Question 1

My mom's been dealing with low bone density and has a high risk of fractures due to osteoporosis. We've talked to two doctors; one mentioned trying Forteo and the other suggested Terifrac. I'm trying to figure out if there's any difference between these two injections, and which one might be the better choice. She's been on Terifrac for six months now, and I'm wondering if we should stick with it or switch to Forteo. Any advice?

Accepted Answer

Shortness of Breath Concerns

_Possible Causes_

1. _Hypothyroidism_: Although your hypothyroidism is currently under control, it can still cause respiratory issues.
2. _Respiratory infection_: A recent fever and shortness of breath may indicate a respiratory infection, such as pneumonia or bronchitis.
3. _Anxiety or panic attacks_: Anxiety can cause shortness of breath, especially if you're experiencing panic attacks.
4. _Gastroesophageal reflux disease (GERD)_: GERD can cause shortness of breath, especially after eating or drinking.

_Recommended Tests_

1. _Complete Blood Count (CBC)_: To rule out infection or inflammation.
2. _Chest X-ray_: To evaluate lung health and rule out respiratory infections.
3. _Pulmonary Function Tests (PFTs)_: To assess lung function and capacity.
4. _Thyroid Function Tests (TFTs)_: To ensure your hypothyroidism is still under control.

_Immediate Actions_

1. _Stay hydrated_: Drink plenty of water to help manage shortness of breath.
2. _Rest_: Get plenty of rest to help your body recover.
3. _Monitor symptoms_: Keep track of your symptoms, including when they occur and how long they last.

_When to Seek Emergency Care_

1. _Severe shortness of breath_: If you experience severe shortness of breath or difficulty breathing.
2. _Chest pain or tightness_: If you experience chest pain or tightness.
3. _Fever above 102F (39C)_: If you have a fever above 102F (39C).

Question 2

I'm a 34-year-old male, and I recently checked my random blood sugar level, which came out to be 153. Should I be worried about this? What does it mean for my health?

Accepted Answer

A random blood sugar level of 153 mgdL is considered elevated, but not necessarily indicative of diabetes; however, it's a red flag, especially for someone as young as 34, and warrants further evaluation, such as a fasting blood sugar test, HbA1c, or an oral glucose tolerance test, to determine if you're at risk for developing insulin resistance, prediabetes, or type 2 diabetes

Question 3

I'm really worried about my vitamin D levels, they're really low at 7.6. I tried taking calciferol 60k, but it made me feel so sick with vomiting, severe restlessness, and even dryness and burning in my head and heart that lasted a while. Now, I'm managing to take Calcimax syrup, 5ml twice a day, but after each dose, I get heartburn and feel restless for 3-4 hours. I'm also on Polybin since my B13 is at 247, and luckily that isn't causing any issues. However, I once tried Astime syrup and ended up with a rash and swelling inside my upper lip. What should I do?

Accepted Answer

-It sounds like her vitamin D levels are quite low, and the side effects from calciferol and Calcimax syrup are causing significant discomfort, including heartburn and restlessness. Since she had a reaction to Astime syrup, it's important to find a suitab

-A TSH level of 0.06 is lower than normal, indicating possible hyperthyroidism (an overactive thyroid). This condition can affect pregnancy and needs to be managed carefully to avoid complications. Please consult an endocrinologist for detailed evaluation

More Endocrinology Health Queries

I'm a 34-year-old male, and I recently checked my random blood sugar level, which came out to be 153. Should I be worried about this? What does it mean for my health?

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