Dr. Yaquelin : Endocrinologist / Diabetologist in Guyana

07/04/2026

Take care of y!

𝐄𝐚𝐜𝐡 𝐚𝐝𝐮𝐥𝐭 𝐚𝐧𝐝 𝐜𝐡𝐢𝐥𝐝 𝐢𝐬 𝐞𝐧𝐭𝐢𝐭𝐥𝐞𝐝 𝐭𝐨 𝐫𝐞𝐜𝐞𝐢𝐯𝐞 𝐨𝐧𝐞 𝐨𝐟 𝐞𝐚𝐜𝐡 𝐡𝐞𝐚𝐥𝐭𝐡 𝐯𝐨𝐮𝐜𝐡𝐞𝐫 𝐩𝐞𝐫 𝐲𝐞𝐚𝐫: 𝐄𝐲𝐞 𝐓𝐞𝐬𝐭𝐢𝐧𝐠 𝐚𝐧𝐝 𝐒𝐩𝐞𝐜𝐭𝐚𝐜𝐥𝐞𝐬, 𝐔𝐧𝐢𝐯𝐞𝐫𝐬𝐚𝐥 𝐇𝐞𝐚𝐥𝐭𝐡, 𝐚𝐧𝐝 𝐂𝐞𝐫𝐯𝐢𝐜𝐚𝐥 𝐂𝐚𝐧𝐜𝐞𝐫 𝐒𝐜𝐫𝐞𝐞𝐧𝐢𝐧𝐠.
Eligible individuals should collect their vouchers from their nearest health centre.

04/04/2026

Male Hypogonadism: More Than Just "Low T"
Male hypogonadism: the body doesn't produce enough testosterone—the hormone playng a key role in masculine growth and development—or has a reduced ability to produce s***m, or both.

​How do you recognize it?
+​P/E :Decreased muscle mass, increased body fat, + reduced bone density.

+Interview​:Energy & Mood: fatigue, difficulty concentrating, or feelings of depression.
​+Reduced libido (s*x drive) and erectile dysfunction.

Classification:
-​Primary Hypogonadism (testicles).
-​Secondary Hypogonadism: ( pituitary gland or hypothalamus) .

​Good news: hypogonadism is highly treatable. -Testosterone Replacement Therapy (TRT) can help restore hormone levels, improving energy, mood, and physical health .
However, a properdiagnosis requires professional blood testing and a clinical evaluation to ensure treatment is safe and appropriate for your specific needs.
​-If you’ve been feeling "off" or experiencing these symptoms, don't ignore them. Consult with a to reclaim your vitality and long-term well-being.
​

04/04/2026

is a major risk factor for autoimmune diseases, emphasizing its close relationship with Graves' disease (hyperthyroidism) and, especially, thyroid eye disease. Smoking alters the immune system, causes a imbalance and severely worsens eye symptoms, increasing the risk of thyroid eye disease by up to eight times.

03/04/2026

⚠️ Why You Should NEVER Stop Your Thyroid Medication
​It’s a common mistake: feeling "better" and thinking the medication is no longer necessary. However, synthetic thyroid hormone replacement is not a temporary fix—it is the essential fuel your body needs to function.
​🚫 What Happens When Treatment is Abandoned?
​When you stop taking your prescribed dose, your metabolism slows down significantly, leading to serious complications:
​Systemic Inflammation: Your body begins to retain fluids and swell.
​Reduced Heart Function: Your heart loses the efficiency needed to pump blood effectively.
​Myxedema: This is the most severe result of thyroid hormone deficiency and can be life-threatening.
​💡 Key Facts to Remember:
​It is IRREPLACEABLE: No amount of vitamins, minerals, or "natural" supplements can substitute for the actual hormone your body is missing.
​Confirmed Need: If clinical tests show your thyroid function is low, the replacement is vital. Do not modify your dose without medical guidance.
​Consistency is Key: Levothyroxine maintains the balance of nearly every organ in your body.
​🩺 Expert Advice: If you have concerns about side effects or feel your dosage needs adjustment, talk to your . Never make the decision to quit cold turkey on your own.
​Was this helpful? Share this post to help someone living with hypothyroidism stay safe and informed. Knowledge is power! 👇
​

03/04/2026

Diabetes Type 2: From Life Sentence to Remission.

