Prompt, please...

[Crysya]

Today has received on arms or hand hormonal analyses:

TTG - norm or rate

ATkTPO - norm or rate

KT (calcitonin) - norm or rate



TG - 1,8 (norm or rate 2-50 ng/ml)

4 - 182,9 (53-158 nmol/l)

Prolactinum (the second phase of a cycle) - 31,4 (67-726 ??N/l)



1,5 year ago passed or took place treatment Zoladeksom (in connection with the diagnosis *quot; an adenomyosis ?aO?*quot;).



Luteinizing hormone, Progesteronum, Oestradiolum, FSG in norm or rate (analyses for February s.g.).



Uzi shchitovidki (did or made couple of weeks back):

The cross-section or transversal size: 6,6 sm

Volume of the right share: 9, 7 sm

Volume of the left share of 7,9 sm

The antero-back size of the right share: 2,32,04,4 sm

The antero-back size of the left share: 2,11,84,4 sm

The antero-back size of an isthmus: 0,5 sm

Ehostruktura: non-uniform, in forward departments of the right share - liquid education of the oval form 0,60,4 sm

Regional zones of lymph drainages without features.

Other: oprdeljajutsja the absent-minded centers of underpressure of the wrong form up to 0,6 sm in diameter, in a depth or strata of the left share - liquid education 0,60,4 sm with kaltsinatom 0, 2 see



Has recovered for last year on 10 kg (that actually and has induced to address to the endocrinologist), that I keep a rigid diet (1200-1600 kcal day, Adepses - nearby 30-40 g in day), some times in a week aerobic loads Arms-legs or Arms-foots;Hand-legs constantly cold, often merznu the Skin of a head dry, in the past to year began to drop out hair, then, the truth, have ceased. I accept vitamins vitrum.



Prompt, what is it such? Read, that raised or increased 4 the exchange amplifies, and at me on the contrary

Yes, to me of 28 years, two years ago there was a unsuccessful pregnancy, have made abortion on med.pokazanijam (with suspicion on trofoblasticheskuju illness or disease), since then to become pregnant is impossible, though the gynecologist speaks, that I am practically healthy.

[Light]

Today has received on arms or hand hormonal analyses:

TTG - norm or rate

...

Has recovered for last year on 10 kg (that actually and has induced to address to the endocrinologist), that I keep a rigid diet (1200-1600 kcal day, Adepses - nearby 30-40 g in day), some times in a week aerobic loads Arms-legs or Arms-foots;Hand-legs constantly cold, often merznu the Skin of a head dry, in the past to year began to drop out hair, then, the truth, have ceased. I accept vitamins vitrum.



Specify, please, norm or rate TTG is how much? (tsifir)

Your weight and body height?

[Crysya]

Specify, please, norm or rate TTG is how much? (tsifir)

Your weight and body height?

TTG - 1,8 (0,23-3,4 ??N/ml)

ATkTPO - 16,7 (up to 30 Nn/ml)

KT (calcitonin) - 8, 8 (0,07-12,97 pg/ml)



Body height of 164 sm, weight of 71,4 kg (the size 48-50)

[Light]

And what disturbs, besides excess weight and cold extremities?

The BP does not raise or increase? Saccharum of a blood? Lipids of a blood?

Than hurted or were ill;were sick earlier? As Whom work?

What is *quot; aerobic ?auOO??*quot;?

How much time eat within day? Alcohol? Smoking?

As you were surveyed by the gynecologist before has concluded, that you *quot; practically ?nOoU*quot;?

[Melnichenko]

The level of the GENERAL or COMMON thyroxine at normal TTG is not worthy (however, over too)

[Crysya]

And what disturbs, besides excess weight and cold extremities?



Impossibility to become pregnant. Depression.







The BP does not raise or increase? Saccharum of a blood? Lipids of a blood?



The BP sometimes happens lowered (100 on 60).

