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.
Vitamin D is 9.61 ng/ml Normal range 30-100
B12 is 181 pg/ml Normal range 211-912
Please provide suggestion for Vitamin D and B12
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 was 50 kg when I was in school.But from some years my weight has gone down.I am 44 kg now.My BMI is underweight.How to gain weight.
About 2 years ago my vitamin d level was 21
Then I started 12 weeks of 60000iu dose
After that my levels were 25
Then I take supplements (may be 2&3 dose in a year)
Now I again tested it comes 19.6 (why it's not increasing)
Symptoms: fatigue, neck stiffness, anxiety, calf muscle cramps.
Note: I have hypothyroidism and my tsh is 7.21 and t4 -5.44 and t3 is 78
