Question 1

I have been experiencing dizziness and slight imbalance for the past 30 days. I have been taking Vertin tablets, but they have not helped. I underwent a CT scan of the brain, which was normal, and an ENT examination, which ruled out ear problems.

I am still experiencing symptoms and also have acid reflux and stiffness from upper back to neck. Could this be due to a vitamin deficiency? I am attaching my CBC results for reference.

Question 2

Hi doctor, in March 2021 I fell on my knee while playing sports. I waited for 3 months and still had some pain, so I visited an orthopedic in June. Without any lab test for vitamin D, the orthopedic prescribed 60000 IU syrup per day for 11 continuous days. This led to a vitamin D level of 120 ng/ml. It has been 5 months and I still have several symptoms from July until now. I have a feeling of my head shaking, headaches, hand tremors, eye twitching, knee and muscle pains, chest tightness, difficulty in breathing, twitching like tremor all over the body, weakness, and very hot urine. My serum calcium level has been between 10.5 and 11 mg/dl for the past 5 months, now 11 mg/dl. Vitamin D now is 46 ng/ml. Parathyroid hormone (PTH) is 75.67 pg/ml. Uric acid has been between 9.6 and 7 mg/dl, now 7 mg/dl. Creatinine is 0.9 mg/dl. Vitamin B12 is 196 pg/ml. Thyroid: T3 is 0.85 ng/ml, T4 is 6.88 ug/dl, TSH is 3.82 uIU/ml. Blood pH is 8.6. Magnesium is 1.6 mg/dl. What could be the cause of these ongoing symptoms and what should I do?

Question 3

Blood report shows alert for anisocytosis predominantly normocytic normochromic with macrocytes and ovalocytes. Hemoglobin is 14 g per dl PCV is 39 percent MCV is 106 fL RDW SD is 72 fL and platelet count is 160000.

Tingling may be nerve related or due to a vitamin deficiency. Injections help some patients, but a neurology consultation is important. Not usually dangerous, but needs proper workup.

More COMPLETE BLOOD COUNT (CBC) Health Queries

Blood report shows alert for anisocytosis predominantly normocytic normochromic with macrocytes and ovalocytes. Hemoglobin is 14 g per dl PCV is 39 percent MCV is 106 fL RDW SD is 72 fL and platelet count is 160000.