Question 1

Sir a 47 year old woman has been suffering from acute attacks of vertigo with general weakness for the past one year. Her blood report is attached. Please provide diagnosis and treatment advice. Her fasting blood sugar is 85. Thank you.

Accepted Answer

Question 2

Hello doctors, my recent blood report shows that my vitamin B12 level is 240. Do I need to increase it and how. I am a pure vegetarian. If supplements are needed please suggest the best option and the correct usage.

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Question 3

Hi doctor, earlier I had updated my blood report and you suggested me to take multivitamins with minerals. I am again updating my blood report. I sometimes feel fatigue and sudden dizziness but otherwise I am eating well, sleeping, and working normally. Please suggest some multivitamins that I can take. Thank you.

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Question 4

My report shows Vitamin B12 level at 169 and Vitamin D3 level at 14. I have been experiencing symptoms like inflammation around the anus and general body discomfort. I started treatment with five doses of Eldervit 12 injection and two doses of Arachitol 6L. Although the symptoms improved, some of them have returned. I am also taking Caldikind Plus one tablet daily, Neurobion two tablets daily, and Uprise D3 once a week. I would like to know how many more doses I should take and when I can expect complete relief from all symptoms.

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Question 5

Hi doctor, I have been experiencing knee joint pain for the past six months. I feel pain mainly while running and climbing stairs. Initially, the pain was more severe, but it has now reduced, although there is still some discomfort. I consulted an orthopaedic specialist earlier and had an X ray done, which came back normal. He prescribed some pain relief medication, which helped reduce the pain. The issue started after I followed a strict healthy diet for two months. My recent blood report is also normal. Please suggest what I should do next.

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Question 6

Is there a urine test for vitamin deficiency?

Accepted Answer

Yes, there is a urine test. The test measures the amount of a substance called methylmalonic acid (MMA) in your urine. MMA is typically made in tiny amounts when you digest protein. Your body makes large amounts of MMA if you have a decrease in the amount of vitamin B12.

Question 7

Is there a blood test for nutritional deficiencies?

Accepted Answer

Yes, vitamins and minerals can be tested for nutritional deficiencies specially vitamin D and vitamin B12.

Question 8

Should you stop taking vitamin D before a blood test?

Accepted Answer

Yes, ideally one should stop taking vitamin D before a blood test.

Question 9

Is there a way to self-test for a vitamin D deficiency?

Accepted Answer

No, there are no self test kits available in India at the moment.

Question 10

What does a high B12 level in blood mean?

Accepted Answer

High levels of B12 is rare, however, it may be a sign of a serious, even life-threatening, disease. Hematologic disorders like chronic myelogeneous leukemia, promyelocytic leukemia, polycythemia vera and also the hypereosinophilic syndrome can result in elevated levels of cobalamin. You are recommended to check with a doctor.

Question 11

Is fasting required for a vitamin B12 test?

Accepted Answer

No, fasting is required for B12 test.

Question 12

Is it possible to skew vitamin intake before a blood test?

Accepted Answer

No, it is not possible.

Question 13

Can CBC and CRP blood tests show a lack of vitamin?

Accepted Answer

No, they cannot detect lack of vitamins.

Question 14

How much level of B12 rises in blood with 1 B12 injection?

Accepted Answer

After an injection the serum B12 value rises quickly to far above the upper reference value on average 150-700 pmol/L

Question 15

How to increase the MCH count in my blood?

Accepted Answer

Adding more iron and B12 helps increase MCH values. Consuming vitamin C and fiber, along with foods that contain iron, may also help increase the MCH levels.

Question 16

Why do blood tests results vary with different labs?

Accepted Answer

They vary because of the machines caliberation and the reagents used.

Question 17

What are the benefits of getting a general blood test?

Accepted Answer

The benefits of general blood tests are early detection of diseases and monitoring existing conditions.

Question 18

What blood test indicates a Vitamin D deficiency?

Accepted Answer

The vitamin D test, 25-hydroxy vitamin D test is the most accurate way to measure how much vitamin D is in your body.

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