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problems regaring overweight - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Weight & Lifestyle
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1762 Questions
Doctor :   Hi
Doctor :  
How can i help you
User :   hi
User :   is that ?
Doctor :  
Yes here
User :   hi doc, if u remember a few months
Doctor :  
Please proceed , i know the histroy
User :   ago i did discuss about my problems wid overweight, fatty liver and gynaecomastia
User :   ok
Doctor :  
yes thats right
User :   i gt myself checked on sgpt. sgot. thyroid, prolactin, testerone and lipid profile
User :   evrythng is normal except my testerone, and sgpt and sgot
Doctor :  
-ok
Doctor :  
please read me the reports
User :   my sgot and sgpt is 170 and 235
User :   which is high i guess
Doctor :   ok
User :   my testerone is 37.3 pg/ml
User :   which is gain high i guess
User :   i meant again
Doctor :  
yes will explain you the reports
Doctor :   in detail
Doctor :  
read the reports
User :   which report u want me to read
Doctor :  
thyroid levels with normal values
Doctor :  
as diffrent labs set a diffrent standards
User :   ya , thyroid is normal as per my physician
User :   but he does nt specialize on testerone
Doctor :  
ok
Doctor :  
wat about the lipid profile
User :   lipid profile is also normal
Doctor :  
ok
User :   only whn it comes to fuctioning of liver the sgpt n sgot is high
Doctor :  
yes that right
Doctor :  
the SGPT and SGOT levels are high
User :   but as i said i do hav a fatty liver
Doctor :   did you do any ultrasound of stomach '
User :   no doc
Doctor :  
ok
User :   but in dec last yr i hd done a sonography for liver and stone, it was normal n finally the doctors said the sgpt ws high only due to fatty liver n i hd to lose weight
Doctor :  
do you have pain in the right side of the abdomen
Doctor :  
ok
User :   no pain
Doctor :  
regarding consumption of alcohol ?
User :   iam 105 kilos nw, 25 yrs age, height 5'9
Doctor :   ok
User :   ya they said alcohol consumption and meat eating cud have led to fatty liver
User :   they asked me to reduce on alcohol and avoid red meat which i hav been doing
Doctor :  
thats right prateek
User :   as u knw in the last 3 yrs , i hav put on almost 35 kilos
User :   until 2006 i used to averagely weigh 70 kilos
User :   to 72 kilos
User :   so wt do i do nw doc?
Doctor :   the diet is very important
User :   ok
Doctor :  
the cause for rise in the SGOT and SGPT
Doctor :  
is both due to alchohol
User :   so does that mean d man boobs is coz of my testerone
Doctor :  
and obesity
User :   ok
Doctor :  
both can cause fatty liver
User :   ok
Doctor :  
so there is a need to reduce the liver enzymes
User :   yes
User :   my physician also suggested a full abdomen sonography
User :   is it required?
User :   since i knw i hav a fatty liver
Doctor :  
yes thats the reason i asked about the scan
Doctor :  
its better to get a scanning done
User :   ok i shall get it done, but my previous report ws normal as i said
Doctor :  
so, this will also guide us for treatment
User :   ok
User :   will get it done soon
Doctor :  
detailed examination of liver in the scan is help full
User :   ok
Doctor :  
are you on any medications now
User :   no
Doctor :  
or any treatment
User :   no
Doctor :  
ok
Doctor :  
only these liver enzymes are on higher side
User :   yes
Doctor :  
they can be brought to normal
Doctor :  
be quitting alcohol and
Doctor :  
avoiding fatty foods
User :   quit smoking tooo????
Doctor :  
yes, though its not directly related to liver damage
Doctor :  
it can affect the liver indirectly by reducing the blood supply to it
User :   ok
Doctor :  
now have you stopped counsuming alcohol
User :   just since a week?
User :   yes since a week
Doctor :   its ideal to stop it
User :   ok doc
Doctor :  
you can do it, nothing is bigger than health
Doctor :  
first health comes then its, others
User :   yes nw i dont even feel like goin for it after all ths
Doctor :  
thats great
Doctor :  
wat about dietary habits
Doctor :  
have you reduced consuming fatty and junk foods
User :   well, doc i hav planned a perfect diet n workout chart for myself
User :   i hav decided i shall sail next only after i get bk to shape
User :   i shall hav more of fruits n vegetable until then
User :   wanna b purely veg nw
Doctor :   ok
Doctor :  
thats good
Doctor :  
can take fish, as it does not contain fat or cholestrol
User :   ok
Doctor :  
white portion of egg is good
Doctor :  
but not the yellow portion
User :   ok
User :   ok
User :   nw hw far the testerone value being high has affected me?