​For decades, we believed Type 2 Diabetes (T2D) was a one-way street. The science has changed. We now know that for many, the "permanent" label is a myth. Here is the breakdown:
​🔄 The Biological "Reset"
​Groundbreaking research, including the DiRECT trial, shows that aggressive weight loss—specifically around 15% of body weight—can trigger a metabolic reboot.
​*Significant weight loss removes ectopic fat from the liver and pancreas.
​📊 Key Takeaways
​Remission is possible: Nearly 50% of participants in clinical trials achieved remission within the first year through structured lifestyle changes.
​Not a "Cure," but a "New Life": While the tendency for diabetes remains if weight is regained, achieving drug-free metabolic health is a game-changer.
​The Formula: It requires dedicated, low-calorie nutrition and consistent physical activity.
​🩺 The Bottom Line
​We are no longer just managing symptoms; we are chasing metabolic recovery. If you or a loved one is living with T2D, the goal has shifted from "coping" to "reclaiming."
​"The focus of modern medicine is moving from lifelong treatment to proactive recovery."
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30/03/2026

IA AND MEDICINE!

29/03/2026

The Reality of Weight-Loss Medications: Why Lifestyle Still Matters ⚠️
​A recent high-level evidence from The BMJ (British Medical Journal)—analyzing over 9,000 patients—offers a vital reality check.

​The "Rebound" Effect: The benefits of new drugs (like Semaglutide and Tirzepatide) largely disappear in less than 2 years once the medication is stopped.
​Rapid Regain: Patients regained weight at an average rate of 0.8 kg per month after ending treatment.
​Heart Health Reversal: Improvements in blood pressure and cholesterol levels returned to their original, risky baselines within 1.4 years.
​The Professor’s Perspective:
​Data shows that these medications are not a "permanent fix." Without a fundamental shift in lifestyle, activity, and nutrition, the body naturally returns to its previous state. High costs and potential long-term side effects make relying solely on drugs a fragile strategy.
​The Conclusion: True metabolic health is built on sustainable, long-term habits—not a temporary prescription. There are no shortcuts to a healthy architecture.
​Reference:
Based on a meta-analysis of 37 studies published in The BMJ.
Consult your specialist for a sustainable, long-term metabolic plan.
​

29/03/2026

Growth Hormone: 📈
​As we explore the intricate pathways of human physiology, it is essential to recognize Growth Hormone (GH)—also known as somatotropin—not merely as a factor for height, but as the master signal for building, repairing, and regenerating our physical structure.
​Produced by the gland under the guidance of the hypothalamus, this acts as a lifelong "structural manager."
While it drives the transition from to , its role in maturity is equally vital for metabolic health and tissue integrity.
​
​Metabolic Impact: Beyond bone growth, stimulates protein synthesis to maintain muscle mass, facilitates the burning of fats for energy, and bolsters the immune system.
​The Liver Axis: Once in the bloodstream, it prompts the liver to produce secondary growth factors that enable cell multiplication and bone strengthening.
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29/03/2026

🏋️‍♂️ Hypothyroidism & Weightlifting: Why Muscle is Your Best Ally
​Many people believe that having hypothyroidism means a slow metabolism is inevitable.
​Here is why "lifting weights" is a game-changer for your thyroid health:
​More Energy: More muscle means more mitochondria—your cellular "power plants" that produce ATP (energy).
​Metabolic Boost: Unlike just walking, resistance training increases your resting metabolic rate. Your muscles burn more calories even while you sleep!
​Hormonal Balance: Regular exercise improves insulin sensitivity and helps keep cholesterol and triglycerides in check, preventing metabolic syndrome.
​The "Afterburn" Effect: Strength training can keep your body burning fat for up to 24 hours after you finish your session.
​💡Recommendation:
Combine 30 minutes of aerobic exercise (2-3 times a week) with a structured weightlifting routine.
​Start slow, listen to your body, and as your symptoms improve, you can increase the intensity.
​📢 ask for ....