Question 1

My dad has had type 2 diabetes for 15 years since he was 45 and also had bypass surgery. He's been on insulin all this time. I came across BGR34 tablets, which claim to be approved by the Indian government and developed by CSIR and NBRI labs. Is this medicine legit? Has it been proven to control blood sugar levels effectively? And is it safe for someone like my dad who's already on insulin?

Accepted Answer

BGR34 is an Ayurvedic formulation with limited scientific validation‚Äîsafe if taken with insulin but not a replacement.

Question 2

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 3

I really need some advice on adjusting thyroid medication. Six months ago, the TSH level dropped from 8 to 6.75, so I thought it would be okay to lower the dosage from 25mcg to 12.5mcg. But now the TSH has gone up to 10.87, and I'm worried. What do you recommend for someone who's 51 years old in this situation? I'm trying to find the right balance here.

Accepted Answer

See a specialist for accurate diagnosis and targeted treatment.

What precaution should a diabetic patient take?

Prefer low GI index foods like vegetables, lentils and avoid fried foods and foods rich in fat, carbohydrates and sugar. Keep an eye on your glucose levels.

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