Dr. Shk. DASHAMIR GJERGJI, Endocrinologist
Age
51 vjeç
Seks
Male
Nationality
Albanian
Mobile
0672036611
gjergjid2000@yahoo.com
Specialities
Procedures
THYROID & ABDOMINAL ECO
Workplace
Spitali AMAVITA, Rruga Budi, 75/3 -1000 Tirane, TiraneProfessional qualifications
| PHD | 2009-continuation | QSUT-TIRANE | THE ROLE OF FNA IN THE DIAGNOSIS OF THYROID CANCER IN OUR COUNTRY |
| MASTER-ENDOCRINOLOGY | 2003 | ISTANBUL-TURKEY | ALTERNATIVE TREATMENT OF ACROMEGALY |
| MASTER IN ECONOMY-PUBLIC ADMINISTRATION | 2007-2009 | FACULTY OF ECONOMICS | COMPARATIVE ASSESSMENTS OF DIFFERENT HEALTHCARE MANAGEMENT SYSTEMS |
| TRAINING IN ULTRASOUND | 2005 | ROME-ITALY | THYROID ULTRASOUND |
| ULTRASOUND COURSE | 2008 | QSUT-TIRANE | ECO REGION OF THE NECK AND ABDOMINAL |
| KURS KLINIK PASUNIVERSITAR | 2008 | LA VALETTA - MALTA | SYNOPSIS ON ENDOCRINE THERAPY |
| SUMMER SCHOOL in ENDOCRINOLOGY | 2009 | ESTONIA | CURRENT DIAGNOSIS AND TREATMENT IN ENDOCRINOLOGY |
| EASD CONGRESS | 2006 | DENMARK | EUROPEAN ASSOCIATION DIABETES STUDY 42nd CONGRESS |
| KONGRESI BOTËROR I DIABETIT | 2009 | MONTREAL-CANADA | KONGRESI BOTËROR I DIABETIT |
| EASD CONGRESS | 2009 | VIENË = AUSTRIA | 45 EUROPEAN DIABETES STUDY |
| EUROPEAN ENDOCRINE CONGRESS | 2008 | BERLIN-GERMANY | ANNUAL EUROPEAN CONGRESS OF ENDOCRINOLOGY |
| EASD CONGRESS | 2010 | STOCKHOLM-SWEDEN | 46TH ANNUAL EUROPEAN DIABETES CONGRESS |
| KONGRESI BOTËROR I TIROIDES | 2010 | PARIS-FRANCE | 14TH WORLD THYROID CONGRESS |
| UPDATE IN ENDOCRINOLOGY | 2004 | ROME-ITALY | JOINT MEETING of the AMERICAN ASSOCIATION of CLINICAL ENDOCRINOLOGISTS & ITALIAN ASSOCIATION of ENDOCRINOLOGY DOCTORS for the latest diagnostic and therapeutic developments in endocrinology |
| Sleep Breathing Apnea Conference | 2011 | PRAGUE-CZECH | SLEEP BREATHING APNEA IN OBESITY |
| EASD CONGRESS | 2011 | LISBON-PORTUGAL | 47th European Diabetes Study Congress |
| NUCLEAR MEDICINE TRAINING | 2005 | ATHENS-GREECE | TRAINING IN THYROID ULTRASONOGRAPHY |
| KONGRESI BOTËROR I DIABETIT | 2011 | DUBAI | World Congress of Diabetes |
Medical publications
| acromegaly diferent treatment | 2003 | turkish journal of endocrinology |
| obesity and sex-bindig globulin | 2003 | turkish journal endocrinology |
| laser-ablacioni i nodujve te tiroides | 2009 | revista e urdherit te mjekut |
Published articles
| Hypothyroidism - Decrease in Thyroid Function | September 2012 | 12 comments |
Leave your review for this doctor
Find out who this doctor is. We Albanians should be proud to have such a doctor
Sent by Kimi, më 28 June 2012 në 08:43
Firstly, this doctor is characterized by simplicity, which makes him accessible to patients, and the other most important thing is that he is an irreplaceable specialist dedicated with passion to his field
Sent by fadili, më 13 May 2013 në 13:31
Thank you, Fadil, for your evaluation!
Replay from Dr. DASHAMIR GJERGJI, më 24 February 2017 në 15:24
A complete doctor. Above all, a person, very communicative, precise in his profession, calm, and convincing. It's unfortunate for Durres to have lost such a specialist and person.
Behar Spahiu
Sent by Behar Spahiu, më 14 June 2014 në 02:51
Thank you Behar, I won't easily part ways with Durres and the people of Durres, therefore I will always be close to them
Replay from Dr. DASHAMIR GJERGJI, më 24 February 2017 në 15:19
Dashamir is his name, but he truly is a kind person. I made a visit to this doctor who left me with a special impression. Greetings to you, the Kosovar, you are truly a genius doctor. I thank you for the kind words you gave me
Sent by labinot bobaj , më 11 February 2015 në 13:10
Thank you, Labinot
Replay from Dr. DASHAMIR GJERGJI, më 24 February 2017 në 15:20
Doctor hello! I wanted to know what foods should patients with iodine excess consume? Thank you!
Sent by Zhuljeta , më 19 September 2015 në 11:55
You have the details of an interview of mine on TV. You can find it on my Facebook page
Replay from Dr. DASHAMIR GJERGJI, më 24 February 2017 në 15:21
You are wonderful, doctor! I haven't had a visit with you but based on the articles you've posted and the medical publications I have read, you are unparalleled. I am still quite young and I even addressed my thyroid issue in a message, I don't know if you have received it, I sent it to you under the article you posted online. Please, if possible, reply to me. Anyway, I adore to become such a famous doctor when I grow up like you, I don't know if I will achieve the goal but it really is a beautiful job being a doctor
Sent by Kiara, më 19 March 2017 në 07:19
Thank you Kiara, I hope you become a doctor, and I am convinced that you will be even more successful than us because time and medicine always move forward. I will answer your question soon
Replay from Dr. DASHAMIR GJERGJI, më 19 March 2017 në 13:21
to my daughter after the blood tests it turns out she has TSH 20, can this disease be cured
Sent by diana, më 03 April 2017 në 14:00
It must be treated continuously with thyroid gland hormones in the form of medication. The doses are changed depending on the clinical condition and the analyses
Replay from Dr. DASHAMIR GJERGJI, më 18 April 2017 në 15:52
Hello doctor! Thank you for the information. I have been treated with levothyroxine for years after being diagnosed with autoimmune hypothyroidism. I was taking 75 micrograms until April, but since the TSH analysis came out at 1.73, I slightly reduced the dose to 50 micrograms. Today, June 19, my TSH came out at 5.61. Is such an increase in TSH values normal? Should I increase the dose again?
