Dear Doctor,
I have attached my blood test report, which contains the abnormal findings/parameters identified during my recent health check-up.
Could you please review the report and let me know what I should do to improve these abnormal values? Also, please advise whether I need any medication, supplements, or any other treatment based on these results.
I would appreciate your guidance on the next steps
My Hb has generally remained around 8–10 g/dL. I currently have severe tiredness/fatigue, dizziness, weakness and frequent body pains. I also have significant menstrual cramps. My periods usually last around 6 days, although the amount of bleeding varies. I had a sonography done because of the menstrual cramps, but it was normal.
Recent CBC: Hb 10.4 g/dL, HCT 33.5%, RBC 4.32 ×10⁶/µL, MCV 77.5 fL, MCH 24.2 pg, MCHC 31.1 g/dL, RDW-CV 15.2%, RDW-SD 41.7 fL, WBC 9.3 ×10³/µL, platelets 305 ×10³/µL.
Iron profile: Serum iron 28.3 µg/dL (ref 50–170), TIBC 410.5 µg/dL, transferrin saturation 6.89% (ref 15–45%), UIBC 382.2 µg/dL, and ferritin 4 µg/L.
Vitamin B12: 311; Vitamin D3: 33.29.
Given my recurrent low Hb and very low ferritin, I would like to know how significant my iron deficiency is, whether it could explain my symptoms, why my anemia keeps recurring, and what investigations I should undergo to identify the cause. Would oral iron or IV iron be appropriate in my case?
I already have a problem of slight imbalance. Currently I also have deficiency of Vitamin D3 and B12. By the way, I often have health anxiety, these days I am feeling a little light headed.does not faint but It feels like I'm wandering sometimes.Is this vertigo or something else? I have got the Ecg done, the result is normal.There is no thyroid either. There is also cervical pain. Nowadays, joints also acha. Suddenly it felt as if things around me were spinning, there was a slight imbalance also.Please tell me what should I do? Please reply ASAP
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.”
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