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2025-07-21 14:56:51
Vitamin D and vitamin B12 severe deficiency. Suggest medications Liver- SGPT (ALT) -71.8 U/L SGOT (AST) -42 U/L Serum Globulin -3.43 g/dL Lipid profile- LDL (Bad Cholesterol)144 mg/dL Non-HDL Cholesterol161.99 mg/dL Total Cholesterol206 mg/dL HDL/LDL Ratio0.31 Triglyceride/HDL Ratio3.24
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Answered2025-07-24 05:42:39

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Need more details for better understanding on case kindly connect

Answered2025-07-22 16:17:01

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Consult ASAP

Answered2025-07-22 08:21:42

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Hello, For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp. My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine. Take a glass of milk daily. Thanks. Dr☆MPB  , Dr Praful Mahamuni, Family Doctor, MBBS . Jai hind. 🇮🇳

Answered2025-07-22 06:48:12

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Tab D- rise 60,000 units once per week for 6 to 8 weeks. Tab mecodenz -5, 2.4 microgram daily for 6 to 8 weeks. Take fat free, low sugar diet with more of fresh vegetables and fruits. Do regular physical exercise.

Answered2025-07-22 03:34:01

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Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO. Neurokind od one at night after dinner for 3 months. Change life style n diet plan drastically. Add walk.

Answered2025-07-22 03:00:18

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Your blood test shows significant deficiencies of vitamin d and B 12.liver enzymes are elevated perhaps due to fatty liver,a raised LDL and eosinophils.Consider vitamin b 12 injection cyanocobalamin 1000 mcg daily for a week, followed by weekly once for 4 weeks.Injection vitamin d 600000 iu 15 days apart or cap d rise 60000 iu weekly once for atleast 12 weeks.

Answered2025-07-22 00:49:19

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Start with reducing oil consumption on daily basis, Try to avoid deep fried items Start vitamin D capsules, 60000 iu per week for 6 weeks along with Tablet B complex 1 tab/day for atleast a month If you drink alcohol, reduce the amount gradually, i know you cant stop it abruptly Your kidney is also affected, try to drink atleast 2-3 liters of water daily You have allergy too, try doing deworming. Contact if you need more help
Next Steps
Eat fruits, avoid alcohol, drink lots of water

Answered2025-07-21 17:55:04

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LDL is raised alcohol or smoking sgot sgot increased

Answered2025-07-21 17:03:14

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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You

Answered2025-07-21 16:04:31

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Connect

Answered2025-07-21 15:43:24

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Need few more details Kindly consult

Answered2025-07-26 09:44:55

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Consult

Answered2025-07-23 14:26:40

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Uprise d3 capsule once a week for 12 weeks. Meconerv 1500 mcg once a 3 months

Answered2025-07-23 10:12:39

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Plan for the Patient Issue—Diagnosis—Management Plan—Duration & Follow-up. 1. Vitamin D Deficiency - Cholecalciferol 60,000 IU once weekly after food for 8 weeks - Then maintenance dose: 1000–2000 IU daily or once weekly Re-check serum Vitamin D after 8–12 weeks 2. Vitamin B12 Deficiency Severe deficiency (neurological symptoms possible) - Injection Methylcobalamin 1000 mcg IM, once weekly for 6 weeks - Then oral Methylcobalamin 1500 mcg daily for maintenance Check B12 levels after 8 weeks; Continue oral if corrected 3. Liver Enzyme Elevation (SGPT 71.8 U/L) Likely mild NAFLD or metabolic hepatocellular stress - Avoid alcohol and hepatotoxic drugs - Weight loss (target: 5–10% of body weight) - Diet: low saturated fat, low refined carbs - Exercise: ≥30 minutes/day, 5 days/week - Add: Silymarin or Liv-52 DS (optional liver support) Liver function test (LFT) repeat in 3 months Consider Liver Ultrasound 4. Dyslipidemia LDL 144 mg/dL Non-HDL 162 mg/dL HDL/LDL ratio low TG/HDL ratio high Atherogenic lipid profile, increased cardiovascular risk - Diet: reduce fried foods, sugar, red meat - Add Omega-3 fatty acids 1000–2000 mg/day (fish oil) - Start Statin: Atorvastatin 10 mg at bedtime (if no contraindication) - Weight loss + exercise (as above) Repeat Lipid profile in 3 months Monitor statin tolerance 5. General Wellness Support Nutritional deficiencies with early metabolic risk - Multivitamin with Zinc & Selenium daily for 3 months - Hydration and stress management - Sleep hygiene (7–8 hrs daily) Monitor symptoms (fatigue, body pain, memory issues)

Answered2025-07-22 06:28:28

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Please consult

Answered2025-07-22 06:02:47

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Ldl ,b12 level and sr vit d levels are deranged. Diet control is needed . Medication for 3months recommended
Next Steps
visit hospital, Consult us for doubts and further treatment
Health Tips
Decrease eating oily and fried foods

Answered2025-07-21 18:41:04

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Hello take uprise d3 60k capsule once a week for 8 weeks Take nurokind plus rf capsule once after dinner for 2 weeks Take udiliv 150 mg twice daily for 1 week

Answered2025-07-21 16:44:18

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

Answered2025-07-21 16:09:17

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Available Now consult

Answered2025-07-21 15:23:33

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

Answered2025-07-21 15:18:08

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