Moreover, lately, I constantly feel pins and needles in my arms and legs and on half of my face, as well as a sort of cramp or blockage mainly in my legs. And my legs feel like they are burning but when I touch them they are not hot. Is this related to hypothyroidism? Usually, during the spring, I experience some disorder
Sent by Manjola, më 19 June 2017 në 08:20
Hello madam, generally I have tried to respond within a short period of time to the questions of various readers, this due to many commitments and the limited time of navigating in virtual communication. Regarding your question, I find only one issue and this is related to the fact that you have reduced the dose of the medication without it being necessary to do such a thing. As for the other concerns, are they more of a functional nature rather than related to the malfunctioning of your thyroid gland?
Replay from Dr. DASHAMIR GJERGJI, më 19 June 2017 në 16:22
Thank you, doctor! The second email was a test since my comment wasn't showing. I didn't know how it worked. Sorry!
All the best!
Sent by Manjola, më 20 June 2017 në 09:14
Good evening, I am Raimonda Alliaj, I have done some tests for the thyroid and I would like to request an appointment with you, Dr. Dashamir Gjergji. Could you please arrange an appointment for me to visit?
Sent by Raimonda Allija, më 28 June 2017 në 12:55
You can contact us at phone number 0672036611
Replay from Dr. Shk. DASHAMIR GJERGJI, më 10 July 2017 në 15:41
Hello doctor, I hope you are well! If you can, please reply to me! During the analyses I have done, I mean T3, T4, and TSH, the values for T3 and T4 are normal, however, the TSH value is 7.69. The doctor who guided me after checking the results told me that it is not something to worry about, so please reply to me if I should be concerned about the TSH value and if so, what do you suggest for treatment, e.g., should I go to another specialist or what should I do because I can’t stop thinking about it, it feels like I’ve become obsessed. Thank you!
Sent by Jaser, më 31 Agust 2017 në 20:16
Hello sir, regarding what you referred to me above in the form of a question, I find it unnecessary for you to worry too much. You suffer from subclinical hypothyroidism, which is nothing else but a condition between the norm and the disease of underproduction of the thyroid. In fact, you need a specialist's opinion because this condition is not always left untreated
Replay from Dr. Shk. DASHAMIR GJERGJI, më 03 September 2017 në 17:47
Hello doctor. The analysis values are TSH 1.3 and anti Tpo 84. I am currently taking thyroid complex. Is it the right medication?
Sent by Naevi, më 06 September 2017 në 08:01
Hello, the right to start or change treatment for you, as for every patient, is solely with the doctor who takes care of you. The data above alone are not enough to make a more in-depth professional judgment. Do not interrupt the treatment with your doctor or pharmacist
Replay from Dr. Shk. DASHAMIR GJERGJI, më 10 September 2017 në 16:16
Hello doctor, I wanted to ask about my mom. Her TSH is 3.02, while anti TPO Ab is 652.7. Thank you if you find the time to answer me
Sent by Anila, më 16 December 2017 në 07:46
Hello Mrs. Anila, the mother suffers from chronic Hashimoto's thyroiditis. Fortunately, this disease has not caused damage to the function of the thyroid gland, so there is no need for medication at the moment. Every 6 months, you should perform the functional thyroid tests
Replay from Dr. Shk. DASHAMIR GJERGJI, më 16 December 2017 në 16:47
Hello Doctor,
The latest results, free T4 fraction 17.1 and TSH 1.84.
I use letrox 50mcg 1x1/2
I have been experiencing concerns, fatigue, fear, irregular heartbeats, etc., all the time.
What do you think about my case?
Thank you very much!
Sent by Dita, më 18 December 2017 në 18:06
Hello madam, generally the values of thyroid hormones are normal, so I do not think that the complaints you mention are related to disorders of this gland. If you exclude other issues, the therapy for thyroid diseases can be re-evaluated
Replay from Dr. Shk. DASHAMIR GJERGJI, më 19 December 2017 në 13:05
Hello,
My dad is suffering from lymphatic glands; he also has them in his lungs. They told him it's an infection, but they don't know exactly what it is. He has had swelling in his neck and underarm lymph nodes for two years, and they can't seem to diagnose him
Sent by ibadete, më 23 December 2017 në 10:21
Hello Mrs., the enlargement of lymph nodes in various parts of the body as well as in the lungs indicates an immune response to an external infectious agent or when there is an autoimmune disease. I believe that more in-depth examinations are required for an accurate diagnosis of the pathology, which might be TB, SARCODOSES, etc. In any case, this problem should be addressed to a Pulmonologist or a lung disease specialist
Replay from Dr. Shk. DASHAMIR GJERGJI, më 01 January 2018 në 13:00
I live in the USA.
I suffer from hyperthyroidism. I use Syntheroid 175mcg.
Please, does this medication exist in Albania?
As I am thinking of returning temporarily to Albania.
But I don't know what to do about the Syntheroid medication?!
I live in the USA.
