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Your symptoms sound like Inflammatory Poly-arthralgia/Poly-arthritis Do the following, 1. Blood tests- CBP, ESR, CRP, ASO titres, Rheumatoid factor, anti-CCP, ANA, C3, C4, Uric acid levels, Liver and Kidney Function test 2. Take regular simple painkillers like Paracetamol and if needed Ibuprofen as a short course 3. Plain X ray both hands (looking for any early evidence of bone erosions) 4. Ultrasound of fingers and thumb looking for evidence of Synovitis All the best J G S R clinic

Hello, I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me. Thank you for sharing your reports and concerns. I understand why the recurrence of symptoms can be confusing and worrying, and I will explain this clearly. Based on the information you have shared, both Vitamin D3 and Vitamin B12 deficiencies were present initially, and the improvement you noticed confirms that your body was responding well to supplementation. The return of symptoms after reducing the dose is a very common and expected situation, not something unusual. Vitamin D3 Your initial level of around 24 ng/ml was low. Weekly supplementation helped correct the deficiency, which is why your energy improved and morning erections returned. When you shifted to only one tablet per month, the dose became insufficient for maintenance, especially if sun exposure is limited. What you should do now • Take Vitamin D3 2000 IU daily OR • Vitamin D3 60,000 IU once every 2 weeks • Get regular sunlight exposure for 20 to 30 minutes, 3 to 4 days a week • Target Vitamin D level should be above 35 to 40 ng/ml Vitamin B12 Your Vitamin B12 level of 117 pg/ml indicates clear deficiency. Taking Methylcobalamin 1500 mcg daily for 3 months is the correct correction treatment. How to maintain Vitamin B12 • After correction, take Methylcobalamin 1000 to 1500 mcg 2 to 3 times per week • Long term maintenance is often required, especially if vegetarian or with acidity issues • Target B12 level should be above 400 to 500 pg/ml Important reassurance Low Vitamin D and B12 can affect energy levels, mood, libido, and morning erections. Your testosterone level is borderline low normal, and in many cases, correcting vitamin deficiencies alone is sufficient without hormone treatment. Please remember that online guidance has its limitations. Periodic blood tests and personalised dosing help prevent repeated deficiency cycles. For personalised one to one consultation on vitamin management or hormone related concerns, you can reach out to me directly on WhatsApp at 85271646 seven seven. A detailed discussion helps tailor the dose as per your lifestyle and body needs. Wishing you good health and sustained improvement. Dr. Romain Rajan General Physician

  Not at all cancer.. Assessment of vitamin d3 b12 t3t4tsh mg crp cbc esr. Tab eterocoxib Mr two times a day after food for 7 days.

Your symptoms are very unlikely to be cancer-related. They are most consistent with nerve or musculoskeletal pain, which is treatable.

Need a few more details please consult for further evaluation and treatment

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