Elevated Shbg, Weakness

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-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

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Please send all the lab reports

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Patient

Post Owner


https://drive.google.com/folderview?id=1uqW6eqtT89ls5zWc8KQvyPBwMrpw9SnP

This Google drive folder contains my reports. I also have a mri in physical form.

6 months ago

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 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, 042-32591427, after SMS with ref to MARHAM.

Take Care

Regards

Dr Z.A.Kango

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Patient

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Alright sir. I've sent you a message.

6 months ago

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 Positive Reviews

my number is 042-32591427,

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IT WORLD


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

5 months ago

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 Positive Reviews

my number is 042-32591427,

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 Positive Reviews

My number is zero, three, two, one, nine , three, triple nine, three , eight.

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 Positive Reviews

not 042-32591427, 042-32591427,

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 Positive Reviews

042-32591427, 042-32591427, is not my number, my number is zero, three, two, one, nine , three, triple nine, three , eight.

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Patient

Post Owner


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

6 months ago

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 Positive Reviews

This website is automatically changing any number I text to 042-32591427, 042-32591427,

dr-zulfiqar-ali-kango-internal-medicine-islamabad

MBBS, FCPS, MCPS, DIP-CARD(UK) | Islamabad

review-img 1 Positive Reviews

CELL042-32591427,

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Ansh Maan

Same prob

dr-ahmed-farhan-internal-medicine-islamabad

MBBS, FCPS (Medicine) | Islamabad

review-img 8 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

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Patient

Post Owner


I have Gyno

5 months ago

dr-qamer-haider-khan-internal-medicine-karachi

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 .