Thank you for the time you spend on me
Sent by Tare zholi, më 24 December 2017 në 08:24
Hello, the medication you are using contains the thyroid hormone, Thyroxine. Of course, we also have such medications, even if they are not under the commercial name x for example, you might find them in form y or z. The disease you are suffering from is very widespread and we have thousands of patients who regularly use these medications here and are completely OK
Replay from Dr. Shk. DASHAMIR GJERGJI, më 01 January 2018 në 13:04
Hello Doctor, I hope you are well. I wanted to ask about my mother, her ultrasound showed nodules and the report is as follows: the right lobe measures 46x25x15mm with a hyperechoic echotexture containing a 19mm hyperechoic nodule, increased intra and perinodal circulation without regional lymphadenopathy. The left lobe measures 48x21x19 mm, with a heterogeneous echotexture containing multiple hypoechoic areas, particularly in the lower part of the lobe, including a 17.5 mm heterogeneous nodule in the lateral part of the lobe with a hypoechogenic halo in its upper part. Increased intra and perinodal circulation without regional lymphadenopathy. The isthmus has an antero-posterior diameter of 3.8mm with a heterogeneous echotexture. While her blood tests came back normal but with a tendency for overproduction. Is this a big problem and does the thyroid need to be removed, or can it be treated? Thank you if you find the opportunity to respond. All the best!
Sent by esma, më 16 April 2018 në 03:39
Hello Mrs, the diagnosis in the case you refer to me is Multinodular Euthyroid Goiter. In fact, I have doubts about the thyroid function, because when you say there is a tendency, and some ultrasonographic elements talk about excess iodine, I think we need to delve deeper with examinations and then with treatment. If possible, you can bring it in for a consultation. Take care!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 18 April 2018 në 08:57
Hello Doctor, it's Esma again asking about my mother. Thank you for finding the time to respond to me. I wrote to you before and you told me that she has a euthyroid multinodular goiter, and the results of her tests are these: T3 1.23, T4 11.72, and TSH 0.65. Now, my mother will undergo another surgery on her uterus, so we can't come but we will definitely visit you later. I would be very grateful if you could give me a response. Thank you!
Sent by esma, më 20 April 2018 në 03:00
Hello, the analyses you have sent me appear normal, so I think there is no urgency regarding thyroid issues. Once you have undergone the procedure, you can write to me again, and you can consult with any endocrinology specialist doctor
Replay from Dr. Shk. DASHAMIR GJERGJI, më 20 April 2018 në 08:04
Hello Dr. Dashamir, please, is it possible for you to give me your opinion? My eight-year-old daughter has been diagnosed with a lymphatic disorder. I would like to ask how I can bring my daughter to you for a check-up
Sent by Astrije, më 21 April 2018 në 03:14
Hello, the problem that your daughter has is not related to the specialty that I cover. I am an endocrinologist who deals with the treatment of diseases of the endocrine glands, or hormonal disorders. Your daughter most likely has gone through a localized infection near the enlarged lymphatic gland. It is routine for our organism to protect itself against various infections, through the lymphatic pathways, and the enlargement of the lymphatic gland is a good sign of immune defense. You should consult with an infectious disease doctor. Goodbye!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 27 April 2018 në 05:16
Sure, doctor, I wanted to know if I have problems with the thyroid gland. I consume a lot of food but do not gain weight. I have an obstruction during the swallowing of food and saliva, and I also have a lot of headaches, and they told me that these are signs of the thyroid gland
Sent by kristina cika, më 03 May 2018 në 08:04
Hello, I find it difficult to draw a professional conclusion based only on your complaints. At this moment, I would suggest you to have a consultation with an endocrinologist
Replay from Dr. Shk. DASHAMIR GJERGJI, më 04 May 2018 në 03:49
Hello, Dr. Dashamiri. I wish you well for your dedicated work.
A relative of mine, from the thyroid ultrasound, got the evaluation "The right lobe measures 43x15x14 mm with an isoechoic nodule in contact with the isthmus measuring 11 x 12 mm."
What should we do in this case? Is it a cause for concern?
Thank you in advance
Sent by Anila, më 23 June 2018 në 11:58
Hello Anila, there is nothing to worry about regarding the case you wrote to me about, but it would still be good to have an assessment of thyroid function. If you continue to have difficulties, you can write to me again or contact me personally
Replay from Dr. Shk. DASHAMIR GJERGJI, më 18 July 2018 në 05:15
Hello doctor.
I wanted to ask you something.
Three months ago, I developed a gland on the thigh area.
I went for a check-up and was told that it is a lymphatic gland and it swelled due to an infection.
I was hospitalized for a week. They treated me with antibiotics.
Then I continued the treatment at home.
I also had five injections at home.
I continued the treatment again, but I still have the gland.. how is it possible that despite all those antibiotics I took, both injections and pills, it hasn't gone away?
...
Could it be something else?
Sent by Xhesika bani, më 15 July 2018 në 08:06
Hello ma'am, your issues are not related to the professional matters I specialize in. You should consult an infectious disease doctor for these concerns
Replay from Dr. Shk. DASHAMIR GJERGJI, më 18 July 2018 në 05:42
Hello doctor! I did my thyroid tests in December because my hair was falling out. TSH 4.46, ANTI-TG 29.1, ANTI-TPO 278.1. They told me it was Hashimoto's thyroiditis, and I took 1/2 of EUTHYROX 75mg every morning. In March (after 3 months), I did the tests again: TSH 3.33, FT4 8.0, ANTI-TG 22, ANTI-TPO 215.9, TG 9.1, CT 1.0. I took 1 pill of EUTHYROX 50 mg every morning. Now, I did the tests again 10 days ago (after 3 months): TSH 0.01, FT4 28.3, FT3 5.24, ANTI-TSI 2.86, TG 41.42. I don't understand what has happened, maybe I took EUTHYROX for too long? They also gave me cortisone spray for my hair. Now the doctor says I need to take methimazole for 40 days, but I'm scared to take it because I read on the internet that it has side effects, like hair loss??? Please, I'm waiting for a response from you
Sent by ERI , më 28 July 2018 në 04:51
Hello Doctor,
In my analysis, my TSH came out 5.43 while TPO 166, meanwhile, T3 and T4 are within normal values. What can you tell me, should I take medication?
