Sheryl

Then they may have filed a TM30. Only way to find out is to ask them. If they did not, ask them to do so. And print out screenshot.

Insulin resistance and Type 2 Diabetes are not the same thing, though Insulin resistance can eventually lead to T2D. All over the world, obese people are more likely to develop T2D. However it is possible for people of perfectly normal weight to also develop it if they have a genetic pre-disposition.

Yes, it is a risk factor for gastric cancer.

H. Pylori is adapted to be able to live in stomach acid, unfortunately. A unique feature of it. Eradication of HP requires temporary use of acid suppressjng drugs (usually a PPI) along antibiotic combination. In OP's case he was on PPI anyway for an esophageal condition.

Treatment of H. Pylori requires triple or quadruple therapy. Omeorazole (or similar) plus 2-3 antibiotics.

Yes, you could get re-infected via food she prepares.

An inappropriate post has been removed

More or less as above except not sole cause of ulcers. It is, however, the most common cause. Easily spread through contaminated food. Many people acquire it in childhood, it can be present a long time before causing obvious symptoms, and indeed in many peopke remains asymptomatic, reason unclear.

With the exception of blood gases (mainly done in an ICU), virtually all blood tests are taken from veins or by peripheral fingerstick. Definitely not from an artery. It is not that drinking water "thins" the blood. It is that dehydration will make the blood more concentrated, sometimes skewing lab results.

I would reconsider going there for other than really simple, clearcut issues. Where ard uou located? It is usually worth a bit extra travel to attend a higher level hospital.

It means the manufacturer no longer supplies this drug to Thai distributors. . Typically a financial decision based on low sales. If a hospital still has unexpired product in stock their doctors may continue to prescribe it but once they run out (or it expires) the hospital will not be readily able to get more.

Yes, you should first rest and relax if you just had a steep walk or other physical or mental exertion.

Moved to health forum. It is illegal to buy this over the counter. Only hospitals and clinics. It is also now off market in Thailand. But some hospitals may still have stock.

The "instructions", unless given specifically by the doctor ordering the test, tend to be boilerplate and err on the side of excessive restriction. I cannot offhand think of a single test that would preclude drinking plain water. Taking not even water for 12 hours (which may be much more by the time the blood is drawn) risks dehydration, especially in this hot weather. Which may in fact skew some test results.

There is no need for any type of fasting before a CBC, if that is all that is being tested. Lab appointment slips here tend to say the same thing regardless of test. And hospital staff (not doctors) may tend to just reflexively say no food etc without stopping to check what test and what is really needed. If in doubt ask the doctor ordering the test, not the lab staff or clerks issuing the appointment.

Bickering/flaming posts have been removed. Please keep it civil and constructive.

Please show some respect for the deceased, his partner and his family who may be reading this. Some insensitive posts have been removed.

Please keep it civil.

Nor can one, even if near thd border, be assurred of being stable enough to cross it. And of course a foriegner is not "covered" in Mexico; they have to pay for care. Certainly it costs less than in US but it is not free. And for best quality care/complex treatments would need to travel quite some distance from the border.

For those who consume sufficient animal protein relative to their metaboluc needs there is obviously usually no need to supplement creatine or amino acids etc. However for vegetarians it can be a good idea. The elderly are another group of concern as it is now known that protein needs increase in old age while overall caloric needs (and, often, food intake) decreases. Personally, being both elderly and a vegetarian (and having osteopenia) I think it wise to take it in modest dosage. Many hody builders seem to find it useful as well. Certainly this is not something most people need to supplement but to suggest it cannot benefit anyone is going too far.

OP probably said this due to its usually very high costs

Omron is a very reliable brand. As others have said, no reason to think your monitor is inaccurate just because readings at doctor/dentist offices are higher. Just the stress of being there is enough to elevate your BP. Additionally, the machines used in these places are often not calibrated. And, if they are taking it with a cuff (as opposed to those machines you stick your arm into), often the cuff size is wrong. How different are the reading you refer to? Have you tried taking your monitor to the doctor with you and comparing readings on the spot? And is the cuff size correct? (The inflatable part should cover at least 75% of the total circumference of your arm)

No reputable doctor is going to treat you based on an HTMA, these are not reliable means of measuring minerals in the blood or body tissues (contrary to what the commercial sites of places selling these tests will tell you.). Since you have not been taking any sort of silver supplement and are (presumably) not in an occupation that exposes you to silver, it is extremely unlikely that you actually have excess levels of silver in your body. And if you did, your skin would have a visible bluish-grey tinge. There is no evidence of a linkage between silver and metabolic syndrome. To actually diagnose argyria, doctor would need to do a microscopic examination of a skin sample, looking for blue-gray pigmentation.

https://pubmed.ncbi.nlm.nih.gov/21394604/ There is some evidence that creatine supplementation is helpful in the elderly

Drinking "too much" water does not remove gut flora. This makes absolutely no physiological sense. Water is absorbed through the villae in the small, and to a lesser extent the large, intestine, through osmosis. No effect on the gut flora which are nto so absorbed. If more water is absorbed than needed, the kidneys excrete the excess.