Abnormal B12, lymphocytes, ESR level

2025-04-13 12:02:16
My wife (F, 30) had a routine health checkup. She has the PCOS and hypothyroidism. Most values were normal, but some are abnormal or borderline: Vitamin B12: 1143 pg/mL (not on B12 supplements) Lymphocytes: 45.9% ALT: 62.01 U/L AST: 45.8 U/L ESR: 30 mm/hr TSH: 8.56 µIU/mL Hemoglobin: 12.7 g/dL LDL: 131.99 mg/dL | Total Cholesterol: 219 mg/dL We're unsure which findings need follow-up or further testing. Could high B12 be linked to liver values? Does the thyroid/liver/lipid data suggest anything systemic? We’d really appreciate guidance on what to investigate further or if any specialist consult is needed. Full report: https://drive.google.com/file/d/1PJXvJw75u-7YrZtKuX1__L2RWJGcsXfg/view?usp=drivesdk Thanks in advance!
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Answers (13)

High vit B12 could be linked to liver dysfunction.Tsh 8.6 means mild hypothyroidism. High ESR only indicates some health issue for some time  it is non specific.
Next Steps
get abdominal ultrasound done for fatty liver. Tests for hepatitis b and C done.
Health Tips
avoid fatty food.   Take more of fresh vegetables,  fruits. Repeat  thyroid and lipid profile after a month.

Answered2025-05-01 06:23:09

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Answered2025-04-24 04:43:44

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In hypothyroidism,  n dislipidemia b12 may be like this, as in my case but now it's normal  and I'm under cardiologist  she said not to worry.  Now it's normal for me but but d3 is drastically high. As per my cardiologist  it's nothing to  worry some.

Answered2025-04-18 07:52:22

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Connect

Answered2025-04-17 17:32:03

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Kindly connect with me.

Answered2025-04-17 06:51:03

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Thyroid she needs to increase dosage of the medicine Vitamin b12 is quite high need to evaluate Cholesterol and liver function test abnormalities are there and linked
Next Steps
Get ultrasound abdomen and pelvis to rule to fatty liver

Answered2025-04-16 14:33:57

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Need few more details. Kindly connect for further evaluation

Answered2025-05-01 16:21:56

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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Answered2025-04-29 14:34:45

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Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

Answered2025-04-22 07:12:33

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Reports are fine. You need not worry.

Answered2025-04-17 07:44:50

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Need few more details Kindly connect.

Answered2025-04-16 15:14:46

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Need few more details Kindly consult

Answered2025-04-16 15:02:41

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-04-16 13:22:45

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