Question 1

Hello doctor, I had ankle swelling and pain, as well as finger pain. I consulted an orthopedic doctor, who tested me and found high uric acid, low ESR, low vitamin B12, and low hemoglobin. The doctor prescribed some medicines. I would like a second opinion. Are these tablets safe, and do they contain steroids? I have attached my report and medicine prescription.

Question 2

I am 25 years old and have been experiencing weakness, fatigue, shortness of breath, excessive sleep, and occasional hand shivering. I consulted a doctor who advised various tests, including an X ray, all of which came back normal. The doctor said I am okay and recommended focusing on diet and exercise, which I am already doing. Another doctor suggested testing my Vitamin B12, Vitamin D3, and calcium levels. Although my mother received injections and has normal reports, my tests show a Vitamin B12 level of 182 (normal range 239 to 931) and Vitamin D (25hydroxy) level of 18.8 (normal range 20 to 100). Are these results normal? Please advise on what steps I should take.

Question 3

Blood report: I am feeling weak and have stomach digestion problems. Mesenteric lymph nodes largest size detected 8x4 mm. Vitamin B12: 137, Vitamin D: 11.94, Hemoglobin: 17.

Please suggest medication for my blood report showing vitamin B12 and vitamin D deficiency. Vitamin B12 is 111 pg per ml and vitamin D is 10.4 ng per ml.

Both values are deficient. Start oral methylcobalamin and 60,000 IU cholecalciferol weekly. Please repeat Vitamin D and B12 test after 6 weeks to monitor.

More COMPLETE BLOOD COUNT (CBC) Health Queries

Blood report: I am feeling weak and have stomach digestion problems. Mesenteric lymph nodes largest size detected 8x4 mm. Vitamin B12: 137, Vitamin D: 11.94, Hemoglobin: 17.