Dear Doctor,
I have attached my blood test report, which contains the abnormal findings/parameters identified during my recent health check-up.
Could you please review the report and let me know what I should do to improve these abnormal values? Also, please advise whether I need any medication, supplements, or any other treatment based on these results.
I would appreciate your guidance on the next steps
My Hb has generally remained around 8–10 g/dL. I currently have severe tiredness/fatigue, dizziness, weakness and frequent body pains. I also have significant menstrual cramps. My periods usually last around 6 days, although the amount of bleeding varies. I had a sonography done because of the menstrual cramps, but it was normal.
Recent CBC: Hb 10.4 g/dL, HCT 33.5%, RBC 4.32 ×10⁶/µL, MCV 77.5 fL, MCH 24.2 pg, MCHC 31.1 g/dL, RDW-CV 15.2%, RDW-SD 41.7 fL, WBC 9.3 ×10³/µL, platelets 305 ×10³/µL.
Iron profile: Serum iron 28.3 µg/dL (ref 50–170), TIBC 410.5 µg/dL, transferrin saturation 6.89% (ref 15–45%), UIBC 382.2 µg/dL, and ferritin 4 µg/L.
Vitamin B12: 311; Vitamin D3: 33.29.
Given my recurrent low Hb and very low ferritin, I would like to know how significant my iron deficiency is, whether it could explain my symptoms, why my anemia keeps recurring, and what investigations I should undergo to identify the cause. Would oral iron or IV iron be appropriate in my case?
I want to lose excess body fat and build a fit, well-structured physique. I have been considering using anabolic steroids for a short period (around 2-4 injection ), but I’m concerned about the possible health risks and side effects.
Could you please advise whether steroids are medically appropriate for my goal, what risks they may carry, and what safer, evidence-based alternatives I should consider for fat loss and muscle development? I would also like to know whether I need any health check-ups or blood tests before considering any treatment.
Hi
M 37 years having weight 106
I tried everything to loose weight including gym, keto and calorie deficit, fasting. I reduce weight fast and gain double fast. M working for night shifts so sleep and food cannot be maintained on time. Please suggest any medicine atleast can be reduced till 80kgs post that I can mentain.
Noticed a tiny soft movable lump on side of neck from past few months.No other issues.what should be next course of action ??