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Health Q&A
Vitamin B Profile low

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.

Tests regarding deficiencies

I sit for 8-12 hours in gaps as I'm a govt-job aspirant... lately i have been facing obesity,grey hair, extreme hair loss, foot pain or uneasiness in foot at nights while sleeping, swelling in foot, dark finger knuckles also i want to get my gut and liver checked cuz of frequent acid reflux I really want to start taking supplements for deficiencies though I'm already on a healthy diet under a nutritionist.... i also take breaks to walk a little... I want to get everything tested so i can take better care of myself considering entering 30s I want to make the most of it now to my body so that i wont suffer in future Please let me know what are all the tests I can go through with names and other details

Weight loss

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.

Query: Generalised Skin Darkening, Weigh

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?

One Boiled egg in Morning & One in Eveni

My LDL is 143 ...yes I had a history of Poor Circulation in the legs due to PAD Now a days I am taking one boiled egg in morning And one in the evening . Is it fine ?

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Doctors
Dr. Sophia B Meis - Internal Medicine
Dr. Sophia B Meis Internal Medicine (Medical School, Medical degree, DO, Residency in Internal Medicine, Fellowship in Endocrinology, Diabetes, and Metabolism, Class of 2000, Medical Education, Residency - ID, Fellowship 2) 24 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Alvin J Freeman - Pediatrician
Dr. Alvin J Freeman Pediatrician (Medical School, Medical degree, DO, Residency in Pediatrics, Internship-Internal Medicine, Fellowship in Pediatrics, Pediatric Gastroenterology, Fellowship 2, Residency - ID, Internship, Class of 2000) 20 years experience Dr. Cecilia Moy
Schumacher Place, COLUMBUS
Dr. Amanda E Gordon - Internal Medicine
Dr. Amanda E Gordon Internal Medicine (Medical School, Residency, Medical degree, DO, Residency - ID, Residency in Internal Medicine) 22 years experience Central Ohio Primary Care
Columbus 43220, COLUMBUS
Canal Winchester, COLUMBUS
Dr. Leah Muthuri - Internal Medicine
Dr. Leah Muthuri Internal Medicine (Medical Education, Residency in Internal Medicine, Medical School) 21 years experience Ohio State Lung Care Martha Morehouse Outpatient Care
Fifth by Northwest, COLUMBUS