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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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Uprise d3 capsule once a week for 12 weeks.
Meconerv 1500 mcg once a 3 months
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Need more details for better understanding on case kindly connect
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Consult ASAP
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine.
Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS .
Jai hind. 🇮🇳
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Plan for the Patient
Issue—Diagnosis—Management Plan—Duration & Follow-up.
1. Vitamin D Deficiency - Cholecalciferol 60,000 IU once weekly after food for 8 weeks - Then maintenance dose: 1000–2000 IU daily or once weekly Re-check serum Vitamin D after 8–12 weeks
2. Vitamin B12 Deficiency Severe deficiency (neurological symptoms possible) - Injection Methylcobalamin 1000 mcg IM, once weekly for 6 weeks - Then oral Methylcobalamin 1500 mcg daily for maintenance Check B12 levels after 8 weeks; Continue oral if corrected
3. Liver Enzyme Elevation (SGPT 71.8 U/L) Likely mild NAFLD or metabolic hepatocellular stress - Avoid alcohol and hepatotoxic drugs - Weight loss (target: 5–10% of body weight) - Diet: low saturated fat, low refined carbs - Exercise: ≥30 minutes/day, 5 days/week - Add: Silymarin or Liv-52 DS (optional liver support) Liver function test (LFT) repeat in 3 months Consider Liver Ultrasound
4. Dyslipidemia LDL 144 mg/dL Non-HDL 162 mg/dL HDL/LDL ratio low TG/HDL ratio high Atherogenic lipid profile, increased cardiovascular risk - Diet: reduce fried foods, sugar, red meat - Add Omega-3 fatty acids 1000–2000 mg/day (fish oil) - Start Statin: Atorvastatin 10 mg at bedtime (if no contraindication) - Weight loss + exercise (as above) Repeat Lipid profile in 3 months Monitor statin tolerance
5. General Wellness Support Nutritional deficiencies with early metabolic risk - Multivitamin with Zinc & Selenium daily for 3 months - Hydration and stress management - Sleep hygiene (7–8 hrs daily) Monitor symptoms (fatigue, body pain, memory issues)
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Tab D- rise 60,000 units once per week for 6 to 8 weeks.
Tab mecodenz -5, 2.4 microgram daily for 6 to 8 weeks.
Take fat free, low sugar diet with more of fresh vegetables and fruits. Do regular physical exercise.
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Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Neurokind od one at night after dinner for 3 months.
Change life style n diet plan drastically.
Add walk.
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Your blood test shows significant deficiencies of vitamin d and B 12.liver enzymes are elevated perhaps due to fatty liver,a raised LDL and eosinophils.Consider vitamin b 12 injection cyanocobalamin 1000 mcg daily for a week, followed by weekly once for 4 weeks.Injection vitamin d 600000 iu 15 days apart or cap d rise 60000 iu weekly once for atleast 12 weeks.
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Start with reducing oil consumption on daily basis,
Try to avoid deep fried items
Start vitamin D capsules, 60000 iu per week for 6 weeks along with Tablet B complex 1 tab/day for atleast a month
If you drink alcohol, reduce the amount gradually, i know you cant stop it abruptly
Your kidney is also affected, try to drink atleast 2-3 liters of water daily
You have allergy too, try doing deworming.
Contact if you need more help
Next Steps
Eat fruits, avoid alcohol, drink lots of water
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LDL is raised alcohol or smoking sgot sgot increased
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Connect
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Rajwinder
General Physician
5 yrs exp
Delhi
Consult
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Jugeswar Kisan
General Physician
1 yrs exp
Sambalpur
Ldl ,b12 level and sr vit d levels are deranged.
Diet control is needed .
Medication for 3months recommended
Next Steps
visit hospital, Consult us for doubts and further treatment
Health Tips
Decrease eating oily and fried foods
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Dr. Anmol Kudal
General Physician
5 yrs exp
Nashik
Hello take uprise d3 60k capsule once a week for 8 weeks
Take nurokind plus rf capsule once after dinner for 2 weeks
Take udiliv 150 mg twice daily for 1 week
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Available
Now consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.