Question 1

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?

Question 2

Is there any relationship between vitamin B12 and liver? I have B12 deficiency even though I am non vegetarian (homocysteine is normal). My liver report shows indirect bilirubin 1.19, total bilirubin 1.39, and GGT 67, which are beyond the normal range. Is there any connection between the B12 deficiency and liver report? Last year I had acidity issues and the doctor prescribed Pantocid and Refagut 400 for 30 days. I also have excess vitamin K in my test report. I am non alcoholic.

Question 3

Doctor, I have been getting black, itchy spots on my legs. I was advised to get a blood test, and I have attached the report. Could you please review it and let me know if there is anything concerning?

I am taking diabetic medication, Uprise D3 weekly, and Rejunex CD3 daily for the last 3 days but I am feeling tired and have a little headache. Do I need to start some medication to increase iron and RBC along with the above medication? My blood report shows iron count 55 and RBC count 4.44.

Fatigue can be due to borderline low iron. Iron supplements may help, especially if ferritin is low. Check for B12 deficiency as well. Please do the required serum ferritin and B12 tests.

More COMPLETE BLOOD COUNT (CBC) Health Queries

Doctor, I have been getting black, itchy spots on my legs. I was advised to get a blood test, and I have attached the report. Could you please review it and let me know if there is anything concerning?