User :   in anyways??
Doctor :  
your testorsterone levels are towards normal only
Doctor :  
its not on the lower side d
Doctor :  
in some cases, obesity and fatty liver it self can produce gynecomastia
User :   ok
Doctor :  
so get a scan done,
Doctor :  
so we can assess the fatty liver status
User :   ok
User :   but i hd it even whn i was slim
Doctor :   ok
Doctor :   wat about prolactin levels ?
User :   37.3 is my level
User :   15.63
Doctor :  
this is on higher side
Doctor :  
compared to normal
Doctor :  
Hi are you there ?
User :   so doc is thr any medication for ths?
User :   yes am here
Doctor :  
Yes medications are there to reduce the prolactin levels
Doctor :  
but, these drugs are not over the counter
User :   but doc my prolactin is normal
User :   i ws asking abt testerone
Doctor :   Ok
User :   testerone is harmonal imbalance i guess
Doctor :  
you testosterone levels are _________
User :   37.3
Doctor :   and wat is the normal levels
User :   pg/ml
Doctor :   ok

User :   4.25 to 30.37 pg/ml
Doctor :  
ok
Doctor :  
there is slight increase in the levles, but this is not significant
User :   as in cud u explain
Doctor :   have tested the estrogen or estriol levels
User :   no
Doctor :   In gynecomastia the levels of testosterone decreases
User :   ok
Doctor :  
and the level of estrogen increases
User :   that means my gynaecomastia is nt coz of harmones
Doctor :  
the main site of production and destruction of estrogen is liver
Doctor :   so in a case of fatty liver
Doctor :  
the estrogen production increases
User :   ok
Doctor :  
this can cause gynecomastia
Doctor :  
even obesity can aggravate gynecomastia
User :   ok, but doc i hdgynaecomastia even whn i was slim, n dint hav a fattty live since i was 12 probably
Doctor :  
as the breast is filled with more fatty tissue
User :   i knw all these might hav exaggerated it, but wt is the primary cause of having it
Doctor :   alcohol is also a factor thats proved
Doctor :  
to cause gynecomastia
Doctor :  
alcohol is directly linked to gynecomastia
User :   yes i understand doc but whn i was 12 i dint hav alcohol, i dint hav fatty liver, i dint hav obesity but i still hd it ? so wt actually made me have it first and foremost.
Doctor :  
were you obese at that time
User :   yes i hd put on some weight, but then i did lose it by the time i was 17, then the body looked slim, but man boobs did appear
Doctor :   as per your history its looks more towards

Doctor :  
imbalance in the sex hormones
User :   ok, so can v treat that with medicines?
Doctor :  
Endocrinologists
Doctor :  
will assess the condition better
Doctor :  
you may also need futher testings
Doctor :  
including the estriol or estrogen levels
Doctor :  
based on these hormone levels the treatment can be done
Doctor :  
Endocrinologist is the best person to tackle this issue
Doctor :  
dont worry, be relaxed
Doctor :  
you will get a solution for this
User :   but cant this go wid severe workouts
Doctor :  
its sure its sex hormone imbanlance
User :   and chest exercises at any cost?
Doctor :  
are you doing any chest exercises
Doctor :  
or any work outs
User :   yes i hav just started
User :   firstly am focused on losin weight
Doctor :   did you take an ultrasoud scanning of breast tissue
User :   once i do that i shall try to hav a hard chest
User :   no
Doctor :  
yes its better to loose weight first
Doctor :  
becuse this will reducet the fat content in the chest
User :   n then take a decision ove rthe chest
Doctor :  
and even in the breast tissue
User :   ok
Doctor :  
and if it does not subside then we can take up the issue
User :   worst cum worst a surgry will do it for me
Doctor :  
with further hormone testing
User :   ok
Doctor :  
and endocrinology consultation
User :   ok
Doctor :  
no be relaxed
User :   so i need nt worry abt testerone
Doctor :  
concentrate more on diet
Doctor :  
exercise
User :   ok
Doctor :  
yes no need to worry about testosterone levels
User :   thank u doc
User :   i gues tha s all for nw
Doctor :  
Is there any thing else i can help you with
User :   no doc
User :   thanks a lot
Doctor :  
but get a ultrasound abdomen done
Doctor :  
Please fill the feed back form and comment box
User :   ya
User :   bye
Doctor :  
Once ultraound is done,
User :   i shal get bk
Doctor :   it will help us more
User :   ok
Doctor :  
take care bye for now
User :   bye
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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