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Abnormal B12, lymphocytes, ESR level
My wife (F, 30) had a routine health checkup. She has the PCOS and hypothyroidism. Most values were normal, but some are abnormal or borderline:
Vitamin B12: 1143 pg/mL (not on B12 supplements)
Lymphocytes: 45.9%
ALT: 62.01 U/L
AST: 45.8 U/L
ESR: 30 mm/hr
TSH: 8.56 µIU/mL
Hemoglobin: 12.7 g/dL
LDL: 131.99 mg/dL | Total Cholesterol: 219 mg/dL
We're unsure which findings need follow-up or further testing. Could high B12 be linked to liver values? Does the thyroid/liver/lipid data suggest anything systemic?
We’d really appreciate guidance on what to investigate further or if any specialist consult is needed.
Full report: https://drive.google.com/file/d/1PJXvJw75u-7YrZtKuX1__L2RWJGcsXfg/view?usp=drivesdk
Thanks in advance!
Answers (13)
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High vit
B12 could be linked to liver dysfunction.Tsh 8.6 means mild hypothyroidism.
High ESR only indicates some health issue for some time it is non specific.
Next Steps
get abdominal ultrasound done for fatty liver.
Tests for hepatitis b and C done.
Health Tips
avoid fatty food. Take more of fresh vegetables, fruits.
Repeat thyroid and lipid profile after a month.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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In hypothyroidism, n dislipidemia b12 may be like this, as in my case but now it's normal and I'm under cardiologist she said not to worry. Now it's normal for me but but d3 is drastically high.
As per my cardiologist it's nothing to worry some.
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Connect
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Kindly connect with me.
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Need few more details
Kindly connect.
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Thyroid she needs to increase dosage of the medicine
Vitamin b12 is quite high need to evaluate
Cholesterol and liver function test abnormalities are there and linked
Next Steps
Get ultrasound abdomen and pelvis to rule to fatty liver
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details. Kindly connect for further evaluation
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Reports are fine.
You need not worry.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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