Question 1

My wife, age 34, underwent pituitary tumor surgery 3 years ago. Her recent blood report shows Vitamin B12 is 927 pg/mL, hemoglobin is 10 g/dL, and PCV is 31 percent. She has been experiencing heavy gastric issues that do not subside even with medications like PPIs. Additionally, she has an enlarging fibroid. Her weight is 67 kg and blood pressure is 90/70 mmHg. Could you please advise how to reduce the heavy gas and manage her gastric discomfort effectively?

Question 2

In summer, my body temperature is normal, but I feel like my face, arms, and feet are burning and uncomfortable. Sometimes there is swelling in my feet. Sometimes my feet, arms, and face feel warm to touch. It feels like heat is being radiated from my arms, face, and feet. I remain tired all day. Pain in the muscles of my legs is always present and increases in the evening. Almost every evening, fluid discharge starts from inside my nose, and I feel pain in my eyes and throat. My nose gets blocked, making it difficult to breathe through it. My CBC is normal. My thyroid is normal. My blood sugar tests are normal. I have had no weight gain or loss in the past few months. I am taking a proper diet. Please suggest a solution for these problems?

Question 3

Hi, I am experiencing numbness in the last two fingers of my right hand, mostly in the mornings when I wake up. I am not diabetic (post meal sugar: 133). Previously, I had significant drooping of my right eyelid, which was evaluated by neurologists and an ophthalmologist, and nerve tests were normal, only vitamin deficiencies were found. After taking vitamins, my eyelid improved. However, now this intermittent numbness in my fingers every alternate morning is worrying me. Could this indicate a serious condition that I need to be alert about? Please advise. Thank you in advance.

I am sharing my BMD and vitamin profile test report. My calcium level is 9.22 and folate level is 6.1. Please check my reports and suggest some medicine and treatment accordingly. I have been suffering from leg pain below the knee in both legs most of the time.

These are borderline values. Leg pain might be neuropathic or muscular. Consider checking B12, D, and Magnesium as well. Please take serum B12 and Vitamin D test.

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