The Y-Y PARADOX

[gothamprince]

6 minutes ago, CanadianMalodu said:

I have seen smart doctors and dumb ones as well. The latter ones are usually most arrogant. The ones I met in India, do keep writing pills without even proper investigation.  Say a 42 year old man comes to you with high blood pressure with no thyroid and normal renal function. What would you do?

I will check for other secondary causes such as pheochromocytoma and conn's disease cushing's , and also rule out sleep apnea a very important cause and medication history such as NSAIDS

If none of them is present then it is primary hypertension then the stage of hypertension is important that is according to JNA 8 Classification that is it 120-140 or 140-160 etc

As you have mentioned no renal complications and also check for coronary artery disease and also neurologic complications 

If none of the complications are present then it is uncomplicated hypertension 

If it is stage 1 then suggest lifestyle modifications 

If not controlled or in higher stage I start with calcium channel blockers in this patient considering his age like amlodipine 5-10 mg daily

[gothamprince]

18 minutes ago, CanadianMalodu said:

I have seen smart doctors and dumb ones as well. The latter ones are usually most arrogant. The ones I met in India, do keep writing pills without even proper investigation.  Say a 42 year old man comes to you with high blood pressure with no thyroid and normal renal function. What would you do?

Dude we may have many differences but you do understand what am I trying to say in this thread  that low threshold of fat percentage depends on his HDL and LDL levels which determines the fatty acids transport to the tissues for metabolism 

[tennisluvrredux]

5 hours ago, gothamprince said:

  People in this db who thinks they know something and talk nonsense without any idea of fat metabolism how it works like @Teluguredu and who likes his idiotic comment like @tennisluvrredux are pieces of crap,this thread is wasted by the stupidity of these idiots 

How ironic that a gym moron thinks he knows better than a doctor, is this the world we live in

Mingey be chooth phooka, Edo donation seat tho seat konesi nuvvu expert Ani cuttinglu mingaku ra half baked potato. Poyi Trisha poster ki karchuko there's nothing you can do in life better than that loser. 

I will like every post that shows you what the piece of human excrement you are, now go jerk off to Trisha again because no one else will give you their time of the day anyway. 

[tennisluvrredux]

4 hours ago, Teluguredu said:

Write more bullshit without making any sense.even he knows 9% body fat isn't normal unless you are a professional athlete.

That idiot is not even a doctor or anything, he's just faking it here. Even the most basic BiPC student would know that 9% bodyfat isn't normal by any means, and far less than 1% of the population has that low a bodyfat.

For that moron @gothamprinceto claim it as normal proves that idiot lacks basic braincells, if this moron is indeed a doctor who purchased his seat it's all the more reason to be afraid as this moron shouldn't even be allowed to get close to a patient. 

[tennisluvrredux]

4 hours ago, Teluguredu said:

You can't even comprehend simple questions ,how are you anything except a donation doctor.

He's even faking that, I don't think any one with a half functioning brain can peddle BS bro science like this dumbfcuk @gothamprince. Donation or no donation, unless of course this idiot is at some bottom of the barrel school with no standards.

No wonder this chootiya is always here worshipping and simping for Trisha, imagine being that jobless.

[tennisluvrredux]

4 hours ago, gothamprince said:

And I  studied in top 10 medical College in the country fool unlike some name less where you studied your stupid engineering which is obvious that you are arguing with a doctor about medicine 

Orey konda fruit, nee college Peru cheppa ra and nee batch nuvvevadivo I will find out within no time. I've got plenty of doctors from not just my generation but also the last 3 generations, I will pull your entire biography you faking buffoon.

I bet you won't do that, sussu kaarchukuntu poyi bathroom lo unna Trisha posters ki kaarchukuntavu poyi.

[tennisluvrredux]

4 hours ago, Teluguredu said:

What does " low fat percentage is affected by LDL and hdl" mean lol, sentence doesnt even make any sense.

Just like how he argued about Trisha's national award winning performances the other day, which are non existent btw. This idiot will come back and start barking making himself to be even a bigger fool than he showed himself to be so far. 