Sent by Ana, më 08 Agust 2018 në 21:46
Hello Mrs. Ana,
In your case, it remains to be carefully evaluated whether you need treatment or not. Other clinical elements need to be taken into consideration. If you are not suffering from any other illness and are young, I think you should not be treated
Replay from Dr. Shk. DASHAMIR GJERGJI, më 10 Agust 2018 në 11:32
Hello, I wanted to ask if my test results are good T4 - free T4 fraction Result 13.8, Standard 10.3 - 23.1 and TSH - thyrotropin Result 0.90, Standard 0.40 - 4.0.
I await your response. Thank you!
Sent by Flora Kosumi, më 15 January 2019 në 08:21
Hello Mrs. Flora, from a functional perspective, it does not seem that you have a problem with the thyroid gland, but you need to also perform an ultrasound evaluation of this gland. Write to me again, about the progress!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 27 January 2019 në 12:22
Hello Doctor,
Please, my problem is that my cortisol level is 1390 nmol/l, diabetes 128mg/dl, and prolactin 33.98ng/ml. I have abdominal bloating and severe headaches. What do you suggest?
Thank you in advance
Sent by Tina, më 09 February 2019 në 05:38
Hello Tina, I don't know if you have had a CT scan or an MRI. You need to seek a specialist's check-up urgently. Take care!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2019 në 14:58
Hello doctor!
I am asking for help regarding a concern, and I would kindly request a recommendation. My mother has had type 2 diabetes for 15 years. For a few months now, she has developed some wounds under both feet. After the analyses we have done, it turns out to be an infected diabetic ulcer, and we have just started treatment for the infection, but we see that the wound has not improved at all. The doctor treating her suspects neuropathy and calcification of the blood vessels in the foot sole, and I wanted to know if there is any treatment for these two problems
Sent by valmir , më 06 July 2019 në 17:31
Hello Valmir, in these cases the treatment is primarily aimed at normalizing diabetes and specifically treating problems with blood vessels and nerves. These damages need to be corrected and treated as quickly as possible to prevent more severe damage to the diabetic foot
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2019 në 15:07
Hello doctor. I hope you are well. Please help me with some information regarding: I have done tests for testosterone and FSH, where the result was testosterone lower than 2 and FSH above 26. The andrologist told me that it's a problem if I plan for children. Since then, I have been undergoing endless tests and treatments, but I have not seen any improvement. Please, I need your opinion. Am I doing something wrong, and should I be followed by an endocrinologist? No doctor has told me what I should do. Reading about my case, I understand that maybe I should consult a hormone specialist. Please, I need an answer. Waiting. Thank you
Sent by Denis, më 17 July 2019 në 13:41
Hello Denis, with the average values that you have referred to, I judge that you have minor issues regarding androgen hormone levels. However, the part related to fertility needs to be assessed based on a detailed analysis of the spermogram. It is certain that testosterone deficits sooner or later reflect reproductive issues. If you want to consult an endocrinologist, you need to contact one of the clinics where the doctor works
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2019 në 14:47
I don't know, but I need to get to know it for the girl who has Hashimoto's and shows these symptoms described by the doctor. I would really like to take her for a visit, hoping to find a solution for her as well, since they tell me to use only selenium and that's it, but she swells up every day
Sent by Lata, më 08 Agust 2019 në 04:12
You can get the answer for your case if you present yourself at the clinics where the doctor serves, because a careful assessment is required
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2019 në 14:38
Hello Doctor. I have just done my thyroid tests, specifically these tests: TSH: 3.30, Anti TPO: 414.8, Anti TG: 105.4. Please, can you give me an explanation and suggest any medication? Should I do other tests or can a medication be prescribed with these tests? Thank you. Good luck with your work
Sent by Anxhela Ziu, më 27 Agust 2019 në 03:01
Hello Anxhela, the analysis is clear. You suffer from chronic Hashimoto's thyroiditis. The risk of this phenomenon is that over time it leads to a decrease in the function of the thyroid gland. Do not perform other analyses, but you need to be treated under these conditions that you are in
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2019 në 15:02
Hello doctor, I am 27 years old, I have been treated for thyroid issues for several months now, initially with TSH values at 8.2 and anti TPO at 350. After 1 month of treatment with euthyrox 50 mg, one pill a day, my TSH went down to 1.7 while anti TPO was 349. After another 3 months with euthyrox, one pill a day, and also one pill of vagostabyl in the evening (sometimes 2 a day if I wasn’t feeling well), my TSH went down to about 0.13 while anti TPO went down to 300, and I was told to continue with one pill of euthyrox, to add one pill of tirolux in the morning, and to continue with one pill of vagostabyl. Initially, I only experienced anxiety and fatigue, but recently I feel very tired all the time, I have a significant lack of concentration all the time, and very often I feel completely drained and almost like I'm about to faint, with no concentration and a heavy head. Are these recent symptoms related to my thyroid? Or should I perhaps undergo another check-up? Because for my age, I feel very bad, people often tell me it's all in my head, but it's not like that at all since I feel all of it physically first, and then I also experience it mentally.
Thank you in advance
Sent by Melser, më 08 September 2019 në 16:47
Hello Melser, the diagnosis is clear, the nodule. The clinical picture is not always entirely related to thyroid disorders. You can contact a doctor at one of the clinics where they serve
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2019 në 14:51
You are a very good doctor please this is my phone number call me please +38349594406
Sent by Anton , më 10 September 2019 në 16:52
Hello, you can contact the doctor through the clinic's secretary's office where you wish to have your medical visit. Swiss Medical Center, Diolomat Clinic, Vital 1 Clinic, or Amavita Hospital. All clinics are located in Tirana
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2019 në 14:31
Hello Dr. Gjergji, I had my thyroid removed 5 months ago but I'm having a lot of difficulty as if I'm choking on my saliva and sometimes I get a choking cough that until I spit foam from my mouth I don't feel relieved. Is this normal because it's really bothering me
Sent by Aldo, më 05 Agust 2020 në 04:12
Hello Aldo. After thyroid condition interventions, such problems can occur. I hope they are temporary. If the problem persists, you should consult with an ENT doctor. Take care!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 17 December 2020 në 18:08
Hello,
thanking you in advance for your response, I am presenting my concern.
