25 Years Female Having Numbness in Whole Body From the Last 1 Month No Any Other Problems No History of DM Investigation Attached Lymphocytes Counts 3653 HB 11.8 TLC 11.31 Iron 195.4 Transferin Saturation 81.21 Vitamin D3 23.60 Vit B12 More Than 2000 Please Advise a Good Line of Treatment Current Treatment Neurobion Shelcal D3

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Well investigated. Urine r/e n c/s bhi Kara lo . U never know it might b a case of uti as well . Stop vit b12 injection n oral supplement . Add a low dose antidepressant n anti anxiety . Ct scan / mri of brain if any central cause is missed . Can try carnithine as well . Could b a case of chronic fatigue syndrome syndrome as well .

Thank you doctor
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NEED'S .. COUNSELING .. LIFE STYLE CHANGES .. VITAMIN D AND CALCIUM SUPPLEMENTS.. PLACEBOS ..

Tnxs Dr shivraj Agarwal Sir
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ANEMIA HYPERVITAMINOSIS INSUFFICIENT VITAMIN D3 HYPOCALCEMIA OVER TRANSFERRIN SATURATION RX, I WILL SUGGEST, ONLY ACTIVE LIFESTYLE GREEN & LEAFY VEGETABLES PHYSICAL EXERCISE YOGA & MEDITATION NUTRITIOUS DIET SUNBATH ORAL CALCIUM & VITAMIN D3 SUPPLEMENTS

Thanks Sir
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Hypervitaminosis VitB12 levels are here gh 2000 Vit D 3 and sr calcium marginal on lower side Over saturation in f iron It seems pt is over feed with injectable and oral substitute Withhold the on going nutritional supplements Pt needs psychological counseling Generalised numbness will correct with active lifestyle and nutritious food rather than suppliments Rest 😘 f reports are less significant like mild or marginal leucocytosis or decreased TLC are irrelevant unless relevent symptoms are seen like to consider viral or dengue etc

Thanx dr Jagbir
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