[tennisluvrredux]

4 hours ago, gothamprince said:

Doctors are smart , it's beyond your comprehension, it's not everyone's cup of tea to study medicine and Excel in it

Nee details cheppa ra fake pakodi gaa, excel anta. Nuvvu bathroom lo Trisha ki kottukunna drops ki surf excel pettu utukkotaniki maatrame panikosthavu

That's your level ra simp.

[tennisluvrredux]

12 hours ago, gothamprince said:

It is from lancet , it is published article 

Don't cherry pick what you are trying to peddle ra fake pakodi ga, provide a link to the full article. 

We all know about Lancet ra Trisha ass licking fool, provide a link to the actual article so we can read for ourselves instead of having an imbecile idiot trying to drive whatever it's trying to.

[gothamprince]

1 hour ago, tennisluvrredux said:

Mingey be chooth phooka, Edo donation seat tho seat konesi nuvvu expert Ani cuttinglu mingaku ra half baked potato. Poyi Trisha poster ki karchuko there's nothing you can do in life better than that loser. 

I will like every post that shows you what the piece of human excrement you are, now go jerk off to Trisha again because no one else will give you their time of the day anyway. 

Rey lanjavodka , evaduvra donation seat , poyo anasuya aunty lanti vallaki kottuko ra ** 

You are a pig excrement ra bewarse munda 

[gothamprince]

1 hour ago, tennisluvrredux said:

That idiot is not even a doctor or anything, he's just faking it here. Even the most basic BiPC student would know that 9% bodyfat isn't normal by any means, and far less than 1% of the population has that low a bodyfat.

For that moron @gothamprinceto claim it as normal proves that idiot lacks basic braincells, if this moron is indeed a doctor who purchased his seat it's all the more reason to be afraid as this moron shouldn't even be allowed to get close to a patient. 

What do you even know about biology ra lamdikodaka neku 3 generation doctor telusu annav kada ra Munda koda adigi ra vallani evadina 9% not normal for a professional marathon runner Ani adugu vallu cheptaru , show this thread to any doctor you know and I am challenging to prove any single line of my statement wrong ra kojja , nuvvu Elli tabu , anasuya *** lanti vallaki kottukuntunte ardam avtundi nuvvu enta konda erripiku vo lanjavodka

[gothamprince]

1 hour ago, tennisluvrredux said:

Don't cherry pick what you are trying to peddle ra fake pakodi ga, provide a link to the full article. 

We all know about Lancet ra Trisha ass licking fool, provide a link to the actual article so we can read for ourselves instead of having an imbecile idiot trying to drive whatever it's trying to.

I provided the link ra ** see the thread ra kojja *** codka

[gothamprince]

1 hour ago, tennisluvrredux said:

Nee details cheppa ra fake pakodi gaa, excel anta. Nuvvu bathroom lo Trisha ki kottukunna drops ki surf excel pettu utukkotaniki maatrame panikosthavu

That's your level ra simp.

Nee details cheppara kojja, nee Amma charitra kuda chepta , nee Amma Elantido, nee Amma , nee nanna elati vallo kuda chepta ra sollu ** velli anasuya **** lo doora Manu ra me Amma ni nanna tho paru nuvvu dooru

[gothamprince]

1 hour ago, tennisluvrredux said:

Orey konda fruit, nee college Peru cheppa ra and nee batch nuvvevadivo I will find out within no time. I've got plenty of doctors from not just my generation but also the last 3 generations, I will pull your entire biography you faking buffoon.

I bet you won't do that, sussu kaarchukuntu poyi bathroom lo unna Trisha posters ki kaarchukuntavu poyi.

I will proudly say I am from 2013 batch of Kasturba medical College, manipal ra I am telling my ID too 130101260 , no one is afraid here , I am better than your 3 generation doctors ra, kanukko manu 

Nuvvu nee details cheppara kojja, where did you study and your batch I will also enquire how fake you are ra lanjacodaka 

I dare you ra kojja comeon

[gothamprince]

1 hour ago, tennisluvrredux said:

Nee details cheppa ra fake pakodi gaa, excel anta. Nuvvu bathroom lo Trisha ki kottukunna drops ki surf excel pettu utukkotaniki maatrame panikosthavu

That's your level ra simp.

Cheppanu kada details nuvvu velli anasuya doddi ni tinu dani ucha tagu ra lamdicodaka, 

Ippudu nee details cheppara kojja , mee family history mottam chepta e db lo