Question 1

There is a white patch that has emerged on my neck, which was not that prominent sometime back but now it is quite prominent. I got blood tests done on the advice of the doctor and I do not have sugar or thyroid. I have vitamin D deficiency though. What could be the possible reason for this white patch? There is no patch on any other part of the body, only on the neck.

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 am 30 years old and have been experiencing knee pain for the past month. My X ray shows no abnormalities, and doctors suggest it might be due to calcium deficiency. I am taking calcium supplements and have been undergoing physiotherapy sessions for the last 15 days, but the pain persists. My blood test shows an ESR count of 44. Could you please advise if this is something serious and what further steps I should take?

With severe deficiency and sun avoidance, long term maintenance may be needed. After initial course, take 2000 to 4000 IU daily and magnesium (200 to 300 mg) if not contraindicated.

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