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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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All ur reports are normal except vit d. Eat a balanced diet drink good amount fluids.and walk in sun atleast 30 min in the mrng between 10 to 11
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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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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.
Health Tips
Should get consultation for further work up and treatment.
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You have vit d deficiency. Take tab uprise 60,000 units once a week for 8 weeks,
Take more of mushrooms, curd, cheese, eggs, nuts, soya. Spend at least an hour daily in early morning sun.
Repeat test after 8 weeks.
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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
Start Vitamin D3 supplementation now. Get serum ferritin done urgently. Discuss B12 supplementation with your doctor. Recheck TSH in 3 months with symptoms review â if TSH climbs or symptoms persist, thyroid treatment may be needed. Please consult me directly on Practo for a detailed evaluation.
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Immediately consult
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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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Need full history of onset of weakness and tiredness, duration and severity, family history and all things needed to correlate
Next Steps
consult a physician
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Very difficult to correlate.
Umust attach report
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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. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
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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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult.
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Mr. Roomaan Hafeez M B
General Physician
2 yrs exp
Hosur
You have to take vit D supplements
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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