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Multiple Deficiencies Confirmed
Recent blood work (Thyrocare, April 2026) confirmed:
• Iron deficiency anemia (Hb 11.6, iron 40, ferritin 19.5, transferrin saturation 13%)
• Vitamin D deficiency (16.42 ng/mL)
• Elevated homocysteine (18.17 µmol/L)
• Borderline B12 (198 pg/mL)
• Borderline low calcium (8.76)
Current symptoms:
• Severe fatigue, cannot perform basic daily tasks
• Waking up exhausted despite sleeping
• Whole body pain, concentrated in calves and legs
• Cannot concentrate or memorize anything
• One meal per day, no appetite
• Diarrhea recently resolved
• Significant hair loss, diffuse thinning at crown
• Severe anxiety, depression, grief
Additional concern — significant hair loss:
• Diffuse thinning at crown and central part, visible scalp showing through
• Pattern consistent with Female Pattern Hair Loss (FPHL/Androgenetic Alopecia)
Testosterone at 46.44 ng/dL
Requesting referral to dermatologist after initial internal medicine consultation
DHT, SHBG, LH, FSH not yet tested
Answers (6)
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Your reports do show multiple deficiencies that can explain the fatigue, body pains, low energy, hair fall, and concentration issues 👍 The good part is that many of these are treatable and improve gradually with the right correction plan. Since hair loss and hormones also need proper evaluation together, I’d strongly suggest booking a detailed consultation so we can review everything step by step and guide you properly.
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Iron def anaemia with vitamin deficiency
Next Steps
Good Nutritious diet
Tab Iron 1 tab x od
Cap B.Complex 1 cap x bd
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T fe 1 od 1mnth
T biotin 1 od 1mnth..
Increase food intake..fruits vegetables milk and cereals..
Take plenty of water...
Exercise...
Take good care of your hair...
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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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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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.