Glucose on an empty stomach: 5,81 (norm or rate 4,2-6,4)

Fruktozamin 198 (norm or rate up to 285)

Glucose ch/? two hours after meal 6,2 (norm or rate 4,2-6,4)





Than hurted or were ill;were sick earlier?



In 15 years there was a fibroadenoma of a mammary gland. And so especially anything besides that two years ago there was a unsuccessful pregnancy, have made abortion on med.pokazanijam (with suspicion on trofoblasticheskuju illness or disease), but have then revealed adinomioz for what treated Zoladeksom (treatment has ended one year ago).





As whom work?



Now I do not work.





What is *quot; aerobic ?auOO??*quot;?



Velosimulator.





How much time eat within day?



4-5 times.





Alcohol? Smoking?



I do not smoke. I drink occasionally, in the company.





As you were surveyed by the gynecologist before has concluded, that you *quot; practically ?nOoU*quot;?



Survey. Analyses (February s.g.):



First half of cycle:

Oestradiolum - 0,4 (up to 0,5 nmol/l)

FSG - 6,07 (1,8-11,3 ??N/ml)

Prolactinum - 260,5 (67-726/)



Second half of cycle:

Luteinizing hormone - 7,06 (0,9-14,4 ??N/ml)

Progesteronum 44,7 (6-45 nmol/l)

[Light]

Impossibility to become pregnant. Depression.



Menses regular?

For presence of ovulations and permeabilities of pipes were surveyed?

In what depression is shown? At the psychotherapist were treated?

At bad mood appetite raises or increases?

[Crysya]

Menses regular?



Yes, but after treatment became shorter - not so plentiful allocation about 2 days, then smearing 3-4 days and all. And earlier there were plentiful allocation 3-4 days and less plentiful 2 more days and more couple of days smearing.





For presence of ovulations and permeabilities of pipes were surveyed?



No.





In what depression is shown? At the psychotherapist were treated?



Now I pass or take place a psychotherapy, yes.





At bad mood appetite raises or increases?

No. Appetite raises or increases before a menses.



Has forgotten to write: at the father insulinnezavisimyj Diabetum.

[Light]

For presence of ovulations and permeabilities of pipes were surveyed?



No.



Consult to your gynecologist about expediency of such inspection.



As to excess weight, send your alimentary diary for 2-3 days before a menses (that ate?, in what quantity or amount?, in how much?, for what reason ate?: has got hungry, time has come, have invited to tea drinking, etc.).

[Crysya]

Consult to your gynecologist about expediency of such inspection.



Thanks for advice or council, on this bill we shall think.



As to excess weight, send your alimentary diary for 2-3 days before a menses (that ate?, in what quantity or amount?, in how much?, for what reason ate?: has got hungry, time has come, have invited to tea drinking, etc.).



I place an alimentary diary for last two weeks (conducted in the special program), the menses should begin in the near future... I Eat usually when I feel famine, i.e. I can eat successively some products or is one portion within an hour (has eaten - has postponed, then doela), therefore separations into a breakfast-dinner-mid-morning snack, etc. conditional enough. Usually I try to eat two-four hours prior to a dream (differently difficultly to fall asleep), and I lay down often at an o'clock of night. In day I drink about two litres of water.





Ration on 31.05.2005



Coffee with milk: 250 g - a breakfast

Sandwich with smoked meat: 40 g - a breakfast



Sandwich with smoked meat: 40 g - a dinner

Tvorozhok the president of 0 %: 100 g - a dinner

Bananas: 50 g - a dinner



Sandwich with smoked meat: 40 g - a mid-morning snack



Crab rods: 400 g - a supper

Hens nezhirn.: 150 g - a supper

Cucumbers soil: 200 g - a supper

Juice orange: 200 g - a supper

__________________________________________

Total:

Fibers: 79,4

Adepses: 25,6

Carbohydrates: 143,4

kkalory: 1118

***



Ration on 1.06.2005



Orange: 150 g - a breakfast

Bananas: 120 g - a breakfast

Egg chicken: 100 g - a breakfast

Crab rods: 400 g - a breakfast



Hens nezhirn.: 150 g - a mid-morning snack

Saccharum: 50 g - a mid-morning snack

Sandwich with smoked meat: 40 g - a mid-morning snack



Bananas: 240 g - a supper

Coffee with milk: 250 g - a supper

Cheese of Baltic 20 %: 30 g - a supper

_____________________________________________

Total:

Fibers: 85,8

Adepses: 37,1

Carbohydrates: 223,2

kkalory: 1545

***



Ration on 2.06.2005



Apples: 130 g - a breakfast

Cucumbers soil: 100 g - a breakfast

Bananas: 120 g - a breakfast

Coffee with molokkom: 40 g - a breakfast

Crab rods: 200 g - a breakfast



Hens nezhirn.: 200 g - a mid-morning snack

Bread wheaten podovyj: 50 g - a mid-morning snack

Apples: 130 g - a mid-morning snack



Sandwich with smoked meat: 40 g - a supper

Coffee with milk: 250 g - a supper

Sandwich with smoked meat: 40 g - a dinner

Cheese of Baltic 20 %: 60 g - a mid-morning snack

____________________________________________

Total:

Fibers: 88,6

Adepses: 30,8

Carbohydrates: 139,6

kkalory: 1192



***



Ration on 3.06.2005



Coffee with milk: 250 g - a breakfast

Orange: 100 g - a breakfast

Apples: 200 g - a breakfast



Smoked meat: 40 g - a dinner

Crab rods: 400 g - a dinner

Bread wheaten podovyj: 20 g - a dinner



Bananas: 240 g - a mid-morning snack



Apples: 130 g - a supper

Hens nezhirn.: 200 g - a supper

Sandwich with smoked meat: 40 g - a mid-morning snack

_____________________________________________

Total:

Fibers: 82,4

Adepses: 29,9

Carbohydrates: 187

kkalory: 1337



***



Ration on 4.06.2005



Sandwich with smoked meat: 60 g - a breakfast

Coffee with milk: 250 g - a breakfast

Bananas: 240 g - a breakfast



Spaghetti: 140 g - a mid-morning snack

Cucumbers soil: 300 g - a mid-morning snack

Orange: 100 g - a mid-morning snack



Bread white lunch: 50 g - a dinner

Bananas: 240 g - a dinner

Cheese of Baltic 20 %: 60 g - a dinner



Morozhennoe creamy: 100 g - a supper (cafe at a cinema)

Forfeit: 750 g - a supper (cafe at a cinema)

popkorn: 100 g - a supper (cafe at a cinema)

Cheese of Baltic 20 %: 30 g - a supper

_____________________________________________

Total:

Fibers: 80,6

Adepses: 28,2

Carbohydrates: 391,7

kkalory: 2353



***

Ration on 6.06.2005



Coffee with milk: 250 g - a breakfast

bim-i??, suhariki: 80 g - a breakfast

Strawberry: 150 g - a breakfast

Tvorozhok the president of 0 %: 150 g - a breakfast



Squid dried: 50 g - a dinner

Tvorozhok the president of 0 %: 200 g - a dinner

Bananas: 120 g - a dinner



Juice peach: 100 g - a mid-morning snack

Coffee with milk: 250 g - a mid-morning snack

Strawberry: 200 g - a mid-morning snack



Strawberry: 150 g - a supper

Tvorozhok the president of 0 %: 150 g - a supper

Sandwich with smoked meat: 40 g - a supper

Cheese of Baltic 20 %: 30 g - a supper

Bread white lunch: 35 g - a supper



_____________________________________________

Total:

Fibers: 111,3

Adepses: 10,9

Carbohydrates: 181,4

kkalory: 1271



***



Ration on 7.06.2005



Sandwich with smoked meat: 40 g - a breakfast

Bananas: 240 g - a breakfast

Coffee with milk: 250 g - a breakfast



Apples: 90 g - a dinner

Cucumbers soil: 200 g - a dinner

Egg chicken: 150 g - a dinner



Young potato in sour cream: 250 g - a mid-morning snack

Coffee with milk: 250 g - a mid-morning snack

Bread perejaslavsky: 20 g - a mid-morning snack

Bananas: 120 g - a mid-morning snack



Sandwich with smoked meat: 80 g - a supper

Bread perejaslavsky: 20 g - a supper

Cheese of Baltic 20 %: 30 g - a supper

_____________________________________________

Total:

Fibers: 61

Adepses: 33,1

Carbohydrates: 206,8

kkalory: 1351

***



Ration on 8.06.2005



Coffee with milk: 250 g - a breakfast

Sandwich with smoked meat: 40 g - a breakfast



Young potato in sour cream: 250 g - a mid-morning snack

Hens nezhirn.: 200 g - a mid-morning snack

Apples: 90 g - a mid-morning snack





Smoked meat: 80 g - a supper

Cucumbers soil: 200 g - a supper

Pizza: 300 g - a supper

Tiramisu (cake): 120 g - a supper

_____________________________________________

Total:

Fibers: 91,9

Adepses: 104,6

Carbohydrates: 206,4

kkalory: 2146



***



Ration on 9.06.2005



Coffee with milk: 250 g - a breakfast



Hens nezhirn.: 200 g - a dinner

Sandwich with smoked meat: 40 g - a dinner

Coffee with milk: 250 g - a dinner



Sandwich with smoked meat: 40 g - a mid-morning snack



Crab rods: 600 g - a supper

Bananas: 360 g - a supper

Cucumbers soil: 400 g - a supper

_____________________________________________

Total:

Fibers: 92,2

Adepses: 32,9

Carbohydrates: 223,1

kkalory: 1542



***



Ration on 10.06.2005



Sandwich with smoked meat: 40 g - a breakfast

Bread perejaslavsky: 30 g - a breakfast

Coffee with milk: 250 g - a breakfast



Hens nezhirn.: 200 g - a dinner

Young potato in sour cream: 250 g - a dinner



Crab rods: 200 g - a mid-morning snack



popkorn: 60 g - a supper

Bread perejaslavsky: 40 g - a supper

Dried shrimps: 20 g - a supper

Squid dried: 40 g - a supper

Bananas: 120 g - a supper

_____________________________________________

Total:

Fibers: 118,6

Adepses: 35,9

Carbohydrates: 153,5

kkalory: 1512



***



Ration on 11.06.2005



Bananas: 120 g - a breakfast

Sandwich with smoked meat: 40 g - a breakfast

Sandwich with smoked meat: 40 g - a breakfast

Coffee with milk: 250 g - a breakfast



Coffee with milk: 250 g - a mid-morning snack

Smoked meat: 20 g - a mid-morning snack



Strawberry: 150 g - a supper

Crab rods: 200 g - a supper

Young potato in sour cream: 250 g - a supper

Hens nezhirn.: 150 g - a supper

Tvorozhok the president of 0 %: 400 g - a supper

Morozhennoe creamy: 120 g - a supper (visitors)

Bananas: 120 g - a supper

_____________________________________________

Total:

Fibers: 105,3

Adepses: 42,3

Carbohydrates: 204,6

kkalory: 1585



***



Ration on 12.06.2005



Bananas: 240 g - a breakfast

Coffee with milk: 250 g - a breakfast

Sandwich with smoked meat: 60 g - a breakfast



Young potato in sour cream: 250 g - a dinner

Hens nezhirn.: 200 g - a dinner



Strawberry: 250 g - a mid-morning snack



Sunflower butter or oil: 5 g - a supper

Eggs chicken: 300 g - a supper

Strawberry: 200 g - a supper

Tvorozhok the president of 0 %: 100 g - a supper

Smoked meat: 60 g - a supper

_____________________________________________

Total:

Fibers: 120,4

Adepses: 72,8

Carbohydrates: 148,5

kkalory: 1728

[Light]

The alimentary diary is informative, is with what to work.

