Question 1

Why do lean people get diabetes Type 1?

Accepted Answer

Even if you're thin, a poor diet can still result in visceral fat.Diets high in sugar and unhealthy fats, such as saturated and trans fats, can increase the amount of fat in your body, which can lead to diabetes

Question 2

I have thyroid nodules in both lobes - one is 4x4 mm and the other is 1x1 mm on the right side. The FNAC report suggests excision biopsy for possible papillary carcinoma, but my thyroid is enlarged with normal T3/T4 and TSH at 5.02 which is almost at the upper limit. Is thyroidectomy absolutely necessary or are there other treatment options to shrink these nodules without surgery?

Accepted Answer

thyroidectomy (thyroid removal surgery) may be necessary for larger or suspicious nodules, especially if the FNAC report suggests possible papillary carcinoma, other treatment options, such as watchful waiting, thyroid hormone therapy, or radiofrequency ablation (RFA), are available to shrink or manage thyroid nodules. The decision of whether to proceed with thyroidectomy or other treatments will depend on the size, nature, and suspiciousness of the nodules, as well as the patient's overall health and preferences.

Question 3

I'm a 21-year-old woman and I've been struggling with PCOS symptoms like period acne and hair thinning. I took meds for a few months to help with my menstruation, and right now I'm using minoxidil 5% mintop eva for hair loss. I've noticed some new hair growth on my scalp, which is great but also more hair on my face, which is freaking me out a bit since I already had some facial hair. I'm not sure if this is from using minoxidil or just my PCOS acting up. My doctor is away for a few weeks and I don't know whether to stop using minoxidil or what to do. Any advice on this? I'm really confused about what's causing the facial hair growth and how to manage it without losing the hair on my head.

Accepted Answer

It is possible that the increased hair growth on your face is due to the use of minoxidil, as it can sometimes cause hair growth in unintended areas. However, it could also be related to your PCOS, as hormonal imbalances associated with PCOS can lead to hirsutism (excessive hair growth). Since you are already seeing positive results on your scalp with minoxidil, it may be beneficial to continue using it for your hair loss. To address the facial hair growth, you may consider talking to your doctor about adjusting the dosage or frequency of minoxidil application. Additionally, treatments such as anti-androgen medications or topical creams like eflornithine can help manage unwanted facial hair growth in women with PCOS. It's important to discuss these options with your doctor once they are available.

I've been dealing with irregular periods for about 7 years nowthey only happen every 6 or 7 months. In an ultrasound, they found out I have polycystic ovaries. I'm worried about how this might affect my health and future. Can you help me understand what's going on and what steps I should take?

Your irregular periods and polycystic ovaries diagnosis suggest Polycystic Ovary Syndrome (PCOS), a hormonal disorder; consult a gynecologist

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