I am 29 years old and have never had (to my knowledge) problems with my thyroid.
In July 2020, I did a TSH test because I had extreme fatigue for a few days and swelling of the neck on both sides. The TSH value came out to be 2.14.
Given that with the naked eye and by touching I continue to notice a swelling on the lower right side, a few days ago I had an ultrasound which resulted as follows: Nodule with necrotic degeneration inside, measuring 36x20 mm.
I emphasize that I have been feeling continuously tired for months, experiencing tightness and discomfort in the neck, weight loss, menstrual cycle irregularity, and frequent heartbeats (130 in the morning, but they gradually decrease to 80 by evening).
The endocrinologist recommended Letrox 50, 1xday, but I do not notice any difference.
I would appreciate your opinion and advice or even a consultation with you regarding my concern.
Thank you!
Sent by Stela, më 11 September 2020 në 09:36
Hello Stela. Generally, I do not comment on the treatments or therapies that colleagues administer due to ethics and lack of time. It is good to present yourself at the clinic for a more accurate assessment. Take care!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 17 December 2020 në 18:05
Hello,
I have done the analysis of vitamin d3 and the result came out to be 9 ng/ml while the normal values are:
< 12 Deficiency,
12 - 20 insufficiency,
20 - 150 Sufficiency;
Can you give me the daily dose of vitamin D that I should take and the name of a good supplement for this vitamin? My weight is about 88 kg.
Thank you for your time!
Sent by Marsida, më 31 January 2021 në 04:24
Hello, you need to continue treatment with vitamin D 2000IU per day for at least 3 months. The treatment needs to be monitored with an analytical reassessment of 25 OH D. It should not be exceeded with prolonged treatment with vitamin D due to the problems that hypervitaminosis can cause in the body
Replay from Dr. Shk. DASHAMIR GJERGJI, më 31 January 2021 në 06:12
Hello Dr. Dashamir! I would like to make a visit to your clinic, please do you operate on Saturdays since I am working on other days of the week. thank you for your time
Sent by Afrim Laçi, më 03 February 2021 në 07:11
Hello Afrim. You can also show up on Saturday at Swiss Medical Center. You need to contact the clinic to schedule the time of the visit
Replay from Dr. Shk. DASHAMIR GJERGJI, më 05 February 2021 në 16:52
Hi, I am a 28-year-old woman and I am worried. My TSH is 6.48 mIU/L. Is this normal and could it cause problems with pregnancy?
Sent by Xhejlan, më 05 February 2021 në 13:22
Hello, the TSH value is high. A clinical assessment is needed to determine if you need medication or not. This abnormal value can affect reproductive ability and the course of pregnancy
Replay from Dr. Shk. DASHAMIR GJERGJI, më 05 February 2021 në 16:56
Please, I am addressing you... even though it might not be your case. I have a 12-year-old nephew. For a few months, he occasionally has a fever of 37 to 37 and a few tenths (1,2, and sometimes 3) and feels exhausted. I have his blood and urine tests, and they seem fine to me. We have also visited a doctor... they say it's nothing... Could it be related to growth? He is a well-developed child... he is involved in sports
Sent by Natalia shoshi, më 12 February 2021 në 12:11
Hello Natalia, I suggest consulting with an infectious disease specialist as a start
Replay from Dr. Shk. DASHAMIR GJERGJI, më 13 February 2021 në 14:12
Hello Doctor. My father has had Covid 19. It's been about 7 weeks since the first day of symptoms. However, now he has high diabetes. His blood sugar is 190 and he has fluctuations in blood pressure, mainly high. What should I do? Is this diabetes figure worrisome?
Sent by Anisa, më 01 April 2021 në 12:26
Hello, the values are not very worrying but the presence of Diabetes is confirmed. You need a close consultation at the clinic to determine the condition and appropriate medications
Replay from Dr. Shk. DASHAMIR GJERGJI, më 01 April 2021 në 17:16
Hello doctor, I have done thyroid tests and TSH is 2.83, FT4 11.8, I am 16 weeks pregnant, should I take medication? At the beginning of the pregnancy, I used Euthyrox 100 mcg as I had a TSH of 6 while the other values were normal. Thank you
Sent by Era, më 10 April 2021 në 06:02
Hello, you need to continue the medication and perform the thyroid hormonal tests every 6 to 8 weeks
Replay from Dr. Shk. DASHAMIR GJERGJI, më 13 April 2021 në 05:11
Hello Dr. Dashamir! I congratulate you on your work. I am a 33-year-old lady. Three months ago, I started experiencing several concerns: rapid heartbeats, anxiety, trembling hands and body, sweaty hands, shoulder pain, and then heating and burning in various parts of the body. This heat would move from the face, ears to shoulders, to the waist. When these hot flashes occurred, my temperature would go up to 37.2 then it would normalize. I had a thyroid ultrasound and it turned out very well. However, the TSH analysis at 0.33 was below normal. After a visit to the doctor, I was prescribed Unimazole and Propranolol. After a month, my TSH is 0.73, I am calmer but I continue to experience body heat. There are moments I am very calm, and then the hot flashes start, especially in one shoulder and face. Could this still be a concern from the thyroid? I emphasize that I have done all the other examinations and everything else comes out fine. Thank you! Regards!
Sent by Nevila, më 12 April 2021 në 15:43
Hello Mrs. Nevila, it is good to consult at the clinic where we can accurately assess the diagnosis and treatments
Replay from Dr. Shk. DASHAMIR GJERGJI, më 22 April 2021 në 10:23
Hello. Can you diagnose any disease related to short stature?
