Sheryl

https://www.bumrungrad.com/en/doctors/Supinda-Chusakul

Which is why I recommended pyschological treatment from a mental health professional. A psychiatrist as opposed to a therapist/counsellor (who would usually be psychologists or psychiatric social workers) would be necessary only if medication required. That is sometimes the case but usually not with this condition. Cognutive Behavioral Theraoy (CBT) is usually sufficient and would normally be first step.

Please specify the issue as there are sub-specialties

Not at all rare in Thailand and available in virtually all private hospitals unless extremely small. Also available in most larger military hospitals. Perhaps your friend meant in the public hospital system. There they would often have to refer up to a university hospital.

He does not mention mood swings just weight gain. The first thing I would do is get a thyroid panel (blood test). Not uncommon for women to become hypothyroid as they get older. I suggest she see an endocrinologist at KKU Hospital.

Let us know how it goes. And when you reach the IO counter volunteer the info that you are living in Cambodia.

Good ones: Home Pro, Central. Cheaper/not as good ones (especially in terms of (1) how thick and (2) how long they last): Tesco and the like; lazada and shoppee. I exoect Ikea has them as well. Note that a lot of what is online is foam but not really memory foam do will sag with use.

For those who do not know, he is referring to compulsive skin-picking. It usually responds well to cognitive behavioral therapy (CBT) which is not done by doctors but rather by therapists/counselors. In deciding whether to seek such treatment the severity of the compulsion and whether it is causing injury to the skin would be factors. Also worth considering that this is often due to underlying anxiety in which case even if you managed to stop doing it on your own, you'd likely have other symptoms/issues because thdle anxiety would still be there.

If I understand correctly your wife has had a hystetectomy so withdrawsl bleeding neither necessary nor possible. Her choices are: 1. Concurrent therapy - estrogen and progesterone every day. 2. Estrogen daily and progesterone only from around the 12th of each month. 3. #1 but increase the progesterone dose (200 instead of 100) for the latter half of each month. 4. #1 but increase progesterone when and as needed Was her hystetectomy total (i.e. ovaries also removed)? If so she has no naturally produced progesterone so I would rule out #2. Otherwise it is really trial and error.

Actually in my experience exception is made -- or used to be anyhow -- for foreigners actually resident in Cambodia as evidenced by a long term Cambodian visa and entry/exit stamps. Even at Poipet. This info is pre-COVID at which time I often made border entries and observed many expats living in Cambodia being able to go in & out visa exempt multiple times, some even monthly. A few times the Thai IO, not realizing I had a re-entry permit and seeing it was my 3rd/4th land entry that year, asked me if I lived in Cambodia.

You should see an ortho specialist and get an xray. If the hip joint is badly degenerated then you may need to minimize weight bearing. Whereas if tight muscles are to blame walking and stretches will help. No way to know without girst diagnosing the cause.

Indeed sexually transmitted diseases are spread sexually and not by casual contact

Sorry for the delay, I had to research a bit. If you can afford private care I recommend https://www.medparkhospital.com/en-US/doctors/prof-dr-roongroj-bhidayasiri If not, then come to the specialized clinic at Chulalongkorn Hospital https://chulalongkornhospital.go.th/kcmh/en/ec/ศูนย์ความเป็นเลิศทางก-13/ tel. 08-1107-9999 or 0-2256-4000 ext. 70704. This will take more visits and entail long waits but cost less.

As mentioned in my prior post, Utrogestan. It comes in both 100 and 200 mg doses, 100 mg is enough for most women. As it can induce slight sleepiness best taken at night. If you ever travel to Phnom Penh can get Progestogel there which is better as easier to titrate and slower acting. Do not take a synthetic progestin. These are entirely different drugs than progesterone and except for shedding of the uterine lining (not relevant in your case anyhow) do not have the same action as progesterone. I would still recommend switching from Progynva to Oestrogel as it allows better dose titration. Basically one wants the very lowest estrogen dose that controls the hot flashes/night sweats. Often this will be much less than standard dose.

If you spend less than 180 days in a year in Thailand you are not resident for tax purposes.

There is no amendment to that effect and pensions are taxable unless specifically exempted in a Dual Taxation Agreement (DTA) between Thailand and the country in question. DTAs differ markedly in this regard so it is essential to read yours. Off the top of my head I can tell you this: USA = Social Security can only be taxed in the US. Ditto government pensions. But private pensions can be taxed by Thailand. UK = government pensions can only be taxed by the UK. Other pensions (including State pensions) can be taxed by Thailand. And, of course, any tax paid in Thailand can be applied as a tax credit on one's home country tax return and vice versa.

https://bangkokdrugstore.com/product/oestrogel-80-g-2/ While estrogen alone will deal with hot flashes, stabilizing mood swings often requires both estrogen and progesterone. The common idea that progesterone replacement is unnecessary in women without a uterus is incorrect, progesterone has multiple effects and is just as important as estrogen in HRT. Unfortunately while the same company that makes Oestrogel makes a natural progesterone gel (Progestogel) it is off market in Thailand. There is a micronized oral form called Utrogestan which is the next best thing. While it is not currently listed on the Bangkokdrugstore website I got it from them in the past so could inquire. Or, it is definitley available from https://medtide.com You have to first create an account to do a search Also likely you can get both from https://medisafepharma.com/ Have to use the Messenger function to ask. Medisafe also can provide Femiest, a vaginal estrodial, which is often needed to deal with vaginal dryness, the systemic estrogens are often not enough for that.

As I have explained eGFR is not a blood test but a mathematical calculation and labs can well vary in whether they accurately incorporate the age, sex body size and ethnicity of the individual patient. Creatnine level on the other hand is a direct measurement and any lab with properly calibrated equipment would be able to do it. How different were these creatnine messures and was there any difference in fluid intake prior?

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Also: https://aseannow.com/topic/1252811-what-was-it-like-to-have-a-cataract-operation-in-thailand/ https://aseannow.com/topic/1211416-cataract-surgery/ https://aseannow.com/topic/1237793-recent-well-maybe-pre-covid-cataract-surgery-in-thailand/ https://aseannow.com/topic/960641-cataract-surgery-prices/ https://aseannow.com/topic/1171894-cataract-surgery-in-cm/ https://aseannow.com/topic/1215820-cataract-surgery/ As there have been many, many threads on this it might help if you mentioned where in Thailand you live.

Rock hard Thai mattresses (which is 95% of all Thai mattresses) will do this -- all the more so if one is thin. For home, get a good memory foam topper, well worth the expense and makes a world of difference. For travel, get an air mattress and bring it with you. If buying from lazada search for "air bed". And make sure to get the little electric pump to inflate it. I never stay in a Thai hotel without having packed my air mattress. For exactly the reason you describe.

Dermal preparation is preferred to oral (no liver pass) and also easier to titrate. I and many others use Oestrogel. As the name implies, it is a gel. One tube I think costs around 300 baht or a bit less and lasts me at least 3 months but your needs may vary. It comes with an applicator to measure out dose but I find less than that works for me.

Very odd. This is how mine looks:

Please keep it civil and on topic, or I will have to close the thread.

The General Conditions are on the customer portal. Just click on "My Documents". Mine shows only from 2023 but that may be because my 2024-2025 premium is not yet due/posted.