fellwalker

I think that the solution, well initially is to lose weight and I have failed in the past but with the help of Mounjaro I should make it. Any advice as to a cost effective source of the drug? I will be under the supervision of my oncologist so I will not need to pay extra for this.

Sheryl Thankyou for the information.

Sheryl I notice that Khun, Dr, Prof. Wicharn Yingsakmongkol, M.D. has the advertised schedule of appointments as shown in the table. Did you see him privately and if so do you have his contact details? day Time Location Tuesday 17:30 – 20:00 Spine Centre (เฉพาะนัด (Only for the scheduled appointment)) Saturday 08:30 – 13:00 Spine Centre (เฉพาะนัด (Only for the scheduled appointment)) Regards By the way my wife is operating at 100% on the HRT solution you recommended, has been in place for 18 months or so.

Thanks Hummin I tend to agree with you and the return of cancer is not out of the question so who knows how long I have.

sharot724 Whats an SF 49.R doctor.

I am 77 years old and weigh 125 Kgs, part of the problem. I have had a bad back for most of my adult life due to an early set of rugby injuries. Of late say 1 year it has got steadily worse and currently I exhibit. · Tingling in both legs · Occasional sciatic pain right leg · Numbness in my left foot, toe next to large · Intermittent numbness in my right foot · Balance issues I have recently had a series of CAT scans subsequent to bowel surgery for cancer and the radiologists have diagnosed and I quote “Lumbar spondylosis, pronounce at L4-S1 vertebra is shown”. The pictures look problematical from even an untrained eye. There are bone spurs and thinning of the intervertebral discs. Not bursting is evident. I have read horror stories about vertebra fusion. Any advice on your experience or solution would be helpful. 1. Type of surgery 2. Hospital 3. Experienced Dr 4. Costs if surgery Sheryl was particularly helpful with an HRT issue with my wife.

This is a difinitive answer, text below from my files on the process. Works. 6/06/02023 Spoke to Preerada (Thai) at British Embassy BKK she agreed that a Residence letter from local Immigration would be an acceptable substitute for a Yellow book. She also agreed that other local documents would suffice bank statements. Whichever no need for the yellow book. She said apply for the affirmation with the substitute for the yellow book. I requested an E mail to say this would be ok but she was reluctant. Gave me here number 023 058 247 I rang it and the recorded announcement when busy did give her name so its valid. Good luck and be happy

Just a few lines to update on the efficacy of your recommended treatment. Concurrent therapy - oestrogen and progesterone every day. After 16 days. I notice more smiles, body and face more relaxed, less reaction to stressful situations. She’s back to normal. Very surprised on the speed of response. She say’s, feels different, less anxious and generally happier. The sun shines more! Thanks from us both.

You are correct, complete hysterectomy due to Intramural fibroids at 49 years, no bits left in. We will go for the simplest regime. 1. Concurrent therapy - oestrogen and progesterone every day. If there no improvement will do a bit of system 4. Utrogestan 100 is in the cabinet and treatment started, she did notice the sleepiness. Regards

Hi One last consultation. The text below is from a new Zealand data sheet. Which of the regimes do you suggest? The usual dose is 100 mg/day at bedtime at least 12 to 14 days per month, i.e. on days 15 to 26 of each cycle or in the last 2 weeks of each treatment sequence of oestrogen therapy followed by approximately one week without any replacement therapy and during which withdrawal bleeding may occur. Alternatively 100 mg can be given at bedtime, from days 1 to 25 of each cycle, withdrawal bleeding being less with this treatment schedule. Regards

Hi I am up to speed, just need to source and that's not beyond me. Thanks for all the advice. I hope it helped other folk. Regards 👍👩‍⚕️ Took a while to find a lady health worker Emoji

Sheryl I much appreciate you ongoing involvement. New data is coming to light. Language differences have been identified as a problem and have been reconciled. My wife used to have the “night sweats”, she described as being “hot”. These were resolved with Progynova. Recently she has experienced what she calls “inside hot” which we have expanded to mean “agitated, tense, or nervous”. I now appreciate the problems Doctors must have when dealing with language differences. So it looks like it’s the side effects of the currently administered Progynova are at issue. Your observation that post hysterectomy, her situation, progesterone may be taken as well as oestrogen suggest that this might alleviate the ”inside hot” symptoms. There is no necessity for such an alternative drug to be “natural” a standard pharmacological product is acceptable to be taken by mouth. Can you suggest one?

Hi Sheryl If it’s good enough for you then my better half will be in good company. Can you say where it might be sourced, perhaps on line? Not sure pharmacies will have it out here in the sticks. Regards

We currently use Progynova 2 mg (Estradiol valerate) for HRT, it seems to be less effective than it used to be. Does anyone have a similar product Viz, oestrogen-only form of HRT its source and cost? Regards

Thanks a lot looks like the solution.