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Try staying hydrated, applying heat therapy, resting, drinking cranberry juice to help reduce discomfort and fight off the infection.

You have not taken sufficient rest. Take rest and maintain energy for your body metabolism.

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Kindly consult

You should get a thyroid profile, Vitamin B12, Vitamin D and CBC done

Get complete picture xamination and vit d , b12 done levels done.

Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

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

Please consult a General Physician in your area for a physical examination and further management.

With the history, it seems VIT D def is there.

Consult a Doctor for further evaulation and management

Kindly consult.Need detailed history and evaluation.

THYROID FUNCTION TEST VIT B12 LEVELS

Do your vitamin d,B12 and thyroid function tests.As you have a history of vitamin d deficiency in the past it could be a reason for your symptoms.

Vitamin D deficiency causes Hot flashes. Since Your symptoms improve by taking vitamin D & B12 supplements, you don’t need to worry. Rx: T. Uprise D3(60k) 1 tablet once in 2weeks for 4 cycles. T. Neurobion forte 1 tablet once daily x 30days If You are already taking Vit D3/ B12 supplements then no need to take the above medication and continue.

Good day to you! It sounds like you might have a deficiency of a particular vitamin or even a thyroid condition. Kindly consult because I have a few follow up questions for you. Thank you!

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As per history I find you have the problem in long duration, usually you should have all investigations cbc, stress test , vitamin D levels , Thyroid profile , B12 level before deciding for your illness.

Go for investigations 1. Ser Vitamin D3 2. Ser. B12 3. Urine routine examination with microscopic exam 4. Typhidot

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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.

You should visit a general physician

Need more details for proper evaluation. Kindly connect for further management

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Consider consultation with a physician.

Kindly consult

Kindly consult once for discussion

Get thyroid profile done and have a follow up.

Consultation

You may check Vitamin D levels, if you have not done recently and also may get a test of your thyroid functions.

According to your query and sign and  know about the disease and cause and it's best Treatment as you have mentioned as above . Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow any medicine or advise after consultation only from a good doctor. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation  and please keep positive  attitude to fight any disease and any problem of your life

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Immediately consult me

**Opinion:** The recurrent symptoms you're describing—persistent body warmth, back pain, and difficulty sleeping—along with your history of vitamin D3 insufficiency, eosinophilia, and previous infections, suggest a complex and possibly chronic condition. The recurrent nature of your symptoms could indicate an underlying inflammatory or autoimmune process, a metabolic disorder, or a lingering infection. The previous episodes where treatment provided temporary relief suggest that the root cause may not have been fully addressed. The history of UTI, Vidal test positivity (which could indicate typhoid or paratyphoid fever), and vitamin deficiencies further complicate the picture. The persistence and recurrence of symptoms, especially with the impact on sleep, indicate that a deeper investigation is warranted. **Next Steps:** 1. **Comprehensive Medical Evaluation:** It's essential to undergo a thorough re-evaluation, including detailed blood work to check for inflammatory markers, thyroid function, liver and kidney function, and any possible chronic infections. A referral to a specialist, such as an endocrinologist or rheumatologist, may be necessary to rule out conditions like autoimmune disorders or metabolic syndromes. 2. **Advanced Imaging:** Given the recurrent back pain, advanced imaging such as an MRI might be necessary to check for any structural or inflammatory issues in the spine. 3. **Sleep Study:** Since you have significant trouble sleeping, a sleep study might help identify if there are any underlying sleep disorders contributing to your symptoms, such as sleep apnea or restless leg syndrome. 4. **Lifestyle and Environmental Factors:** Review your current lifestyle, including diet, physical activity, stress levels, and environmental factors. These can all influence your body’s thermoregulation and overall health. Addressing any deficiencies in nutrition or exercise could also help improve your symptoms. 5. **Regular Monitoring:** Close monitoring of your symptoms, especially if they change or worsen, is crucial. Regular follow-ups with a healthcare provider to adjust your treatment plan as needed will be important. I strongly recommend scheduling a consultation with me so we can discuss these symptoms in more detail and develop a more targeted approach to identify and treat the underlying cause. Addressing this promptly will help prevent further discomfort and improve your quality of life.

Kindly connect for detail evaluation and treatment

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

Need few more details Kindly consult