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 23years old , 37 kg weight, 166 cm height .
i never gained weight more than 42 kg and it wont be consistent at all.
I have a good appetite, i feel hungry, and crave for food all the time and i am not a picky eater.
How can i gain weight faster ?
What should i do?
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?
Look I took blood test at aug8 when everything is normal my ldl cholesterol is 93 normal and my hba1c is 5.3 everything is normal but vit b12 is low 86 and vit d 4.5 and I took supplements for both and again I took test sep 8 suddenly within one month my ldl is 112 and hdl is 48 and my hba1c is 5.7percent within a month it increases I don't knwo the reason didn't eat any fried items and processed foods and i cut sugar also but it increases now I don't iam going to take blood test again for vitamins and iron and also blood sugar and cholesterol and cardiac biomarkers within a month I need to see what will be the result but why it increases within one month now what can I do to decrease it and also I want to share for the past four years iam living a sedentary lifestyle rarely idid some walking so this must be the reason ah if I start doing any exercises now I feel fear what if I get heart attack but I'd if my ecg echo and tmt all are normal now what can I do
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.