Question 1

Hello Doctor. I have done a full body checkup including blood test, urine test, LFT, and vitamin D. I found my vitamin D level very low at 4.5 ng/ml. Should I go for further tests, or can you suggest some supplements? I have attached my report. One reason for low vitamin D is lack of sunlight exposure, which I will take care of now. Please suggest.

Question 2

I underwent a full body checkup yesterday and received my report. I need consultation as several parameters are not within the normal range. Some of the highlighted abnormalities include: Total Cholesterol Serum at 120 mg/dl, Total Lipid at 305.60 mg/dl, Vitamin D 25 Hydroxy at 7.3 ng/ml, Bilirubin Total at 2.10 mg/dl, Bilirubin Direct at 0.83 mg/dl, Bilirubin Indirect at 1.27 mg/dl, and Urea/Creatinine Ratio at 37.74. I am attaching the screenshots of my blood and liver report for your reference. Please review them and suggest the appropriate medication and dietary changes.

Question 3

I have been having lower back pain. I took MRI, which showed a mild bulge at L2, L3, and L4. My report mentions spondylitis. I already took a one-month course of calcium and vitamin D3 and also underwent acupuncture treatment, but stiffness and pain persist. I have been suffering from this severe problem for the last 4 years?

I recently had a Vitamin D test, and the result came out to 3.4 ng/mL (very low). My Vitamin B12 levels are normal, but calcium was not tested. My weight is 42 kg and height is 156 cm.

Vitamin D (3.4) is severely low. Can cause weakness, low weight gain. Needs high dose Vitamin D (doctor guided). Get Serum Calcium, Phosphorus checked. Sunlight and protein rich balanced diet advised.

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