Question 1

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 2

Can a diabetic eat oranges?

Accepted Answer

Oranges have low glycemic index i.e., 43 and are full of fibre, vitamin C, folate and potassium which would help benefit a healthy diabetic eating plan

Question 3

I'm curious about vitamin D3 deficiency and how often I should take supplements. Is it more effective to take them weekly or just once a month? And how long should I be on them to see improvements?

Accepted Answer

If you have a vitamin D deficiency, it's typically recommended to take vitamin D3 weekly or monthly, depending on the severity of the deficiency, as prescribed by your doctor. Once your levels improve, your doctor will guide you on maintaining your levels with a daily dose or periodic supplementation.

I'm trying to figure out what medicine would be suitable for me. My Vitamin D3 is at 17, and my B12 levels are at 180. Is Neurobiology Fort something that could help with this?

Yes you can take it and also add Vit D3 60k once a week and consume balanced diet.

More Endocrinology Health Queries

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?

Can a diabetic eat oranges?

I'm curious about vitamin D3 deficiency and how often I should take supplements. Is it more effective to take them weekly or just once a month? And how long should I be on them to see improvements?

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