Giardiasis Treatment

Health Q&A
B12, Vitamin D Deficiency & Fatigue

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.

Frequent urination, increased thirst

Hi Doctor, I’m a 20-year-old male and would like some guidance regarding a few symptoms. For the past 7 days, I’ve been urinating quite frequently, around 8–9 times within 12 hours. Sometimes, even after urinating, I feel the urge to urinate again shortly afterward. I’ve also noticed that I’m more thirsty than usual and have been drinking water more frequently. For the past 2 months, I’ve also been experiencing persistent fatigue/tiredness. My sleep doesn’t feel completely refreshing, even when I get what seems like enough sleep, and I often feel the need to take a ~1-hour nap during the day. I initially thought this was due to sleeping late,but the tiredness has continued even after I started going to bed earlier. I’m also currently being treated for acne.My dermatologist prescribed Doxt-SL, which I’m taking as directed:Twice daily after food for 2 weeks Then once daily 4 weeks.

Vitamin d deficiency

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

Spicy food

I have taken spicy food in a get together. Now belly is burning. Can you suggest anything to get relief. Should I take antacid like Rantac ? Will that help

Being overweight

My age is 23 and height is 5'1" and my weight is 74.7 kg. I gained almost 12-13 kgs from last 18 months and because of that I am suffering from multiple issues like my blood pressure is not in normal range sometime it raises and now my menstruation cycles are also irregular from last 2-3 months please give me some suggestions

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