Sheryl

post linking to unreliable source removed.

Normally not, but there will be a GI specialist joining Be Well on 25 March who looks OK https://bewell.co.th/supporting-specialists/ Hua Hin Hospital is not a very high level hospital, lucky if they even have a GI specialist and would likely be not daily.

Absolutely untrue as a blanket statement. There are individuals for whom it is true, of course, as is the case for most medications. For people at elevated risk of a coronary event who tolerate statins well, definitely does good.

Not available in Thailand.

Fibrates lower triglycerides more than LDL. (and are still widely used, I would not call them "outdated") The HDL raising effects if Nicotinic acid is considered a positive benefit.

Absolutely will lead to an exclusion. The only question is how broad an exclusion.

Best to call them and ask. Call center 1474. Which is your SS hospital?

Don't try to deal with this in Hua Hin. Come up to siriraj in Thonburi https://www.siphhospital.com/en/medical-services/find-doctor?doctor_id=&medical_id=47&day=&startTime=&endTime=

Not for skin cancer, no. Experience with it is very limited in Thailand.

This is same as Nasonex, just different brand

In Thailand radiologist reports of MRIs (especially of the spine) are not very reliable. The scan should still be read by a spinal specialist (who will also likely want an Xray as these can actually be better for spotting some things). So still suggest you see Prof. Wicharn. If he also says origin of the problem is not spinal then indeed next stop should be a neuroligist in which case I suggest https://www.bangkokinternationalhospital.com/doctors/dr-apichart-pisarnpong

Before seeing a neurologist you should get an MRI of the lumbar spine and consultant an orthopedic spinal specialist as this sounds much more like a spinal issue to me than neurological. (There is a neurological aspect in the spinal problem can cause nerve compression and nerve damage, but source is spinal). I also sounds rather urgent since there is already loss of motor function. You can get MRI at much loss cost than hospital here https://mrithailand.com/en/contact-us-2/ You need lumbar spine, without contrast. No doctor order required and be sure they give you the scan on DVD. Then I recommend you consult https://www.bnhhospital.com/search-doctor/entry/4093/ Who is the best spinal specialist in the country

Nasonex (mometasone furoate) is commonly used for this.

age bracket usually starts at 65 not 66 e.g. 60-64 65-69 70-74 etc So if yiu just turneed 65 you would have fallen into a new age bracket.

Just pay it as soon as possible. Ask your bank if the auto transfer will still go through, if not you may need to initiate a transfer. There is a brief grace period for late payments (I forget how long, it is in the SS Act, but certainly not less than a month).

Great news re Zone (if correct) and would explain the reports from others renewing now. Re your 30% increase are you sure you did not move into a new age bracket? As barring any structural change the elements driving increases are (1) inflation (specific to health care costs) and (2) age bracket.

Check your B12 levels. Sometimes necessary to add sublingual B12 as older people may gave trouble absorbing it orally (but if your levels are normal, no need)

Easy and inexpensive to have doctor remove with cryo. And safer/more effective than these home remedies.

You can't book sppointment for the public channel. Only the after hours clinic. Which can also be accessed as a walk in.

Also a statin and in non-consistent doses so no advantage over taking a statin .

There are 2 options, the regular public channel and the after hours clinic. However if they agree need for biopsy, will likely not do it in after hours clinic and refer you to public clinic on another day anyhow (that is what happened to me...wasted a 5 hour wait and 500 baht fee in the after hours clinic only to be directed to public channel on the following day. Well maybe not complete waste as I did get a fixed appointment for the next day which might otherwise have taken more time to arrange.). My advice is to just show up by 7 AM, go to the OPD (I think 8th floor but double-check). Get a number and wait. Bring plenty of reading material. It is a government hospital so things are not quick, and if they decide you need a biopsy appointment for that would likely be on a different day, and wait time to get biopsy results is about a month. Regarding appointment dates it is possible to negotiate a bit if they try to give you one many days or weeks hence - explain that you do not live in Bangkok etc. I paid 700 baht for the excision & biopsy, public channel

Make sure that LDL is a direct measure and not an indirect calculation as with your lower than average triglycerides indirect LDL calculation might not be accurate

You might also try a contact lens prescription designed to yield mono vision i.e. one eye for distance and one for up close.

Bempedoic Acid (Nexletol) is both very new and not available in Thailand. Which is likely why your doctor had not heard of it. You mention only your LDL, are triglycerides OK? Simvastatin and atorvastatin are both lipidophilic statins and that class of statins are more apt to cause or aggravate nerve pain. It might be worth trying a hydrophilic statin such as rosuvastatin as they are less likely to cause this effect. the other type of drug that might be considered is sustained release nicotinic acid. It used to be available as brand name Niaspan in Thailand but is now off market, but various brands can be purchased form iHerb as "nutritional supplements" (make sure it is the sustained release form) https://th.iherb.com/search?kw=nicotinic acid sustained release. However discuss with your neurologist first whether this would be safe in terms of your neuro condition. In terms of doctors, I suggest: https://www.bumrungrad.com/en/doctors/rachanon-murathanun

None that I can think of