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High hs-CRP and Low Vit D and B12
Hi Doctor, I recently did a full-body health check and most parameters are normal. I follow a clean vegetarian diet, rich in protein (90–100g/day from milk, curd, whey, etc.), maintain a calorie deficit for fat loss, and work out 4 days a week.
I need your guidance on a few findings:
Vitamin B12 – 109 pg/mL (Low) – what should I do? Any need for further tests like methylmalonic acid or homocysteine?
Vitamin D – 25 ng/mL (Low) – how can I bring this up?
hs-CRP – 3.3 mg/L (High) – does this need attention or follow-up?
Transferrin Saturation – 19% (Low-Normal) – should I test serum ferritin to check iron levels?
PDW – 15.8 fL (High), PLCR – 43.1% (High) – are these concerning or linked to inflammation?
Answers (18)
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Seems slight nutritional deficiency.
Include fresh green vegetables, sprouts, curds, cheese soybeans in your diet. You can take vit D 20microgram tablets daily for a month tab neurobion one morning and one evening for 30 days.
High crp indicates inflammation somewhere in body. For that, you have to say if you have had pain or swelling or any discomfort in body in recent past .
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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.
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Please get a consultation. Contact Carna Health Centre Nagarbhavi Bangalore for a consultation
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Seems like you have some sort of nutrient deficiency
It might be due to diet
There are chances of it getting corrected by diet modification
But if it persists even after diet needs proper evaluation
So kindly do consult for elaborative discussion
Next Steps
tale food rich in multivitamins and minerals
natural foods if possible
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You need proper management, kindly Connect and consult
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Kindly connect
Need few more details.
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Take Vit-B12 and Vit-D supplements and daily exposure to sun for atleast 10mins at 10am , glass of milk, sunflower seeds and plenty of fruits would help you.
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B12
Neurokind od one at night for 3 months after dinner. It's oral.
Injection
Inj neurobion forte one ample intramuscular in gluteal reason one in alternate day for five injection means in 10 days.
Vit d3
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Last values r for academic interest which is Going to change in 27-29 days.
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Need few more details
Kindly consult
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Dr. Sudarshan Lamture
Internal Medicine
7 yrs exp
Thane
Thank you for reaching out with your query.
In order to provide you with an accurate and complete medical opinion, I would need a more detailed history, relevant clinical findings, and possibly a review of your reports or investigations. Unfortunately, it is not medically advisable to provide a diagnosis or treatment solely based on limited information in a message.
I recommend booking an online consultation with me through Practo. This will allow us to have a thorough discussion regarding your symptoms and help me guide you better.
Looking forward to helping you in a more detailed manner.
Warm regards,
Dr. Sudarshan Lamture
MD (Medicine)
Sfurti Multispeciality Hospital
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
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.
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Dr. Pragati Bhole
Internal Medicine
25 yrs exp
Nagpur
For detailed evaluation of your case/further queries /guidance/management plan,whatsapp nine three seven zero two eight four three seven six or connect via Practo.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for proper evaluation. Kindly consult further
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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. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Do connect and consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Repeat test after 1 month with life style modification
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Nothing to worry as such related to blood test.. better to have Vitamin D and Vitamin B12 supplement.
As mentioned you are vegetarian.. where as most of the natural sources for Vitamin B12 are animal based.
Also increase sunlight exposure, particularly in morning hours to increase Vitamin D
Next Steps
Further would be better to consult physician for Vitamin supplements
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take vit d and b12 supplements.
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