Hi doctor I am having pain that is radiating from diaphragm area right side to upper chest mainly underarm and then upper back. No other symptoms. this problem was since December which was settle down after course of d3,b12 and vonoprazan. also doctor said no need of mri as mentioned by radiologist in ultrasound. now problem reoccur from last 2 weeks please advise.Liver Panel: GGT — 219 IU/L (Normal: 10–71) — significantly elevated ALP — 136 U/L (Normal: 40–129) — mildly elevated Direct Bilirubin — 0.37 mg/dL (Normal: 0–0.3) — mildly elevated SGOT/SGPT — within normal range.Lipid Profile: LDL Cholesterol — 111.6 mg/dL (Optimal: below 100) — above optimal HDL — 43.6 mg/dL — borderline low Vitamins: Vitamin D (25-OH) — 6.49 ng/mL (Sufficient: 30–100) — severely deficient Vitamin B12 — 167 pg/mL (Normal: 197–771) — deficient,CBC (Blood Count): MCV — 78.2 fL (Normal: 83–101) — low MCH — 24.1 pg (Normal: 27–32) — low MCHC — 30.8 g/dL (Normal: 31.5–34.5) — low RDW-CV — 15.5% (Normal: 11.6–1