Talk to Internal Medicine on Elevated Shbg, Weakness
Asking for Self, Male, 18 years old, Islamabad
I have been to multiple doctors including a neurologist and endocrinologist. I have severe weakness in my muscles. To the point that I have trouble walking. I get tired in 5 minutes. If I run my knees hurt. I have digestive issues. Yellow floating stools and constant bloating. I also have small lumps under my nipples which I think is gyno. My shbg is very high 80nmol. I think it's a liver issue. I'm 18 and want a diagnosis so I can go on with my life. Is there a doctor in isb that will work with me thoroughly to find a solution.
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
Please send all the lab reports
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
You seem to have potentially treatable problem.
YOUR LABS SHOW
Testosterone is High
VIT-D is Low
SHBG High
We need to rule out Osteomalacia, teratoma, Cushing's, Adrenal malfunction and some other hormonal disturbances
BUT
We don't have complete history and Examination. (Including assessment for secondary sexual characteristics and genital development, Body weight and BMI etc) Do you go to gym. Do You use any type of steroids/hormones. Do you have X-Rays of wrist joints.
WE MAY NEED
(These test can be short listed on the basis of history and examination)
Serum FSH/LH levels.
Serum electrolytes, (Na+,K+),
Serum cortisol level. 9:00 Am
Midnight salivary cortisol.
Alfa 1 Hydroxylase Levels,
DHEA levels,
5 alfa reductase levels,
Grehlin and Leptin levels.
17 hydroxy progesterone levels.
Serum Ca++ and PO4 levels
If you can manage theses tests before EID, I am available in Islamabad till EID.
You can contact me on 042-32591427, 38 after SMS with ref to MARHAM.
Take Care
Regards
Dr Z.A.Kango
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
my number is 042-32591427,
Member
Dear sir I am much worried about my weight 5 month ago I am lost my weight day by day I am very worried I am check to many doctors but no madness came from his medicine please tell me how to gain my weight
1 month ago
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
my number is 042-32591427,
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
My number is zero, three, two, one, nine , three, triple nine, three , eight.
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
not 042-32591427, 427
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
042-32591427, 427 is not my number, my number is zero, three, two, one, nine , three, triple nine, three , eight.
Member
0 3 4 1 9 3 9 9 9 3 8 I've sent a sms to this number. My number is
0 3 4 1 5 9 0 6 9 6 0
1 month ago
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
This website is automatically changing any number I text to 042-32591427, 427
Dr. Zulfiqar Ali Kango - Internal Medicine Specialist
MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad
29 Positive Reviews
CELL042-32591427,
Asst. Prof. Dr. Ahmed Farhan - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Islamabad
42 Positive Reviews
SHBG has probably nothing to do with your weakness unless you have have erectile dysfunction, gynaecomastia ( breast enlargment) or other male sexual disorder. muscle weakness especially thigh muscles and shoulder muscle weakness may be due to myopathy ( inflammation in muscles) or nutritional deficiency which could be very relevant in your case as you have digestive problems. floating of stools mean you have malabsorption leading to deficiency of fat soluble vitamins. fatigue may be secondary to anemia
Asst. Prof. Dr. Qamer Haider Khan - Internal Medicine Specialist
MBBS, MCPS (Community Medicine), PGD (Nutritionist) | Karachi
what about ur routine labs, what about ur u/s whole abdomen, what is ur wt,
what is ur routine, do u eat healthy diet or mostly hoteling, wht about ur
physical activities. all these factors plus thorough examination help out
for diagnosis .
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https://drive.google.com/folderview?id=1uqW6eqtT89ls5zWc8KQvyPBwMrpw9SnP
This Google drive folder contains my reports. I also have a mri in physical form.
1 month ago