Question 1

I have major health issues and my body is not becoming healthy like a normal body as per age. I used to take juice and also ate chicken etc but I see no effect of these protein diets. My weight is not increasing, my skin is becoming dull and I am facing weight loss. I am not getting a solution to this problem. What should I do to come out of this issue? I had also done all the x rays and some 2 to 3 mm stones were found in my report on the left side of my stomach.

Question 2

I am a patient of endometriosis and panic anxiety disorder. I have been taking Dienogest for 2.5 years to control my endometriosis cysts, and over time the cysts are decreasing in size. My right ovarian cyst is 1 cm and my left ovarian cyst is 3.5 cm. For panic anxiety, my doctor gave me some blood tests and prescribed Rexipro 5 mg. After taking this medication, I no longer have anxiety problems and I feel almost normal. My test reports are as follows: T3: 0.97 ng/mL (0.58 to 1.59), T4: 7.34 mg/dL (4.87 to 11.72), TSH: 1.68 IU/mL (0.35 to 4.94), Glucose Fasting Plasma: 89 mg/dL (74 to 109), Urea: 13 mg/dL (17 to 43), Creatinine: 0.59 mg/dL (<0.95). My CBC results are mostly normal except the following: Hemoglobin: 13.7 gm/dL (11 to 14), Total Leucocyte Count: 12,000 /cumm (4000 to 11000), HCT: 43.2 Vol percent (33 to 42), RBC: 5.01 millions/cumm (3.8 to 4.8), MCHC: 31.7 gm/dL (32 to 36), Neutrophils: 80 percent (40 to 75), Lymphocytes: 17 percent (20 to 40), Monocytes: 1 percent (2 to 8), ESR: 30 mm (2 to 17). I am worried about some of my CBC parameters. Why are they not normal? Please help.

Question 3

My mother is 57 years old and has been receiving treatment at AIIMS Hospital for the past 17 years. She was fine until a month ago, but since then, she has developed a dry cough. She has taken all the medicines prescribed by the AIIMS doctor, but there has been no improvement. Her blood report is normal. The cough is not continuous, but when it starts, it becomes unstoppable for a while. Because of the cough, she also feels pain in her throat. She is taking a cough syrup called Grilinctus.
Please suggest what we should do.

I received my routine blood test report, which shows an MPV of 13.6. Could you please advise if this requires any precautions or if there is anything to be concerned about? Regards, Upkar

An MPV or Mean Platelet Volume of 13.6 is slightly on the higher side but usually not a concern on its own. If other blood counts are normal and you feel well, there is no reason to worry. No treatment is needed unless advised by your doctor.

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