Question: Hi Doctor,
Exactly 1 yrs ago I went to a orthopedician since I was having disturb sleep, pain in calf muscles (Later I started feeling in the back at thighs and in lower back then upper back then in soldiers and in tricep muscels and in neck).

The doctor prescribe me some blood test to be done but nothing came out except severe deficiency of Vitamin-D(14.9 nmol/L). He advised me to take some multi vitamins and supplement for Vitamin-D and re-visit after 2 months. I followed the advise strictly for 2 months but I did not feel any benefit.

I again colsulted with the doctor he asked some question regarding my life style, my diet, my social life etc. and prescribed me to stop previous medicine and take SERELIFT in a way that if do not get benefit raise the dose like 25mg to 50 mg then twice a day etc untill you get benefit.

Again I followed the advaised nearly for 1 month then I felt that I am having side effect of the medicine. I informed the docor regarding this problem he advised me to stop above mentioned medicine immeditely.
Later I googled with medicine name SERLIFT and found this is for depression like deseases. I realised that I am not suffering depression sort of desease eventurally I stopped taking such medicines.

After some time I realised that I was having better condition like there was no pain in my body I was sleeping well. But again I satrted facing same problem from the month of march. Initially, I am having excess sleep but still I dont feel refresed or robust. Again I am feeling extreme fatigue, body ache etc.

Now I have started facing another problem related to my memory. When some one try to explaing somthing long or complicated I start facing sort of headache and I just dont want to lister to that thing etc. I am not able to read a long para since start facing the same problem.

I got some blood tests done from thyrocare and found level of Vitamin-D is still low (21). Please advised me what to do what kind of problem I am facing and IS THIS CURABLE.

Thanka a lot!!!

Thanks Dr XXXXXXX ..

I mentioned above that I got some blood tests done from Thyrocare and found my evel of Vit-D is still low (21). Also I have also attached the latest blood test report( SP0000.pdf) with my question. Here are some negative of the attached report:
/**Start**/
MONOCYTES - ABSOLUTE COUNT           0.17 X 10³ / μL           0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT           0.01 X 10³ / μL           0.02 - 0.10
MEAN CORP.HEMO.CONC(MCHC)           30.7 g/dL                31.5-34.5

RED CELL DISTRIBUTION WIDTH - SD(RDW-SD)           46.7 fL      39 – 46
RED CELL DISTRIBUTION WIDTH (RDW-CV)           14.6 %      11.6-14
PLATELET DISTRIBUTION WIDTH(PDW)                21.32 fL      9.6-15.2
MEAN PLATELET VOLUME(MPV)                     14.7 fL      6.5-12.0

ANTI CCP (ACCP) E.L.I.S.A                          0.87      OD Ratio
Negative : < = 0.90
Equivocal: 0.91 - 1.10
Positive : > = 1.11

ANTI NUCLEAR ANTIBODIES (ANA) E.L.I.S.A           0.72      OD Ratio
Negative : < = 1.00
Positive : > 1.00


APOLIPOPROTEIN - A1 (APO-A1)                    102      mg/dl
Male : 110 – 205
High Sensitivity                                   0.57      mg/L
HIGH SENSITIVE C - REACTIVE PROTEIN (HsCRP)
< 1.00 -- Low Risk
1.00 - 3.00 -- Average Risk
> 3.00 -- High Risk

HOMOCYSTEINE                                    31.4
Adult Male : 6 - 25 μmol/L
Adult Female : 3 - 20 μmol/L
> 50yrs : 25 - 30 μmol/L

CHLORIDE I.S.E                                    108           98 – 106

LIPASE                                         53
ADULTS : 5.6 - 51.3 U/L

BILIRUBIN - TOTAL                               1.42           0.30 - 1.20
BILIRUBIN -DIRECT                               0.29           0 - 0.20
BILIRUBIN (INDIRECT) CALCULATED                     1.13           0 - 0.9
/**End**/

Please detailed me about above mentioned points.

Thanks,
XXXX

Thanks a lot Dr. XXXXXXX ..

Definitely I will see my doctor for the Vid-D Deficiency and for Abdominal Ultrasound.

Lastly I'll be very grateful if you suggest me about my memory problem as I mentioned above that when someone try to explaing somthing long or complicated I start having headache and I just dont want to listen to that thing. I am unable to read a long para whether interesting / boring or complicated. Also not able to keep those lines that I have just read.

Kindly suggest what sort of test needs to be done or which specialist I should got for to get this problem diagnosed. Or it is just because of Vid-D deficiency.

Thanks,
XXXX