Feverish since Aug 30; first measured Aug 31 (~99.7°F). Fever is my only symptom—no cough/sneezing. Paracetamol (Dolo) controls it, 1–3/day. I delayed seeing a doctor ~2 weeks due to an exam.
Doctor prescribed Sumo (paracetamol), Bencifix-500 (cefuroxime 500 mg) and Proveito probiotic twice daily for 5 days, plus CBC, malaria and Widal. CBC/platelets were normal; malaria and Widal were negative. Reports are attached. After 5 days, fever persisted, though milder. It returns the next morning/afternoon and improves after paracetamol.
Today the same doctor prescribed Sumo + Proveito + azithromycin 500 mg + ofloxacin 200 mg, twice daily for 3 days, without further tests. I’m concerned about repeated antibiotics, side effects/interactions, and whether this azithromycin dose is appropriate.
Is repeated empiric antibiotic treatment reasonable when the cause is unknown? Should further tests (e.g. blood/urine cultures) be done first? Could these antibiotics affect blood-culture results?
Based on my self-test, some of my test results appear to be elevated:
- Uric acid: 7.8 mg/dL
- SGPT (ALT): 87.6 U/L
- SGOT (AST): 47.6 U/L
What precautions should I take, and what should I do?
I go to the gym regularly. I also take supplements such as whey protein and creatine, along with a high-protein diet.”
I am a 30-year-old male with persistent fatigue and low energy. My recent blood tests show Vitamin B12 <148 pg/mL and Vitamin D 11.8 ng/mL. Hb is 15.1 g/dL and CBC is otherwise normal. Thyroid, HbA1c, kidney function and most liver parameters are normal. I am vegetarian. Please advise on the appropriate treatment for these deficiencies, including whether oral B12 or injections are preferable, dosage and duration. Also, should I get any further tests to identify the cause of the severe B12 deficiency or investigate my fatigue? I can share the complete blood report.
Today i got my report and my
VITAMIN D 8.9 ng/mL
B12 348 pg/mL
Iron 48.16 ug/dL
Transferrin saturation 14.3 %
Ferritin 100.8 (though i have currently cold)
Esr also high 15
Suggest something
Hi, My Vitamin D level was 28 (insufficient), doctor prescribed 60,000 IU weekly for 8 weeks.
After taking 3 doses, I noticed my heart rate goes above 100 bpm for 2-3 days after each dose.
Should I stop this and switch to a lower daily dose instead? Please advise. Thanks
