Question 1

I've been dealing with this weird fruity smell on my breath and skin for about 13 months now, and my sweat has this strange syrupy scent too. My friend noticed it, and everything I read online points to diabetes. I had a full blood count done 3 months ago, and it came back fine, even with fasting. I'm really worried about thisdo you think I should see a doctor? I'm not having any other symptoms really, and I know I'm a self-diagnosed hypochondriac, but this just seems like it could be diabetes. What do you think?

Accepted Answer

Visit Physician for evaluation and appropriate management

Question 2

I'm really struggling here. I've had severe anxiety for 12 years, but these past 5 days have been rough. Even a little bit of work leaves me exhausted, with body aches, palpitations, and extreme tiredness. I always thought it might be a heart issue, but I've had an echo and TMT done before. So, I recently checked my vitamin levels, and my vitamin D is at 10, and vitamin B12 is at 176. Could all of this be because of a vitamin D deficiency? Are these levels really concerning? Can someone please help me figure this out?

Accepted Answer

Based on your symptoms and the low levels of Vitamin D and Vitamin B12, it is likely that your symptoms are due to these deficiencies. To address this, you can start taking Vitamin D supplements such as "Calcirol" 60,000 IU once a week for 8 weeks followed by once a month. For Vitamin B12 deficiency, you can take "Becosules" capsule once daily for a month. Additionally, make sure to spend some time in the sun for natural Vitamin D synthesis and include Vitamin D and B12 rich foods in your diet. Remember to follow up with your healthcare provider for further evaluation and management.

Question 3

What are the success chances when transferring a grade 2 embryo? I've got three of these, each being a grade 2 on day 3. Could you also explain how the grading works and what my chances of conceiving might be?

Accepted Answer

The success chances of a grade 2 embryo transfer are relatively good, considering day 3 embryo grades are categorized into four quality levels.

- Grade 1 (poor quality): More than 25% fragmentation
- Grade 2 (fair quality): 10-25% fragmentation
- Grade 3 (good quality): 1-10% fragmentation
- Grade 4 (excellent quality): Less than 1% fragmentation

Studies have shown that embryos across all grades can lead to healthy births, but higher-quality embryos have better success rates. For day 3 embryos, the success rates are generally lower compared to blastocyst-stage embryos.

To give you a better idea, here are some general success rates for embryo transfers based on the embryo's quality and stage of development :

- Excellent-grade blastocysts: 65% pregnancy rate and 50% live birth rate
- Good-grade blastocysts: 59.3% pregnancy rate and 49.7% live birth rate
- Average-grade blastocysts: 50.3% pregnancy rate and 42.3% live birth rate
- Poor-grade blastocysts: 33.3% pregnancy rate and 25% live birth rate

Keep in mind that these are general estimates and actual success rates can vary depending on individual circumstances and the specific fertility clinic.

Given that you have three grade 2 embryos, your chances of conceiving are still relatively good, but it's essential to consult with your fertility specialist to discuss the best course of action and determine the most suitable embryo transfer strategy for your specific situation.

More Endocrinology Health Queries

What are the success chances when transferring a grade 2 embryo? I've got three of these, each being a grade 2 on day 3. Could you also explain how the grading works and what my chances of conceiving might be?

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