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Hello Dr, Good Morning, I Am Rajesh Gangadharan 43 Years

Posted on Thu, 23 Jun 2022

Question: Hello Dr,
Good morning,
I am Rajesh Gangadharan 43 years old and taken regular health check. I found few deviation from the results and hence thought of consulting with specialist to see if XXXXXXX further tests afre required.

I have also attached the full test report.

I am getting glithg dizziness sometimes.
Currently consuming 125 MG thyronorm for thyroid issues.

Thanks and Regards
Rajesh Gangadharan
98903 59745

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Therapeutic does under your Physician's directives.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history and seen all the available reports.
TSH is low indicating the dose of Thyronorm may need to be reduced. (now you are on 125 mcg)
Vitamin D is low and needs supplements in therapeutic doses.
RBC count is just below normal. Pomegranates helps for good recovery.
Low globulin may also need supplements.
HbA1c is just borderline hence not much worrisome if you reduce your sugar intake and increase exercises which suit you the most.
All these things will be corrected effectively once you consult your Physician as the medicines are prescription based and not OTC. The doses are also selected as per the exact clinical picture and presentation.
Please get these things done and you will be better.

Please give feedback.
Feel free to ask for further relevant queries.

Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. T Chandrakant (2 hours later)

Hello Dr Sir,
Good evening,
Thanks a lot for the detailed prescription.

For thyroid TSH & Globulin, do i need to consult a General Physician or thyroid specialist.
Alto WBC count is also at 4.46, does it also require any supplement ?

Thanks and Regards
Rajesh G

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As detailed

Detailed Answer:
You can consult a good Physician or the Doctor whom you consulted last time. Consult Thyroid Specialist if your Physician suggests so. Reduction of a small amount of thyronorm can help. But let your Physician decide first and let me know.
WBC count is normal, no worries at the moment.
Also take a combination of Lycopene with multivitamins, mineral and trace elements. It helps.
Avoid stress and anxiety.
Take care.
I hope this answers your query.
Please give feedback.

Above answer was peer-reviewed by : Dr. Saisudha Kotla

Follow up: Dr. T Chandrakant (2 days later)

Hello Doctor,
Thanks a lot.

People who are seeing me after a long time informed that i have become thin. However i can see that my weight is almost in the same range.

Are there any chances of some tumor / cancer / other disorders. Is there any test that i can take to identify any such issues.

Thanks and Regards
Rajesh G

Answered by Dr. T Chandrakant (3 hours later)

Brief Answer:
As detailed

Detailed Answer:
If the weight is same looking thin means loosing extra fat. This makes one look thinner.
Are there any other symptoms like loss of appetite, any changes in bladder, bowel habits, sleep patterns, feeling weak or exhausted or anything else that is unusual for you.
If the answer is no - then nothing much to worry about.
Surely the following things will help you:
Proper clinical examination and evaluation by a Physician.
X-ray of chest, Ultrasound of abdomen and pelvis.
Tumor markers (blood tests) for cancer.
And any other investigations as per the history, clinical examination and reports of investigations will help to rule out any tumor, cancer or other diseases.

I hope this answers your query.
Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (9 hours later)

Hello Dr,

Please find my inline answers.
Are there any other symptoms like
loss of appetite -- Feeling hungry, however not getting proper time to have food. Sometime Dinner and breakfast has a gap of 16 hours.
any changes in bladder -- Getting proper urination
bowel habits -- Consuming guava, Banana, Grapes, Dates and not having Bowel movement issues.
sleep patterns -- Normally will sleep after 02:30 AM and sleep till 10:30 AM. For the last 6 months, i am getting up at 08:30 AM and it is due to Online classes.
feeling weak or exhausted -- When i do not consume food for the long time, i am getting slight dizziness and after consuming food, It is getting fine.

As a part of master health check, I have taken Chest xray and Ultrasound scan in Nov and it was normal.

Requesting you to please let me know the names for the following tests, to that i can take those tests.
Tumor markers (blood tests) for cancer.
And any other investigations as per the history

Thanks and Regards
Rajesh G

Answered by Dr. T Chandrakant (14 hours later)

Brief Answer:
As detailed.

Detailed Answer:
Thanks for your feedback.
There are no symptoms hence nothing to worry about. X-ray Chest and Ultrasound (of abdomen) are normal.
Why are you worried then?
Few of the tumor markers that can be done for your age of 43 are as follows:
CEA and CA 19-9: for colorectal cancer.
PSA for prostate
X-ray Ultrasound already done
Any other tests if there is any change as explained above.

I hope this answer helps you further.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar