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Chest pain
Any serious problem?
Random plasma glucose 151
Serum VLDLc 31.26
Mean platelet volume 12.4
Vitamin D25 HIDROXY 7.83
Answers (38)
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If you want to discuss your problems, pls text me on whatsapp on seven two seven eight nine two seven six three eight, i will guide you step by step.
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Conservative management is basically required to restore certain parameters consult a general physician
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Please connect me through practo or wattsap nine zero seven two two zero seven zero nine three.. I will discuss ur problems in detail
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Dr. Harshavardhan Reddy
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Hyderabad
I think u are hypertensive patient it suggest u have long standing hypertension...check blood pressure of not hypertensive
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Hyperkalemia and st changes are present kindly consult a physician with these reports..
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Vitamin D is low for which you should start with D3 60,000 IU once a week for 10 weeks. Also ECG is normal but you should opt for consultation for proper discussion regarding the need to do ECG. Changes in diet and lifestyle is recommended as blood sugar level is borderline.
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The ECG appears to be normal, RBS is in the prediabetic category.Vitamin d is low ,needs weekly 60000 iu for at least 12 weeks
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Which sided chest pain is this?? Whole chest or only left? check your BP.
If BP comes raised then monitor BP and do ECG.
If whole chest involve then do chest X ray PA view.
Health Tips
all test are normal except vit D3
adv inj vit D3 IM stat 2 dose on interval of 14 days
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From what you’ve shared, nothing here looks immediately dangerous. The ECG doesn’t suggest an acute heart issue. Sugar is mildly high, VLDL is borderline, and MPV by itself usually isn’t a problem. What clearly stands out is very low Vitamin D, which can genuinely cause chest discomfort, muscle pain, and fatigue — and often gets mistaken for heart pain.
Next Steps
Start Vitamin D correction (this is important).
• Do HbA1c to properly assess sugar control.
• Basic lifestyle changes for lipids (diet + walking).
• If chest pain persists or changes in nature, get reviewed once more.
Health Tips
Chest pain is scary, I understand — but this looks more metabolic than cardiac right now. If you want, we can go through the pain pattern (when it comes, what triggers it, exact location) and your reports together to be 100% sure and avoid unnecessary anxiety.
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Random blood sugar 151 mg/dL → mildly raised, not an emergency. HbA1c test is required to rule out diabetes.
VLDL 31.26 → slightly on the higher side; can be managed with diet and lifestyle modification.
Mean platelet volume 12.4 → mildly increased, usually not serious if platelet count is normal.
Vitamin D (25-OH) level 7.83 → severe deficiency, which can commonly cause chest discomfort, body pain, muscle pain, and fatigue.
Your ECG does not show any acute life-threatening cardiac changes, so at present there is no evidence of heart attack.
Most likely causes of chest pain in your case could be:
Vitamin D deficiency–related musculoskeletal pain
Gastric or acid-related pain
Stress or anxiety-related symptoms
Next Steps
Do HbA1c test to evaluate sugar control
Start Vitamin D supplementation as prescribed by a doctor
Maintain healthy diet, regular walking, and adequate hydration
Avoid oily and junk food
Health Tips
If chest pain becomes severe, radiates to left arm/jaw, or is associated with sweating or breathlessness — seek emergency care immediately.
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Consultant to doctor
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Hi. These reports are not suggestive of any serious concern. Further tests like HbA1C, OGTT are required to rule out diabetes. You may consult with a physician for further treatment.
Next Steps
Consult with a physician for further treatment
Health Tips
Dietary modifications (diabetic diet, low carb)
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ECG normal, Take Vitamin D , ow/3month
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No serious problem.
Vitamin d supplement required..
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ECG is okkay . You don't have to worry . Vitamin d3 levels are low . Take uprise d3 once every week for 3 months.
Try to take this d3 with fatty meal as this increase absorption of vitamin d3 in body
VLDL is slightly above normal , but it can be resolved with Lifestyle changes
Next Steps
Avoid fast food
Avoid alcohol
Health Tips
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No — these individual lab results alone do not indicate a serious or urgent problem right now:
• Random plasma glucose 151 mg/dL — mildly elevated. If this was taken after eating, it is often normal. If truly fasting/random and consistently in this range, it suggests prediabetes (not diabetes yet).
