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  5. I'm really worried because I've got a nodule in the left lobe of my thyroid that's about 4x4 cm, and my T3, T4, and TSH levels are normal. There's also a smaller 1x1 cm nodule in the right lobe. The FNAC results advised a papillary cluster with chewing gum colloid and no nuclear groves. They mentioned excision biopsy to rule out papillary carcinoma. I'm trying to understand if this could be cancer or if it's benign. I'm really concerned about whether surgery is my only option or if there are other treatments available. Could you please guide me on what I should do?

I'm really worried because I've got a nodule in the left lobe of my thyroid that's about 4x4 cm, and my T3, T4, and TSH levels are normal. There's also a smaller 1x1 cm nodule in the right lobe. The FNAC results advised a papillary cluster with chewing gum colloid and no nuclear groves. They mentioned excision biopsy to rule out papillary carcinoma. I'm trying to understand if this could be cancer or if it's benign. I'm really concerned about whether surgery is my only option or if there are other treatments available. Could you please guide me on what I should do?

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I'm really worried because I've got a nodule in the left lobe of my thyroid that's about 4x4 cm, and my T3, T4, and TSH levels are normal. There's also a smaller 1x1 cm nodule in the right lobe. The FNAC results advised a papillary cluster with chewing gum colloid and no nuclear groves. They mentioned excision biopsy to rule out papillary carcinoma. I'm trying to understand if this could be cancer or if it's benign. I'm really concerned about whether surgery is my only option or if there are other treatments available. Could you please guide me on what I should do?

only surgery is the option. it is a benign cancer

Last updated on 04 Jul 2025

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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. ...

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.

Last updated on 04 Jul 2025

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