Question 1

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 2

I am feeling severe buttock pain and lower back pain with a burning sensation. Today I did a blood report. Please look at my reports.

Question 3

I have been suffering from recurrent oral ulcers since December. Currently, only two marks remain. I have consulted a dentist, general physician, and ENT surgeon. All said these are aphthous ulcers. Blood tests are normal, and biopsy was not recommended. My Vitamin B12 is now 271 after taking B12 injections and Rinifol. There is no pain like before, but the ulcers persist. What can I do to get rid of this problem permanently?

Check serum iron, ferritin, TIBC. For B12, 6 to 8 injections total may be needed. Eat leafy greens, legumes, jaggery, and iron rich foods. Continue B12 if symptoms persist.

More COMPLETE BLOOD COUNT (CBC) Health Queries

I am feeling severe buttock pain and lower back pain with a burning sensation. Today I did a blood report. Please look at my reports.