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Request for Review of Thyroid, Vitamin D
Hello Doctor,
I am a 32-year-old woman. I recently had my blood tests done. Could you please review my reports and let me know if everything is normal or if any treatment or further tests are needed?
My test results:
Total T3: 164 ng/dL (Reference: 80–200 ng/dL)
Total T4: 10.1 µg/dL (Reference: 4.8–12.7 µg/dL)
TSH (Ultrasensitive): 4.96 µIU/mL (Reference: 0.54–5.30 µIU/mL)
Vitamin D (25-OH): 19.26 ng/mL (Deficient; Normal: 30–100 ng/mL)
Vitamin B12: 253 pg/mL (Reference: 197–771 pg/mL)
Serum Iron: 59 µg/dL (Female Reference: 50–170 µg/dL)
TIBC (Total Iron Binding Capacity): 291 µg/dL (Reference: 215–535 µg/dL)
UIBC (Unsaturated Iron Binding Capacity): 231.42 µg/dL (Reference: 162–368 µg/dL)
Transferrin Saturation: 20% (Reference: 13–45%)
Testosterone: 22.1 ng/dL (Normal for an adult premenopausal female)
I have been experiencing:
Severe weakness and fatigue
Hair fall
Answers (18)
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Vit D deficiency explains much of your weakness and hair fall start supplementation. Iron and B12 are borderline monitor. A consultation can personalize doses. Feel free to book one.
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Your vitamin d level is low should start treatment for it. On other hand vitamin b12 and serum iron are normal but near lower limit which are the possible causes for weakness and fatigue. Thyroid profile is fine.
Next Steps
Should consult for further investigation for anaemia like serum ferritin for iron deficiency anemia, haemoglobin level and complete blood count test.
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Should get consultation for further work up and treatment.
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Looking at your reports: your Vitamin D at 19.26 is clearly deficient and needs treatment. Your B12 at 253 is low-normal â functional deficiency causing fatigue and weakness can occur at this level. Your TSH at 4.96 is within range but on the upper end; in a symptomatic woman of reproductive age, this is worth monitoring closely. Importantly, your iron panel is borderline low (transferrin saturation 20%, serum iron 59) but serum ferritin â the most sensitive marker of iron stores â is missing and should be checked.
Next Steps
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All report is normal except vitamin d3 level is moderate low ,thatswhy you feel severe wekness around joints and surrounding area.you need to take supplements for this.please consult me on practo for further management and evaluation.
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2/2 people found this helpful
Avoid fried and spicy food
Avoid sugar rice potatoes
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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