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Multiple Deficiencies Confirmed
Recent blood work (Thyrocare, April 2026) confirmed:
• Iron deficiency anemia (Hb 11.6, iron 40, ferritin 19.5, transferrin saturation 13%)
• Vitamin D deficiency (16.42 ng/mL)
• Elevated homocysteine (18.17 µmol/L)
• Borderline B12 (198 pg/mL)
• Borderline low calcium (8.76)
Current symptoms:
• Severe fatigue, cannot perform basic daily tasks
• Waking up exhausted despite sleeping
• Whole body pain, concentrated in calves and legs
• Cannot concentrate or memorize anything
• One meal per day, no appetite
• Diarrhea recently resolved
• Significant hair loss, diffuse thinning at crown
• Severe anxiety, depression, grief
Additional concern — significant hair loss:
• Diffuse thinning at crown and central part, visible scalp showing through
• Pattern consistent with Female Pattern Hair Loss (FPHL/Androgenetic Alopecia)
Testosterone at 46.44 ng/dL
Requesting referral to dermatologist after initial internal medicine consultation
DHT, SHBG, LH, FSH not yet tested
Answers (15)
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Kindly do connect and consult
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It is better to consult with me so that I can correctly assess why there are so many deficiencies and provide you optimal treatment which will help in curing you.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Very Very large
Better u attach report
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You have multiple nutritional deficiences this explains your fatigue,exhaustion, aches etc , firstly you need a direct consultation please plan and consult on a one on one basis .
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You have symptoms of multiple nutrient deficiencies, including proteins.
Take a balanced diet, including all nutrients, consult a nutritionist for it.
Takes syrup R.b
Tone 5m.l every morning and evening for 4 to 8 weeks.
Syp calcimax p 5m.l. every morning and evening for 6 to 8 weeks.
Proteinex powder 5m.l. morning and evening for 6 to 8 weeks.
Cap supradyn one morning and one evening for 6 to 8 weeks.
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The lab results confirm a state of Multiple Nutritional Deficiencies, including Iron Deficiency Anemia (Hb 11.6), Vitamin D deficiency, and borderline B12 levels. The elevated Homocysteine (18.17) is a strong clinical marker of functional B12/Folate deficiency, which explains the severe fatigue, body aches, and cognitive 'brain fog.' Regarding your hair loss, while the pattern looks like Female Pattern Hair Loss (FPHL), the low Ferritin (19.5) and Iron levels are major contributors to Telogen Effluvium (excessive shedding). Clinically, your body is in a 'depletion state,' where it is prioritizing essential organ functions over non-essential ones like hair growth and high energy levels."
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Your reports do show multiple deficiencies that can explain the fatigue, body pains, low energy, hair fall, and concentration issues 👍 The good part is that many of these are treatable and improve gradually with the right correction plan. Since hair loss and hormones also need proper evaluation together, I’d strongly suggest booking a detailed consultation so we can review everything step by step and guide you properly.
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Iron def anaemia with vitamin deficiency
Next Steps
Good Nutritious diet
Tab Iron 1 tab x od
Cap B.Complex 1 cap x bd
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T fe 1 od 1mnth
T biotin 1 od 1mnth..
Increase food intake..fruits vegetables milk and cereals..
Take plenty of water...
Exercise...
Take good care of your hair...
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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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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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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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