Sent by And, më 26 July 2021 në 03:38
Hello,
A clinical assessment is needed for this case. Not every short stature is part of some disease or genetic syndrome, but when it comes from hormonal deficiencies, it needs to be diagnosed and treated as soon as possible
Replay from Dr. Shk. DASHAMIR GJERGJI, më 26 July 2021 në 07:16
Hello. Can you diagnose any disease related to short stature?
Sent by And, më 26 July 2021 në 03:41
Hello, I am a 49-year-old lady and I have Hashimoto's thyroiditis. The tests I did yesterday came back with TSH 3.879, Ft3 3.72, Ft4 1.24, Anti-TG 0.02, Anti-TPO 1101.9.... I would appreciate your opinion on how to lower the anti-TPO, should I take medication?
Sent by Laureta, më 24 Agust 2021 në 07:17
Hello Laureta,
A clinical and imaging assessment is needed before I can give an opinion on the therapy
Replay from Dr. Shk. DASHAMIR GJERGJI, më 24 Agust 2021 në 08:10
Hello doctor, my mother has had her thyroid analysis and the values are these: FT3: -3.49
FT4: 1.18
While TSH: -0.135 what treatment does she need and for how long? Thank you in advance!
Sent by Denisa, më 11 September 2021 në 15:52
Hello, the case needs to be consulted at the clinic and requires completion with other examinations
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2021 në 15:18
Hello doctor, I have done the tests and wanted you to tell me if I definitely need medication, Ac.anti-TPO 636.53 IU/ml <5.6 high
TSH 1.28 uIU/mL 0.27-4.2
Sent by Mine Hoxha, më 30 September 2021 në 14:47
Hello, your case needs to be consulted closely at the clinic. There is a lack of other imaging and biological data to have a more rational approach to diagnosis and therapy
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2021 në 15:31
It is professionally complete, humane, and understandable
Sent by Besa, më 21 January 2022 në 12:29
Thank you very much, Besa!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 10 April 2022 në 13:11
Hello, doctor, I wanted to ask you why does prolactin increase? If you have time to answer me, thank you
Sent by eriona, më 17 March 2022 në 15:15
Hello doctor, I am 19 years old and in recent times and months I have had some concerns like bloating, swelling in the groin, burning in the groin and back area, as well as weight gain even though I do not consume much food. Ever since this bloating started, I hardly eat anything, just something small from the shop when I am at school, while at home I do not eat bread or dishes at all, only some fruit, and still, I am very bloated and gaining weight. I had a general abdominal ultrasound and all my organs seemed to be in order. Could this weight gain be related to the thyroid? I am looking forward to your response
Sent by Rexhina, më 29 March 2022 në 14:31
Hello, firstly, food intolerance tests need to be done. You may have a deficiency or ineffectiveness of some enzymes responsible for digestion. Regarding the thyroid, a clinical and analytical check is necessary
Replay from Dr. Shk. DASHAMIR GJERGJI, më 10 April 2022 në 13:20
Hello doctor. My son had surgery for a cyst in his throat at the age of 2, but it came back and I have used antibiotics whenever it reappeared. Now the boy is 5 years old and after consultations, they tell me that it has not been completely cleared, which is why it continues to come back and needs to be removed again. I would like to get your opinion as well. Thank you
Sent by Rilanda, më 09 April 2022 në 13:16
Hello, most likely your child's problem has to do with a congenital anomaly. This issue is handled by the ENT colleagues. It is not related to the endocrine system. You should go to the specialists who treat diseases of the nose, ear, and throat. Goodbye!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 10 April 2022 në 13:16
Hello Dr. Dashamir Gjergji!
First of all, I congratulate you on your valuable work.
I am 27 years old and from the blood tests I have done, I have these results in hand:
TSH: 1.74 uIU/mL
T3: 1.28 nmol/L
ANTI-TPO: <0.8 IU/mL
Anti-TG: 116.6 IU/mL
What conclusion can you draw from the above results?
Awaiting your response.
I thank you in advance!
Sent by Elisa, më 11 April 2022 në 04:25
Hello Elisa, if I'm not mistaken, you are the case I consulted with today at Swiss Medical Center. Please send me the image and the ultrasound report. Goodbye!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 14 April 2022 në 16:35
I am once again that mother of the son who has that cyst in his throat, I would kindly ask you if you can recommend an otolaryngologist for my son's visit. Regards
Sent by Rilanda, më 14 April 2022 në 11:30
Hello Mrs. All colleagues in ENT (Ear, Nose, and Throat) have very good professional training. You can address them directly and I believe they will solve your problem
Replay from Dr. Shk. DASHAMIR GJERGJI, më 14 April 2022 në 16:38
Hello doctor! I am interested in a thyroid check. Could you please schedule an appointment for me?
Sent by Ilda, më 15 April 2022 në 05:59
Hello, you can come for a consultation at Swiss Medical Center. You need to contact the clinic. +355 67 4033343 to confirm the appointment time. If you have done any previous analyses, ultrasound, or other examinations, you should bring them with you.
Dr. Dashamir Gjergji
Replay from Dr. Shk. DASHAMIR GJERGJI, më 20 April 2022 në 16:12
Hello Dr! I have a question, does a TSH value of 7.77 uIU/ml present any problem during pregnancy in week 19?
Sent by AT, më 21 April 2022 në 13:39
Hello, it's an abnormal value in pregnancy. You need to get a consultation as soon as possible
Replay from Dr. Shk. DASHAMIR GJERGJI, më 22 April 2022 në 16:40
Hello doctor, can you help me with the analyses and do I need to take medication: TSH 5.24, FT4 10.9, anti-TPO (cobas e411) 78.6, anti-TG 80.1
Sent by Xhemi, më 27 April 2022 në 08:18
Hello, it's good to have a consultation at the clinic. Treatment depends on many factors besides the analyses
Replay from Dr. Shk. DASHAMIR GJERGJI, më 27 April 2022 në 16:24
Hello Doctor!
I am a 23-year-old male and for 3 months I have been feeling fatigue, tiredness, anxiety, when I did the thyroid tests my TSH was 16.
