Question: Namasthe Dr XXXXXXX I had met you in 2010 in Apollo Hyderabad for consultation on my numbness experienced in my hands and legs. I have attached a document where you have listed out the problem and medication. In 2011, I have discontinued medicines after taking Vitamin B12 injections and due to acute acne on my face. It took an year to solve the acne problem after using extensive medicines. i am not sure of the reason behind acne occurence. I had left to london in 2011 for long term project as a PM and then to Australia in 2012. I took a break in my career due to personal work at home and currently in Andhra Pradesh. I am happy to see you on HCM and decided to send my query in detail for your review and medication. My Current health issues: 1) Numbness in Hands and Legs (noticed from age of 9) 2) Sudden pain in the bone at buttock area when trying to get up from chair. (from last 6 months) 3) Sweating in Hands (since teenage) 4) Weight Gain of 13 kgs in 1 year. Currently at 74.5 after hitting 80. Walking for couple of hours a day. One of the doctor on HCM suggested to take Metformin tab but didn't do it. 5) Hands and tone shiver when i am angry (since teenage) 6) Uncontrollable tension and anxiety thoughts - I am in job trials now in IT sector. 7) Sometimes, couldn't think or speak with clarity of thought and have to strive hard to get ideas or words. (from last 3 years) Existing Medical Issues: 1) Bi Renal Calculi (See page 22 i.e., last page of attached doc). Used Febutaz as per doctor prescription for 20 days and observed slight growth in breast area and then stopped. 2) Dandruff (from last 15 years). Used many shampoos. No result. 3) Constipation (if no fruit taken in diet) REQUEST: 1) Please suggest medication that do not give any side effects on my skin, hair, weight or kidneys. I made up my mind to get rid of my health issues within next 1 year as i have decided to get married. Initially thought not to get married because of these health issues. I am still continuing my life style as an IT sector person i.e., sleep at 5 am and get up at 12 pm. Couldn't stop it although on leave.

Thanks doctor for quick response. To sum up, Pregabalin 75mg at night & Nexitoforte to be taken. Please suggest dosage for nexitoforte. How many months should i continue both medicines for visible results? I assume that both these medicines do not have side effects on my hair, skin, weight and kidney stones. Hope you have reviewed my attached reports. Just FYI, had a vitamin d deficiency in the latest test and used D Rise (60000 iu) sachets for 5 weeks. Also, need your reference for urologist / nephrologist to discuss my kidney stones problem. I am not sure whom to post question as there are many specialists. Please suggest if you know any one on HCM. If possible, i will visit hyderabad in april 2014 and meet you in person at one of your clinics. Thanks. Best Regards XXXX Sent from HCM mobile app

Thanks doctor. 1) Should nexitoforte also be taken at night? 2) How many months should i use these medicines? 3) Sorry, i forgot to tell you about my recent observations which is flatulence and lack of concentration 4) About to put an order for these 2 medicines in online shop and saw weight gain, flatulence & less concentration as side effects. Hope this will not effect me. My job nature requires high mental alertness as i work for an investment bank. 5) In case, if i observe any side effects, may i send you an e-mail on your yahoo id? 6) I did consult an MD (general) (family doctor) to discuss thyroid result and he has told me that no medication is required as my ft3 & ft4 tests are normal. Should i still visit an endocrinologist? 7) Request you to suggest a good multi vitamin tab that has zinc, selenium. biotin, vitamin a & vitamin b12 as 100% of daily value. That's it. No more questions from my side. Thanks very much. Best Regards XXXX Sent from HCM mobile