Question 1

My mom's been dealing with low bone density and has a high risk of fractures due to osteoporosis. We've talked to two doctors; one mentioned trying Forteo and the other suggested Terifrac. I'm trying to figure out if there's any difference between these two injections, and which one might be the better choice. She's been on Terifrac for six months now, and I'm wondering if we should stick with it or switch to Forteo. Any advice?

Accepted Answer

Shortness of Breath Concerns

_Possible Causes_

1. _Hypothyroidism_: Although your hypothyroidism is currently under control, it can still cause respiratory issues.
2. _Respiratory infection_: A recent fever and shortness of breath may indicate a respiratory infection, such as pneumonia or bronchitis.
3. _Anxiety or panic attacks_: Anxiety can cause shortness of breath, especially if you're experiencing panic attacks.
4. _Gastroesophageal reflux disease (GERD)_: GERD can cause shortness of breath, especially after eating or drinking.

_Recommended Tests_

1. _Complete Blood Count (CBC)_: To rule out infection or inflammation.
2. _Chest X-ray_: To evaluate lung health and rule out respiratory infections.
3. _Pulmonary Function Tests (PFTs)_: To assess lung function and capacity.
4. _Thyroid Function Tests (TFTs)_: To ensure your hypothyroidism is still under control.

_Immediate Actions_

1. _Stay hydrated_: Drink plenty of water to help manage shortness of breath.
2. _Rest_: Get plenty of rest to help your body recover.
3. _Monitor symptoms_: Keep track of your symptoms, including when they occur and how long they last.

_When to Seek Emergency Care_

1. _Severe shortness of breath_: If you experience severe shortness of breath or difficulty breathing.
2. _Chest pain or tightness_: If you experience chest pain or tightness.
3. _Fever above 102F (39C)_: If you have a fever above 102F (39C).

Question 2

I'm dealing with a Vitamin D3 deficiency and my doctor prescribed some Vitamin D3 capsules from Mankind that I'm supposed to take weekly. But after taking them, I've been feeling like my head is heavier and I'm constantly thirsty. Is it normal to feel this way? Could there be a problem with how I'm taking them, or is there a better way to boost my Vitamin D3 levels quickly? Any advice would be great.

Accepted Answer

For a 20mm kidney stone, medication alone may not be effective.

Consult your urologist or nephrologist for alternative treatment options.

They may recommend:

- Alpha-blockers (e.g., Tamsulosin) to help pass the stone
- Potassium citrate to help dissolve the stone
- Pain management medication (e.g., analgesics)

Surgical options, such as lithotripsy or ureteroscopy, may also be considered.

Question 3

What is full blown diabetes?

Accepted Answer

Fasting blood sugar of 126 mg/dl or more, post prandial blood sugar of 200 or more with glycated hemoglobin of 6.5% or more.

My wife is 30 and has a thyroid issue that's preventing her from getting surgery. The doctor said her levels need to be normal first. What medicine and dosage would help bring her thyroid levels back to normal so she can proceed with the surgery?

Thyroid meds like levothyroxine are adjusted based on TSH; dose must be set by your endocrinologist.

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