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What Does This Blood Report Indicate?

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Posted on Fri, 24 Jun 2016
Question: In my wellness report following are the paramaters which are not falling under normal limits. Want to know how to handle it to keep them normal??

My Height is 178 cm & weight is 94 Kgs

HOMOCYSTEINE C.L.I.A > 65

BILIRUBIN -DIRECT PHOTOMETRY 0.55 mg/dl

BILIRUBIN - TOTAL PHOTOMETRY 1.59 mg/dl

BILIRUBIN (INDIRECT) CALCULATED 1.04 mg/dl

ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 51.4 U/l

VITAMIN B-12 C.L.I.A 164 pg/ml

25-OH VITAMIN D (TOTAL) C.L.I.A 6.6 ng/ml

BASOPHILS - ABSOLUTE COUNT 0.01 X 103 / μL 0.02 - 0.10

MEAN CORP.HEMO.CONC(MCHC) 29.5 g/dL 31.5-34.5

RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 55.1 fL 39 - 46

RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.6 % 11.6-14

Missed the following parameter:--

HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY 7.45 mg/L
doctor
Answered by Dr. Suresh Heijebu (11 hours later)
Brief Answer:
Please provide further information.

Detailed Answer:
Hello, Sir.

I can understand your concern.

I have worked through your reports.

Before guiding you further, I would like to know

If you take alcohol?

If You are on any medications?

If you're a diabetic?

Do you lead a sedentary lifestyle?

Once I receive your answers, I will guide you further.

Thank you.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (9 hours later)
Hi Dr. XXXXXXX

Please find my answers below:--

If you take alcohol?
Ans: Occasionally. Once in a month

If You are on any medications?
Ans: No.

If you're a diabetic?
Ans: No.

Do you lead a sedentary lifestyle?
Ans: No. I am not doing physical exercises but keep myself active by doing day to day work in office & at home.


Regards
XXXX
doctor
Answered by Dr. Suresh Heijebu (14 minutes later)
Brief Answer:
Vitamin deficiencies need correction

Detailed Answer:
Hello, Sir.

I can certainly understand your concern.

ISo as per your answers, you possibly seem to changes of changes of fatty liver.

This is quite reversible with a good diet.

Likewise elevated homocysteine needed correction with oral pills of vitamin B12.

Likewise vitamin D is grossly deficient.This requires supplement too

For B12 correction, I prescribe oral pills of MATLIDA ER one pill daily for 3 months.

For vitamin D , I prescribe oral pills of TAYO K one pill a week for 6 weeks followed by tab SHELCAL 250 one pill twice a day for 6 months.

The above regimes will absolutely correct your metabolic deficiency.

Please check with your physician if he shares my view and if can prescribe these pills to you.

With regards to diet, kindly avoid all fried and fatty food stuff.

Consume oats daily for relief of fatty liver.

Avoid alcohol all together.

Post your further queries if any.
Thank you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (39 minutes later)
Hi Dr. XXXXXXX

Thanks for the prompt reply. I also want to know the significance of HSCRP as its showing on the higher side for me??

HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY 7.45 mg/L

Regards
XXXX
doctor
Answered by Dr. Suresh Heijebu (14 minutes later)
Brief Answer:
It does not need any treatment as of now.

Detailed Answer:
Hello, Sir.

Elevated HscRP is pointer of non specific inflammation in your body.

This could be commonly associated with allergies and infection.

As of now since you don't have any symptoms of above, you need not pay attention to this elevated crp.It will settle in the due course of time.

As of now, it doesn't need any treatment.

Post your further queries if any.
Thank-you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (11 minutes later)
Hi Dr. XXXXXXX

Earlier my job profile was full of travel & I used to stay in Hotels & eat restaurant food only. In last 6-8 years I have experienced the ageing effect,hair fall & weakened teethes, are all these things related to Vitamin B12 deficiency as during my last 3-4 years report Vitamin B12 is always on the lower side. Also I still face the Acne problem on my face & back alongwith dry scalp with flakes which is making my hairs thinner & weaker...Does Vitamin B12 is responsible for any such harmonal disbalance which I felt is in my case??

Regards
XXXX
doctor
Answered by Dr. Suresh Heijebu (28 minutes later)
Brief Answer:
Yes B12 is responsible.

Detailed Answer:
Hello, Sir.

Yes vitamin deficiencies particularly B12 and D can present in varied ways to contribute to all the symptoms you mentioned.

Your symptoms are due to the deficiencies of both B12 and Vitamin D.

Correction of these will cause great degree of symptomatic improvement.

Post your further queries if any.
Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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What Does This Blood Report Indicate?

Brief Answer: Please provide further information. Detailed Answer: Hello, Sir. I can understand your concern. I have worked through your reports. Before guiding you further, I would like to know If you take alcohol? If You are on any medications? If you're a diabetic? Do you lead a sedentary lifestyle? Once I receive your answers, I will guide you further. Thank you.