QUOTE(slimey @ May 22 2018, 09:50 AM)
hi.
1. she has anemia. low hemoglobin and hypochromic type. anemia may explain the tiredness. but reduced appetite can also cause anemia.
usually caused by low iron intake or chronic and slow amount of blood lost.
i suggest blood test for ferritin and transferin. if confirm iron deficiency anemia, may need to take supplement to solve the anemia. also need to investigate possible other causes of iron deficiency anemia : stool for occult blood, perhaps a pap smear if age less than 65 years old or have blood per vagina post menopausal, if never done a colonoscopy before, should get it done.
2. i won't be worried about the raised ggt..........as ast alt normal........bilirubin also.
3. she has diabetes.........is she properly treated for it?
4. any symptoms of hypothyroidism? might need to have the t3,t4,tsh level checked.
5. ignore the tumor markers. they should never be used as screening or diagnostic tool for now.
6. CT scan is not indicated.......more harm than benefit.
She took jardiance for diabetes, but the doc suspect the side effects are too strong for her. She keep losing weight day by day. Since her glucose level significantly drop in a month, range around 6.2-7.2, so he stopped her from taking jardiance anymore, hopefully she can gain back some weight and strength. Still monitoring her. Stopped for about 3-4 days.
She is taking another med for diabetes. Half tablet. Not sure the name of it.
She have pass history of hyperthyroidism, but have improvement and stopped take med for it.