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What Causes Low Uric Acid Levels?
Question: Dear Sir ,
Myself XXXXXXX ,Aged 45 years .Iam having diabetes since the last 4 years and iam on medication for the same .Likewise Iam also having high cholesterol for which Iam taking medicine.Iam weighing 91 kg with a BMI of 29 which is obese.Iam on a portion controlled diet since last 6 months but there has been no decrease on the weight front .Iam going for a brisk walk for 1 hour in the morning and a 6 km cycling in the evening which I started just 10 days back.I work from home .Just to give you an idea of my diet plan EARLY MORNING - XXXXXXX warm lemon,ginger and apple cider water and 1 tbsp methi water BREAKFAST - 2 Chappati /sambar/subji/1 glass butter milk. MID MORNING - Half Apple ,Green tea , 5-6 Almonds .AFTERNOON - 1 Cup B.RIce /sambar/salad/curds. EVENING - 1 Cup Legumes/Green Tea.NIGHT- 2 Wheat& Oats Dosa/sambar/1 glass milk. Based on the reports I have the following queries which I see as a layman. (1)Uric Acid level is low (page 10) (2)Total cholesterol & LDL is high (page 12) (3)Lipoprotin (LPA) very high(Page 14) (4) TSH levels high (page 16) . Presently Iam taking the following medications MORNING - Glycomet gp trio 2 mg ,Complete TD NIGHT -PPG MET 0.3 mg ,Fenocor 200 ,Glacex CAP . Iam concerned about my heart health ,sugar control and most importantly my weight .Request your guidance on the same .Recently I started getting pain on my right hand elbow joint which an orthoedic identified as tennis elbow and gave medicines ,but even after 2 months the pain has not subsided .
Myself XXXXXXX ,Aged 45 years .Iam having diabetes since the last 4 years and iam on medication for the same .Likewise Iam also having high cholesterol for which Iam taking medicine.Iam weighing 91 kg with a BMI of 29 which is obese.Iam on a portion controlled diet since last 6 months but there has been no decrease on the weight front .Iam going for a brisk walk for 1 hour in the morning and a 6 km cycling in the evening which I started just 10 days back.I work from home .Just to give you an idea of my diet plan EARLY MORNING - XXXXXXX warm lemon,ginger and apple cider water and 1 tbsp methi water BREAKFAST - 2 Chappati /sambar/subji/1 glass butter milk. MID MORNING - Half Apple ,Green tea , 5-6 Almonds .AFTERNOON - 1 Cup B.RIce /sambar/salad/curds. EVENING - 1 Cup Legumes/Green Tea.NIGHT- 2 Wheat& Oats Dosa/sambar/1 glass milk. Based on the reports I have the following queries which I see as a layman. (1)Uric Acid level is low (page 10) (2)Total cholesterol & LDL is high (page 12) (3)Lipoprotin (LPA) very high(Page 14) (4) TSH levels high (page 16) . Presently Iam taking the following medications MORNING - Glycomet gp trio 2 mg ,Complete TD NIGHT -PPG MET 0.3 mg ,Fenocor 200 ,Glacex CAP . Iam concerned about my heart health ,sugar control and most importantly my weight .Request your guidance on the same .Recently I started getting pain on my right hand elbow joint which an orthoedic identified as tennis elbow and gave medicines ,but even after 2 months the pain has not subsided .
Brief Answer:
Details asked answered point wise
Detailed Answer:
Hi
I am Dr Mittal
I have reviewed your query
I have seen the reports also
First, you need not worry about low uric acid.
Thats ok and causes no harm
As for cholesterol, LDL and lipoprotein levels,
It means that the cholesterol levels are high.
I think the medications may need to be stepped up mildly.
Diet and exercise regime are fine.
So I think only medicine needs to be stepped up temporarily.
As for your TSH and weight gain.
You have hypothyroidism, and till that is corrected, weight may be high.
You need to take thyroid medications.
Sugars seem fine- HbA1c are almost normal.
Tennis elbow needs rest.
You really need to take rest and ultrasonic physiotherapy care.
Best of luck
Dr Mittal
Details asked answered point wise
Detailed Answer:
Hi
I am Dr Mittal
I have reviewed your query
I have seen the reports also
First, you need not worry about low uric acid.
Thats ok and causes no harm
As for cholesterol, LDL and lipoprotein levels,
It means that the cholesterol levels are high.
I think the medications may need to be stepped up mildly.
Diet and exercise regime are fine.
So I think only medicine needs to be stepped up temporarily.
As for your TSH and weight gain.
You have hypothyroidism, and till that is corrected, weight may be high.
You need to take thyroid medications.
Sugars seem fine- HbA1c are almost normal.
Tennis elbow needs rest.
You really need to take rest and ultrasonic physiotherapy care.
Best of luck
Dr Mittal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir ,
Thank you for the feedback .Had just a couple of queries .Alkaline phospatase reading seems low and Bilirubin (direct) seems a bit high .Does this mean anything ?Also for my thyroid problem do I have to consult my regular diabetician or any other doctor.Just above my rib cage below the neck I do have a feeling of something pulling .Is it ok or should I get heart check up done ?
Thank you
Thank you for the feedback .Had just a couple of queries .Alkaline phospatase reading seems low and Bilirubin (direct) seems a bit high .Does this mean anything ?Also for my thyroid problem do I have to consult my regular diabetician or any other doctor.Just above my rib cage below the neck I do have a feeling of something pulling .Is it ok or should I get heart check up done ?
Thank you
Brief Answer:
specific information
Detailed Answer:
Hi
The low level of ALP is not something to worry about.
The bilirubin levels are ok and I think they are a response to your medications.
The thyroid disorder needs medicines. You can start with a medicine like thyronorm 25 once daily on empty stomach. Repeat the test after 3 months.
Alternatively, you can get to see an endocrinology specialist.
As for throat complaints, I am not sure what the problem is with the information available. You will have to tell me more about the symptoms.
Meeting a cardiologist will be a acceptable solution.
Best of luck.
Dr Mittal.
specific information
Detailed Answer:
Hi
The low level of ALP is not something to worry about.
The bilirubin levels are ok and I think they are a response to your medications.
The thyroid disorder needs medicines. You can start with a medicine like thyronorm 25 once daily on empty stomach. Repeat the test after 3 months.
Alternatively, you can get to see an endocrinology specialist.
As for throat complaints, I am not sure what the problem is with the information available. You will have to tell me more about the symptoms.
Meeting a cardiologist will be a acceptable solution.
Best of luck.
Dr Mittal.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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