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?
I have been non vegetarian.Now I am opting for only vegetarian food.What are the foods I need to add to my diet to balance diet and have appropriate physical energy.
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.
