The Clinical Picture
Off medications for 1 year, her triglyceride level was 10,250 mg/dL, hemoglobin A1c 12.4%.
Symptoms to Diagnosis
Men with hypogonadism usually present with nonspecific symptoms.
Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.
Medical Grand Rounds
Is the rise in chronic diseases due to loss of microbial diversity?
Treatments can offer enhanced quality of life.
From the Editor
The impact of antibiotics on the gut microbiome may be implicated in the rise in obesity and diabetes.
Shared medical appointments allow multiple patients to be managed together by a multidisciplinary team.
An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.
It is important to diagnose and treat the female athlete triad to maintain optimal bone health.
Consider using chronic weight-loss medications as adjunctive therapy if lifestyle and behavioral strategies are ineffective.