1. Use complex or difficult carbohydrates (grain, vegetables) Very little.

They should make a basis of your delivery. As they say, *quot; a russian cabbage soup yes a porridge - nutrition ?a?a*quot;. And without Adeps!

2. Excess of albuminous products (one only smoked meat - time on 3 in day!). It is not necessary. Amino acids stimulate development or manufacture of an insulin - appetite raises or increases, there is a synthesis of Adepses more activly.

3. To eat it is necessary more often (6-7 times a day). Do not wait strong famine - it will be difficult to stop.

4. Daily average caloric content *gt; 1500 kcal. If wish to grow thin, should be less.



Some advice or councils:

- Use small-type utensils (plates, spoons, portions - all small);

- Each slice chew longly (15-20 chewing movements);

- Do not take a great interest or Be not fond in spices and acute seasonings (raise or increase appetite);

- For an hour up to a dream can eat, but slightly: for example, a glass of 1 %-s' yogurt and a grain ship's biscuit;

- If test strong famine (it is ready to eat the elephant!), prepare for stewed vegetables on water (cabbage, tomatoes, vegetable marrows, cucumbers...), for taste add a little bit salts and a lemon juice, - and eat though the whole tazik;

- If very much it would be desirable something *quot; ?aONO?u*quot;, eat and be not excruciated. But often do not sin.

[Crysya]

The alimentary diary is informative, is with what to work.

1. Use complex or difficult carbohydrates (grain, vegetables) Very little.

They should make a basis of your delivery. As they say, *quot; a russian cabbage soup yes a porridge - nutrition ?a?a*quot;. And without Adeps!

2. Excess of albuminous products (one only smoked meat - time on 3 in day!). It is not necessary. Amino acids stimulate development or manufacture of an insulin - appetite raises or increases, there is a synthesis of Adepses more activly.

3. To eat it is necessary more often (6-7 times a day). Do not wait strong famine - it will be difficult to stop.

4. Daily average caloric content *gt; 1500 kcal. If wish to grow thin, should be less.



Some advice or councils:

- Use small-type utensils (plates, spoons, portions - all small);

- Each slice chew longly (15-20 chewing movements);

- Do not take a great interest or Be not fond in spices and acute seasonings (raise or increase appetite);

- For an hour up to a dream can eat, but slightly: for example, a glass of 1 %-s' yogurt and a grain ship's biscuit;

- If test strong famine (it is ready to eat the elephant!), prepare for stewed vegetables on water (cabbage, tomatoes, vegetable marrows, cucumbers...), for taste add a little bit salts and a lemon juice, - and eat though the whole tazik;

- If very much it would be desirable something *quot; ?aONO?u*quot;, eat and be not excruciated. But often do not sin.

Thanks for rekmendatsii.

And what it is possible to tell or say in occasion of problems with a thyroid gland?

[TREE]

Ration many dead products, squids, the crab of a rod, mjasko smoked, (smoked products necessarily contain saltpeters). The combination of Adepses and legkousvaivaemyh carbohydrates does not promote pohudaniju. A variant fast perekusa on rabote-mjusli filled in by boiled water.

[Melnichenko]

On a thyroid gland of questions is not present.

[Crysya]

On a thyroid gland of questions is not present.

And what means raised or increased 4 (the general or common thyroxine) and lowered Prolactinum, and for an organism such parameters result or bring in what consequences?