Then I took levothyroxine 25 mg for 1 week and for 2 weeks 50 mg
The tests after one month were:
TSH 4.4, anti-tpo 7.5, anti-tg 17.
Please, could you tell me what it might be?
Thank you!
Sent by Sajmon, më 01 May 2022 në 14:48
Hello. I also need the ultrasound imaging of the thyroid or the description, to accurately conclude the diagnosis
Replay from Dr. Shk. DASHAMIR GJERGJI, më 02 May 2022 në 16:16
Hello Doctor. My husband has had a fasting blood glucose level between 150-170 for some time. He did a glycated hemoglobin test, and the result was 5.7. There are some inconsistencies. What do you think he should do, in your opinion? Thank you
Sent by Anila, më 03 May 2022 në 07:49
Hello, I believe we're talking about the case we consulted at the clinic two days ago? Diet, physical activity, and stress reduction. For diabetics, it is very important to follow and periodically monitor blood sugar levels and other parameters
Replay from Dr. Shk. DASHAMIR GJERGJI, më 08 May 2022 në 14:23
Hello Dr! I hope you are well.
I am in the 27th week of pregnancy.
I have undergone the Glucose Loading Test
Fasting 75 while 1 hour after loading with 50 g of glucose. The result 220.
The gynecologist advised me to consult with an endocrinologist
Sent by Irida , më 11 May 2022 në 15:13
Hello, you can come for a consultation at Swiss Medical Center. You need to contact the clinic. +355 67 4033343 to confirm the schedule of the visit. If you have done tests, ultrasound, or other previous examinations, you need to bring them with you.
Dr. Dashamir Gjergji
Replay from Dr. Shk. DASHAMIR GJERGJI, më 11 May 2022 në 16:44
Honorable Dr. Dashamiri - Dashi from now on (with your permission). I was fortunate to contact you a few days ago for a diabetes consultation, recommended by Dr. Agron Meshi. I felt lucky in this contact, for the reason of facing not only a scholar but a person with an eloquently rich language, as professional as it is simple, achieving a "touch on the strings" in me as the newest patient, I believe. Reading the above comments, all positivity towards you, I felt "intelligent" myself because I had not been mistaken in my assessment of a single meeting. In this "market economy" system, alla Shqiptar, I have come to believe that indeed "only the nightingale sings for free", but today I saw that there are still people with so much knowledge who give professional answers - through the media...(for free). I hope that God accepts your deed and compensates you with everything good for you and your family. Once again - lucky to have met you
Sent by Garip Lata, më 28 June 2022 në 08:55
Highly respected Mr. Lata, I thank you very much for the kind words and positive feelings that you convey in your comment. In the 25 years of medical practice that I have exercised so far, I have received endless congratulations, blessings, and best wishes. All of them make me feel good and I believe that I have fulfilled, at least to some extent, the purpose and mission of being a Doctor. When such evaluations also come from academic and gallant individuals like you, they take on maximum meaning and feeling. Respect and consideration for you!
Replay from Dr. Shk. DASHAMIR GJERGJI, më 08 July 2022 në 11:23
Hello, my TSH is 3.87 and Anti TPO is 59.6. The doctor has given me 50 Euthyrox, am I okay? Thanks
Sent by Valmira, më 21 July 2022 në 16:40
Hello doctor, I have done a thyroid analysis and my anti-TPO came out at a value of 110. I have been trying to get pregnant for about a year, I don't know how much it affects
Sent by GLENA, më 01 Agust 2022 në 04:52
Hello, it is best to present yourself at the Swiss Medical Center clinic. Contact 0674033343 for information about the schedule and consultation modalities
Replay from Dr. Shk. DASHAMIR GJERGJI, më 01 Agust 2022 në 06:50
Hello doctor, two years ago I underwent surgery for lymph nodes in the thyroid gland and since that day I have been taking levothyroxine. However, a year ago I got pregnant and my TSH fluctuated but was generally okay. Now, after having given birth to my daughter 6 months ago, my TSH level has risen to 38.38, which is abnormally high because I did not take my medication for a week. In the last two months, I have been taking vitamins since I am breastfeeding my daughter, but when I checked the vitamin content, they were not recommended for people with thyroid problems, so I stopped taking them and resumed my medication. I am concerned if this could harm my daughter since I have not stopped breastfeeding at all. Thank you very much if you find time to answer me because this worries me a lot
Sent by Antigona , më 28 Agust 2022 në 08:16
Hello Mrs. Antigona. You should not discontinue the treatment with Levothyroxine under any circumstances without the approval of the treating physician. You need to restart therapy with this medication and the dose should be increased by at least 25mcg
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2022 në 11:22
Hello doctor.
I have a 3.5-year-old daughter whose TSH analysis came back as 1.73 and anti-TPO 3.9. Meanwhile, T3 and T4 are within normal ranges.
What issues do these results indicate and is there a need for medication, please?
Sent by DENADA, më 28 September 2022 në 05:13
Hello, the results don't seem bad, but you need to contact a pediatric endocrinologist for further evaluations
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2022 në 11:31
Hello doctor, I have problems with low testosterone and I have all the symptoms. I am only 25 years old, can you help me?
Sent by Ersid, më 29 September 2022 në 10:30
Hello, you can come for a consultation at Swiss Medical Center. You need to contact the clinic. +355 67 4033343 to confirm the schedule of the visit. If you have done any previous analyses, ultrasound, or other examinations, you should bring them with you.
Dr. Dashamir Gjergji
Replay from Dr. Shk. DASHAMIR GJERGJI, më 30 September 2022 në 11:05
The 4-year-old boy has hyperthyroidism, meaning his T3 level is 195. What should be done and is there a possibility of treatment for the disease? Thank you
Sent by Enver Lika , më 26 October 2022 në 06:52
Hello, one analysis alone does not fully judge thyroid problems. An ultrasound and the analyses TSH, FT4, and TSI should be done
Replay from Dr. Shk. DASHAMIR GJERGJI, më 26 October 2022 në 14:09
Hello, I have done the tests and I have been diagnosed with insulin resistance
Glucose and hemoglobin were normal
What should I do?
