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A 35-year-old male asked:

i'm 35,5'8". i'v got issues with colitis & elev bili.from mid april,on home diet.no junk food,low oil/fat/poult, good curb/fibr,no alc/soda,no meat, mid sugar.i lost 17lbs(218-201)now. hb-14+,lipid, pancr,all blood work-ok.wgt loss ok or major sick??

2 doctor answers4 doctors weighed in
Dr. H Robert Silverstein
Specializes in Cardiology
Good job: so far. Generally for situations like this I recommend GLUTEN/DAIRY/SOY free diet. For 2 weeks, only soft-cooked foods, no salads, even fruit must be cooked, nothing cold or spicy, primarily vegan. These are general thoughts that may help some. You do need professional guidance. See my website = www.thepmc.org. HRS, MD, FACC
Dr. Ed Friedlander
Pathology 44 years experience
I am concerned: My first concern would be to rule out ulcerative colitis with sclerosing cholangitis. You need to be under the care of a competent physician who can advise you, with more information than you have shared, whether endoscopy and/or liver biopsy is indicated.

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It is low...: Have your doctor explain the results so you can understand what the plan will be. Most likely it is an anemia due to iron deficiency, but need to rule out genetic reasons like thalassemias. Treatment is via iron supplements or foods rich in iron like green leafy vegetables, meats, beans and iron enriched cereals. Egg yolks are also a good source.

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Last updated Nov 28, 2017
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