Hi Doctor, I reviewed my recent blood reports and would appreciate your advice.
* Folate (B9): 3.5 ng/mL (low)
* Vitamin B12: 245 pg/mL (low-normal)
* Vitamin D: 31.4 ng/mL (sufficient)
* Magnesium: 2.21 mg/dL (normal)
* Homocysteine: 22.7 µmol/L (elevated)
* CRP: 29.93 mg/L and ESR: 25 mm/hr (elevated)
Could you advise whether I need folic acid and/or B12 supplements, any additional tests, and when to repeat them? I’m also experiencing persistent calf and lower-leg pain. Could these results contribute to the pain, or do I need further investigations? My recent dental treatment may be relevant to the elevated CRP.
Thank you.
I am suffering from diabetes for last 12 years and my weight is 112 kgs. I'm taking regular medication of diabetes. I want to start oempic. How do I go ahead with it? My earlier doctor once suggested me. But now I am transferred to Mumbai and before starting I want to consult a doctor.
I am a 20-year-old woman with PCOS experiencing generalised skin darkening despite religious sunscreen use, approximately 10 kg weight gain after starting myo-inositol and D-chiro-inositol, recurring acne, skin texture changes, severe fatigue, weakness, brain fog, abdominal discomfort during running, and pelvic sensitivity. My thyroid, cortisol and CBC tests were reportedly normal. skin is a concern and I want oral medicine for that. My symptoms are affecting my daily functioning and quality of life. I need further investigation into the underlying cause and, importantly, assessment for appropriate oral medication rather than topical treatments alone. What investigations and treatment options would you recommend?
My blood reports had vitamin D3 of 9.8. Post that I took 60,000IU once a week for 4 weeks.
Post 1 week, can I start supplementing 5000 IU of vitamin D3 and k2 daily for 3 months?
Please suggest, if it is okay or I should minimise the dosage?
I am at a sitting job, I don't get enough time to have sunlight as well.
Hello Doctor, I would like to consult you about my daytime tiredness and sleepiness.
I often feel tired and sleepy during the day, even when I get enough sleep at night, and sometimes I feel low on energy.
I work out regularly in the evening for at least 1.5 hours. I am currently not taking any medicines.
About 3 months ago, I suffered from anxiety and also experienced panic attacks. I would like to understand whether my current daytime tiredness and sleepiness could be related to stress, anxiety, my diet, exercise routine, or any nutritional/vitamin/mineral deficiencies.
Could you please advise me on whether I may have any nutritional deficiencies and what dietary or lifestyle changes you would recommend?
Thank you,
Doctor.