Sent by Martina , më 10 November 2022 në 11:06
Hello, the majority of individuals with overweight and obesity have insulin resistance problems. Moreover, a consultation is needed to review the examinations and a clinical evaluation must be done
Replay from Dr. Shk. DASHAMIR GJERGJI, më 10 November 2022 në 12:08
Hello doctor!
I am 28 years old and during a routine check-up, I accidentally discovered a 6mm cyst in my thyroid in February last year. In June, I had a check-up and it was the same size. After some concerns that I had before (ear and neck pain), I had a check-up in October and the cyst had grown to 8.5. On the suggestion of a friend, I went to Hygea a week later and the echography showed: The right lobe with dimensions 45x18x11mm with normal ecostructure. Near the isthmus, an anechoic formation is seen with dimensions 11x5 mm with echogenic elements inside. Without intracystic vascularization. Next to it, a hypoechoic formation is seen measuring 4x1.8 mm. Intrathyroidal vascularization in Doppler with a normal aspect. The left lobe with dimensions 46x14x14mm with a normal ecostructure. On the lateral part, a heterogeneous hypoechoic nodule is seen with dimensions 6x4x3.6mm. Anteriorly, a hypoechoic nodule is seen measuring 2.5x2.5mm, inferiorly a colloidal cyst is seen measuring 3x2mm. Intrathyroidal vascularization in Doppler with a normal aspect. The isthmus with an anteroposterior diameter of 2mm. Without enlarged cervical lymph nodes and lymph nodes of pathological nature. Submandibular glands with a normal aspect.
I have done all the tests including PTH - 61.20
AC.anti-9.00
Tg-7.48
Calcitonin-2.02
Ca-9.65
K-4.60
Na-140
Cl-107
MG-2.09
and tests for thyroid function which are normal as the doctor said
Sent by Bruna, më 24 November 2022 në 07:50
Hello, your case is somewhat complex and requires regular follow-up with an endocrinologist. To schedule a consultation with us, you need to contact Swiss Medical Center 0674033343
Replay from Dr. Shk. DASHAMIR GJERGJI, më 26 November 2022 në 01:51
A differential diagnosis must be made for some thyroid issues because they are complex, not because there is a risk
Replay from Dr. Shk. DASHAMIR GJERGJI, më 26 November 2022 në 08:32
Hello dear doctor. Following the blood test results
T3 - 1.13 ng/mL
T4 - 5.71 ug/dL
TSH - 4.66 uIU/mL
Anti TPO - 443.6 IU/mL
and a thyroid ultrasound with the results below,
The left lobe with normal dimensions 3.7 x 1.2 x 1.2 cm with a heterogeneous pseudonodular structure, without well-defined nodules, without cystic lesions without increased vascularization.
The right lobe with dimensions 3.8 x 1.4 x 1.5 cm with a heterogeneous pseudonodular structure, without well-defined nodules, without cystic lesions without increased vascularization.
The isthmus with a similar structure to both lobes. Changes in both thyroid lobes suggest changes in the context of thyroiditis.
There are bilateral laterocervical lymph nodes with the largest on the left 2x1 cm, with hilum, shape, and ratio preserved in the aspect of lymph nodes with inflammatory origin.
The 13-year-old girl has been diagnosed with Hashimoto's Hypothyroidism.
The doctor has prescribed a daily dose of 12.5 mg levothyroxine sodium and 100 mg iodine (potassium iodide). From what I have been informed, it is not clear to me whether the hypothyroidism is caused by Hashimoto's or by iodine deficiency, so I want to make sure that taking the iodine supplement together with levothyroxine is appropriate under these circumstances. Please understand my concern as a parent, and I would greatly appreciate a response from you as the girl has just started treatment and we want to be reassured about combining it with the iodine supplement. Should the iodine supplement be taken concurrently if treated with levothyroxine? Thank you
Sent by Elvis, më 04 January 2024 në 12:30
Hello Elvis, it would be best for you to come to the clinic for a more detailed consultation. Additional examinations are needed. There might be a need to adjust the therapy as well. If you are unable to come, you should continue follow-up with the specialist in your area
Replay from Dr. Shk. DASHAMIR GJERGJI, më 04 January 2024 në 14:15
Hello, doctor.
I had thyroid surgery on December 14, 2024.
I took medication for 10 days post-surgery.
The doctor said not to use anything until the biopsy results come back.
Lately, I have not been feeling well, and for the past 3-4 days, I have started taking Letrox 100 mg, 1/2.
Yesterday, I did some tests, and they are:
TSH >60, FT3 7.76, FT4 4.64.
What should I do, please?
Sent by Ana, më 25 January 2024 në 02:16
Hello, I believe you are the case from Hasi, who couldn't come to the clinic. I have explained to you via SMS about the medication you need to take and the tests that need to be done next
Replay from Dr. Shk. DASHAMIR GJERGJI, më 25 January 2024 në 12:25
Hello doctor! I am a 30-year-old girl. After a test, it turns out that I have a vitamin D deficiency (14.4 ng/ml).
I have glomerulonephritis with minimal lesions which I keep under control with a protein loss of 0.5 g per day, and for which I take ramipril 5mg and simvastatin 20 mg. I also have a mutation of clotting factor 2 (heterozygous) and for prevention, I am treated with xarelto 10 mg which I take every day. I would like to know, if possible, with what dosage I can start vitamin D to reach a normal level considering the issues I have? Waiting for your response, thank you
Sent by Silvia, më 02 February 2024 në 02:33
Hello, regarding your issues, you need to conduct a specialized assessment with the relevant colleagues to know exactly the functional status of the kidneys and blood in general. The majority of studies and opinions about Vitamin D suggest that this medication does not bring anything negative; on the contrary, it improves the progress and treatment of kidney diseases in particular
Replay from Dr. Shk. DASHAMIR GJERGJI, më 28 February 2024 në 16:17