• VLDL-C 31.26 mg/dL — slightly above the usual upper limit (
Next Steps
• Vitamin D — Start supplementation now (after confirming with your doctor):
• Common starting dose for severe deficiency: 60,000 IU once weekly for 8 weeks, then 60,000 IU Monthly maintenance.
• Retest vitamin D in 3 months.
• See your general physician or endocrinologist within the next 1–2 weeks to:
• Repeat fasting glucose + HbA1c (to confirm prediabetes or rule out diabetes).
• Check full lipid profile (including total cholesterol, LDL, HDL, triglycerides) to see the complete picture.
• Possibly check B12, folate, ferritin, and thyroid function (common causes of mildly high MPV).
• No urgent ER visit needed based on these labs alone — but if you have symptoms like severe fatigue, bone pain, frequent infections, thirst/urination, or unexplained weight changes, see a doctor sooner.
Health Tips
• For low vitamin D: Get 10–15 minutes of midday sun exposure on arms/legs/face a few times a week (if possible), eat fortified milk/yogurt, fatty fish (salmon, mackerel), or egg yolks. Take vitamin D with a fatty meal for better absorption.
• For glucose/VLDL: Reduce sugary drinks, sweets, refined carbs, and fried/oily foods. Eat more vegetables, whole grains, lean protein, and fiber. Walk 30 minutes most days.
• Avoid self-medicating high-dose vitamin D without guidance (too much can cause toxicity).
• Track any symptoms (tiredness, muscle aches, mood changes) — they often improve quickly once vitamin D is corrected.
These are fixable issues — with simple changes and supplements, most people feel much better in a few weeks to months.
For a personalized plan (dose, exact supplements, diet) based on your age, weight, symptoms, and full history, please consult with me online — I can guide you more specifically.
Take care and get the vitamin D corrected soon!
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Plasma glucose is slightly high, vit d low.
Avoid sugar and fats in diet. Take more of fresh vegetables, fortified cereals, mushrooms, doya, almonds,fruits low in sugar like apple, orange. Do regular physical exercise.
Take uprise tablet one every week for 8 weeks.
Get glucose, Hba1c , vit d,tested after 8 weeks. Further treatment will depend on results.
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Please meet a doctor with your complete reports. HbA1C needs to be looked at along with your lifestyle and diet.
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Vit d3 very low,
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
As such no problem.
Need to.know complaints.
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Need more history.
Kindly consult me on Practo for better understanding.
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ECG is normal. For further details, kindly consult with me on 94 two six eight six 78 nine six.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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You can rest easy the ecg is ok ,the blood glucose is a bit high for random but can be due to n number of reasons ,and as per vit d its a common deficency easily preventable
Next Steps
Take vit d supplements- sachet calcitrol 60,000 iu ,once a week for 3 months ,get a test for d3 again after a few months for progresss
Health Tips
Eat healthy and exercise more often
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Dr. Chirag Shah
General Physician
7 yrs exp
Gandhinagar
Vit d3 deficiency
Nothing to worry but should consultation with medicine physician.
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Dr. Rajesh Shinde
General Physician
29 yrs exp
Mumbai
Random blood sugar is not a benchmark for Diabetes, Hba1c is and more precisely is Continuous glucose monitor - CGMS.
But in non diabetic cases Hba1c is the yardstick
Next Steps
We need a previous ECG to compare with as we cannot judge on a single ECG if there are no symptoms
Health Tips
ECG is relatively normal, Take vitamin D supplements as suggested
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Dr. B R S Kumar
General Physician
25 yrs exp
Hyderabad
Chest pain at your age needs to be taken seriously.
Do the following
1. Blood pressure check
2. Blood tests- CBP, HbA1C, Lipid profile, TSH, KFT, LFT
3. Echocardiogram
4. Treadmill test
5. Medications- Aspirin 75mg daily; Cholecalciferol 60k once a week for 5 weeks
6. Consult a Cardiologist
All the best
J G S R clinic
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Vitamin D low
Get Uprise D3 6000k daily for a month
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Normal ecg
Take vit d supplements
Uprise d3 capsule 60k once a week for 12 weeks
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Start d rise capsule
Diet control
Reduce weight
Regular Walk simple exercises daily
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
ECG Looks normal
Take bit D supplement once 1 week for 8 weeks
Do HBA1C and for further evaluation
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult with cardiologist
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