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Video low, b12 low, tsh raised diagnosis  hypothyroidism.  Main cause of extreme fatigue. You need  lot of patience  as it is summer a head.plenty of liquid n water,  lemonade,  electoral,  butter milk. Add bhuna chana , banana and milk a proofed energetic drink. Shattu drink  give you energy. You need to start treatment hypothyroidism. Tab thyroxine 75mcg one before breakfast for  two months. Tab calcijoint xt one at night for two months. As thyroxine depleted calcium level. Not to stop, follow up by MD physician.

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.

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

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

Hi, A lot of the time, symptoms are attributed to low vitamin d levels when that is not the case. Most of us have low levels and fortified milk is a good way to start along with adequate mid noon sunlight exposure. Do not depend on supplements for this Do consult once. We will need to address a few things regarding 1. Your diet 2. Your sleep pattern 3. Your exercise routine Take care

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

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Dear Patient,  Your symptoms—**extreme fatigue, dizziness, and abnormal lab values**—suggest multiple underlying issues that need targeted correction. Here’s a breakdown:  --- ### **Critical Deficiencies & Abnormalities:**  1. **Severe Vitamin B12 Deficiency (97 pg/mL)**     - **Optimal B12** is >400 pg/mL. Your level is critically low → causes fatigue, nerve damage.     - **Action**: Switch to **methylcobalamin injections** (1000 mcg weekly for 4 weeks, then monthly).  2. **Subclinical Hypothyroidism (TSH 6.32 mIU/L)**     - **TSH >5.5** with symptoms warrants **levothyroxine** (25–50 mcg/day).  3. **Iron Deficiency (Ferritin 49 ng/mL)**     - **Borderline low** → impacts energy. **Iron supplements** (Ferrous sulfate 100 mg/day + Vitamin C) for 3 months.  4. **Vitamin D Insufficiency (22 ng/mL)**     - Needs **60,000 IU/week for 8 weeks**, then maintenance.  5. **High TLC/Neutrophils (15.2/9.12)**     - Suggests **chronic inflammation/infection** → Needs CRP, ANA tests.  --- ### **Why Current Treatment Failed?**  - **Oral B12/B-complex** cannot correct severe deficiency quickly.  - **No thyroid medication** despite symptomatic TSH elevation.  - **Inadequate iron/Vitamin D dosing**.  --- ### **Next Steps:**  1. **Repeat Labs**: B12, TSH, Ferritin post-treatment.  2. **Neurological Exam**: Rule out B12-induced neuropathy.  📱 **For a revised treatment plan, consult me on WhatsApp**: **Eight Zero Zero Nine Eight Two One Three Three Two** 

Uprise d3 capsule once a week for 12 weeks. Neurobion forte once a day for 30 days.

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Need more history for further evaluation. Kindly consult