Question 1

Is it safe to have goiter surgery during covid since it's quite urgent for us Are hospitals currently performing these surgeries without high risk

Accepted Answer

In case of the individuals having no COVID-19 symptoms and findings, but being under the risk of viral transmission, actions should be taken in compliance with the recommendations of the relevant units if they do not have an acute airway failure due to thyroid disease.

Question 2

I'm wondering if a TSH level of 12.20 Micro IUmL is considered normal or high? If it is high, how many micrograms should a 33-year-old woman take to manage it? Could you give me some guidance?

Accepted Answer

Elevated Bilirubin and Liver Enzymes

_Interpretation_

1. _Total Bilirubin_: Above 1.5 mgdL is mildly elevated.
2. _SGOT (AST) and SGPT (ALT)_: Above 50 UL is mildly elevated.

_Possible Causes_

1. _Liver inflammation_: Mild elevation in liver enzymes can indicate liver inflammation.
2. _Bile duct obstruction_: Elevated bilirubin can indicate bile duct obstruction or liver dysfunction.
3. _Medication side effects_: Certain medications can cause elevated liver enzymes.
4. _Underlying medical conditions_: Conditions like fatty liver disease, viral hepatitis, or autoimmune hepatitis.

_Recommendations_

1. _Repeat tests_: Repeat liver function tests (LFTs) and bilirubin levels to confirm the elevations.
2. _Imaging studies_: Consider ultrasound or MRI of the liver and bile ducts to rule out obstruction or structural abnormalities.
3. _Autoimmune and viral markers_: Test for autoimmune hepatitis and viral hepatitis (e.g., hepatitis B and C) to rule out underlying infections.
4. _Medication review_: Review your medications with your doctor to determine if any are contributing to the elevated liver enzymes.
5. _Consult a gastroenterologist_: Consider consulting a gastroenterologist for further evaluation and guidance.

_Quantity Follow-Up_

1. _Regular monitoring_: Regularly monitor your LFTs and bilirubin levels to track any changes.
2. _Adjust frequency_: Adjust the frequency of follow-up appointments based on the stability of your test results.

Question 3

I'm dealing with hypothyroidism, and my TSH levels are at 11.25. I've also been taking antidepressants, and I've noticed that my weight and belly fat have increased quite a bit. Can you recommend the best cooking oil for someone in my situation? Also, any advice on how to lose weight and reduce belly fat would be really helpful.

Accepted Answer

Limit usage of cooking oil and you can try olive oil and do physical excercises to reduce belly fat

I'm diabetic and recently I've noticed I'm not feeling hungry at all. I've heard about Aristozyme and I'm wondering if it's something I could use. How exactly would I use that syrup? I'd really appreciate some guidance on this.

yes,visit your foe appropriate management

More Endocrinology Health Queries

Is it safe to have goiter surgery during covid since it's quite urgent for us Are hospitals currently performing these surgeries without high risk

I'm wondering if a TSH level of 12.20 Micro IUmL is considered normal or high? If it is high, how many micrograms should a 33-year-old woman take to manage it? Could you give me some guidance?

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