symptoms.

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