- Male
- 26 Years
- 29/01/2025
I'm a 26-year-old guy thinking about transitioning to female and I'm not quite sure where to start. How do I go about getting estrogen, and how much does it usually cost? Are there things I should be prepared for while going through this process?
Answered by 1 Apollo Doctors
ideally an endocrinologist or a gender-affirming clinic, for guidance on hormone replacement therapy (HRT), including estrogen; they will assess your overall health, provide personalized advice, and prescribe medication if necessary; costs vary depending on location, insurance, and specific treatments, but expect around $30-100 per month for estrogen therapy; be prepared for regular monitoring, potential side effects, and emotional changes as you begin your transition journey.
Dr. Anshul Suggests...
Consult a Endocrinologist
Answered 04/07/2025
0
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View allI have a lump on my neck that isn't painful but an ultrasound showed it's a nodule near my thyroid gland. My doctor recommended surgery but I'm hesitant. What other options do I have or should I consider before going for surgery?
Thyroid nodules are very common, and they're usually not a cause for concern. However, it's still important to see your healthcare provider if you notice a lump on your thyroid (in the front of your neck). They may run some tests to make sure it's benign
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I'm trying to understand why my postprandial sugar levels are lower than my fasting levels. I've been monitoring my sugar, and it's concerning since my fasting sugar reads around 122-130 and my PP is usually between 102-110. A couple of years back, my PP was 180 and fasting was at 146 during a check-up. I made some lifestyle changes and managed to bring my weight down from 83 to 71 kg, cut out direct sugar, switched to millets from rice, and I'm eating more veggies and dal. My recent HBA1C is at 5.9, and it has been below 6.3 over the last two years. I also walk about 4 km five days a week. I'm not currently on any medication. Do you think medication might be necessary? Would love your guidance on this.
while postprandial (PP) levels are lower, which could be due to various factors, such as improved insulin sensitivity from weight loss and dietary changes, or potentially, an early sign of hypoglycemia unawareness; given your HbA1c levels have been consistently below 6.3, medication may not be immediately necessary, but your doctor may recommend more frequent blood glucose monitoring, adjustments to your diet or exercise routine, or further testing to rule out any underlying conditions.
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I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. At a nearby hospital, they suggested switching her to Ryzodeg and changing her dose to 10 units. But ever since that change, her blood sugar has skyrocketed to 480 at night before insulin and dinner, and her fasting level is at 280. I'm really anxious about these high levels. What can I do to help get her sugar levels under control? Any advice would be really appreciated.
Ryzodeg and Human Mixtard are both insulin therapies, but they have different properties: Ryzodeg 1. Fast-acting and long-acting insulin analogue: Ryzodeg contains insulin degludec and insulin aspart. 2. Faster onset and longer duration: Ryzodeg starts working within 30 minutes and lasts for up to 24 hours. 3. More flexible dosing: Ryzodeg can be administered at any time of day, regardless of meals. Human Mixtard 1. Intermediate-acting human insulin: Human Mixtard contains human insulin suspension. 2. Slower onset and shorter duration: Human Mixtard starts working within 1-2 hours and lasts for up to 12 hours. 3. More rigid dosing schedule: Human Mixtard typically requires a more structured dosing schedule, tied to meals. Considering your mother's: 1. Concurrent hypoglycemia: Ryzodeg's faster onset and longer duration may help reduce hypoglycemic episodes. 2. Kidney failure: Ryzodeg may be a better option, as it has a lower risk of accumulation and toxicity in patients with renal impairment. However, the recent blood sugar readings (480 at night and 280 fasting) indicate that the current Ryzodeg dosage (10-0-10 units) may not be effective. Recommendations 1. Consult her doctor: Discuss the recent blood sugar readings and adjust the Ryzodeg dosage accordingly. 2. Monitor blood sugar levels: Regularly track her blood sugar levels to ensure the new dosage is effective. 3. Consider additional therapies: If blood sugar levels remain uncontrolled, her doctor may recommend additional therapies, such as oral medications or other insulin types.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.