[Melnichenko]

krysja! When you zanli, from what rubbish.. Is not present verses do not grow, and analyses are done or made. Rising over 4 can mean everything, that ugodno-from a laboratory mistake or error up to special biochemical the status, called family gipertiroksinemicheskaja \ can harakteririzovat reception by you OK. BUT in that and business, that in the normal world at normal TTG over 4 to look it is not necessary (*quot; and still tell or say a?OnaO?*quot; - t.e to the doctor appointing or nominating analyses, *quot; that in Londolne guns kirpichem do not clean (do not appoint or nominate opredlenie over 4 at normal TTG.).

sosredotochtes on the main thing also do not collect a collection of laboratory problems. And about Prolactinum and in general to speak there is nothing...

[Crysya]

krysja! When you zanli, from what rubbish.. netr verses, and delajujutsja the analysis do not grow. Rising over 4 can mean sve, that ugodno-from a laboratory mistake or error up to special biochemical the status, called family gipertiroksinemicheskaja \ can harakteririzovat reception by you OK. BUT in that and business, that in the normal world at normal TTG over 4 to look it is not necessary (*quot; and still tell or say a?OnaO?*quot; - t.e to the doctor appointing or nominating analyses, *quot; that in Londolne guns kirpichem do not clean (do not appoint or nominate opredlenie over 4 at normal TTG.).

sosredotochtes on the main thing also do not collect a collection of laboratory problems. And about Prolactinum and in general to speak there is nothing...



It is a pity, that nobody could advise something efficient, except for advice or councils *quot; it is less ?OaO*quot; and answers of type *quot; you not the doctor that I to you shall be Oa??a?UoaOy*quot;.: (?-yes.

[Melnichenko]

It is a pity, that you have not found or considered necessary to listen to ours sovetam-at YOU a unbalanced delivery. And, using your terminology. To guzzle it is necessary MUCH MORE, but other products.

You do not have problems with a thyroid gland. And especially not unitary certain low urovne prolakatina - your problem. The spectrum of problems is described.

[Crysya]

It is a pity, that you have not found or considered necessary to listen to ours sovetam-at YOU a unbalanced delivery. And, using your terminology. To guzzle it is necessary MUCH MORE, but other products.

You do not have problems with a thyroid gland. And especially not unitary certain low urovne prolakatina - your problem. The spectrum of problems is described.

I with pleasure always listen to advice or councils.

Excuse, but you the truth consider or count, what at minus kalorazhe (that is in now I spend calories more, than I consume) and at exercise stresses the person should not grow thin?

[Melnichenko]

All problem in tom.chto a question real \ charges demands detailed discussion .lajt already has shown you the basic problems. By the way, at you excess of mass of a body, but not ozhirenie-IMT 26 kg \?2, t.e zadacha-to not increase or enlarge mass of a body.

[Crysya]

All problem in tom.chto a question real \ charges demands detailed discussion .lajt already has shown you the basic problems.

Well, consider or count so. I advise to esteem E.Vliet's book *quot; weight and uO??U*quot;.

Discussion zakanchiju, in view of it or her besperespektivnosti.

[Melnichenko]

It is absolutely standard situatsija-people a lot of weight are extremely vulnerable and morbidly perceive any hint on disbalans consumption rashodja as the reason of an obesity.



Moreover. As it or him the role of the most fatty tissue in \ a metabolism of hormones is unknown, will discuss difficultly enough real problemy-to stir or prevent imaginary, as in conversation with Krysej.



In dry ostatke-superfluous mass of a body more often - the independent disease caused disbalansov \ of a power consumption. Concrete mechanisms of the reason ettgo \ burdening momenty-job of the doctor to-th not a problem or task of correspondence consultation. Special structures or frames for job with these patients are created.



Naturally, at the first stage it is excluded pervichno-endocrine. Genetic, mental and other pathologies - a specific gravity or relative density of these variants sostavlet less than 10 %.

[Natalia of Item]

The flow output bmj is devoted to an obesity

http: // bmj.bmjjournals.com/current.shtml