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Doctor insights on: 5 Alpha Reductase Deficiency

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Vitamin e deficiency and weak legs. Is there any such connection?

Vitamin e deficiency and weak legs.  Is there any such connection?

Yes: Frank vitamin E deficiency is rare and overt deficiency symptoms have not been found in healthy people who obtain little vitamin E from their diets. If there is a deficiency symptoms include poor transmission of nerve impulses, muscle weakness, and retinal degeneration that leads to blindness. ...Read more

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What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.

What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo?  Also take 200mg modafinil, levothroid 88mcg.

Your medications: The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated. ...Read more

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Does beta blockers prevent vf in myocarditis ?

Does beta blockers prevent vf in myocarditis ?

Ventricular fibrilla: Antiarrhythmic medications and antiheart failure medications can decrease the probability of ventricular fibrillation but no medication is 'preventative'. ...Read more

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Can a normal & healthy person may marry with e beta thalassemia , safely?????

Can a normal & healthy person may marry with e beta thalassemia , safely?????

Yes: If you do not carry the gene in any way, any children will be carriers. HbgE/beta thalassemia is a disease that can be mild or severe. The best way to ease your mind is to seek genetic counseling. All the best. ...Read more

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Does magnesium supplements block the absorption of folic acid?

Does magnesium supplements block the absorption of folic acid?

No: Not to the best of my knowledge. Various b vitamins like b-complex is needed for optimal magnesium function ...Read more

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Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

No known interaction: B vitamins calcium, magnesium, tylenol, (acetaminophen) or gas-x. There is no information on omega-3 69, oregano juice, or airborne. Those you would have to take at your own risk. Best wishes. ...Read more

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Hi, My liver tests are as follows: Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL Should I be concerned ?

Hi,
My liver tests are as follows:
Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL 
Should I be concerned
?

? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more

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My ferritin level (15) dropped low (from 152) and tibc (471) is high, but iron is normal (71) and hgb remains slightly high (17.5). Iron deficiency?

My ferritin level (15) dropped low (from 152) and tibc (471) is high, but iron is normal (71) and hgb remains slightly high (17.5). Iron deficiency?

No: Your hemoglobin is high not low that is the most probalbe reason your ferritin is low i simply would check my hemoglobin and the other tests in 6 12 monthst. ...Read more

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Does using a topical antioxidant like vitamin c inhibit only the overproduction of melanin or also normal production? Don't wan't to lighten skin tone

Does using a topical antioxidant like vitamin c inhibit only the overproduction of melanin or also normal production? Don't wan't to lighten skin tone

Vitamin C: I strongly recommend you go soon to a public library and seek books that will help you understand the good and not so good data. In general you should be OK but please read some books. The librarian will help you. ...Read more

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Neutrophils 39 (40-74), neutrophils (absolute) 1.3 (1.4-7), high lymphs 50 (14-46), iron sat. 13 (15-55), B12 1962! other levels normal. Causes?

Neutrophils 39 (40-74), neutrophils (absolute) 1.3 (1.4-7), high lymphs 50 (14-46), iron sat. 13 (15-55), B12 1962! other levels normal. Causes?

See below:: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, you do seem to have iron deficiency, other values are not far from normal. Please consult with your doctor. You may take over the counter iron supplements. ...Read more

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Are these labs cause for concern? Calcium 8.7 L Creatinine 0.61 L Anion Gap 13.9 H Epithelial Cells- Many WBC-10-20

Are these labs cause for concern? Calcium 8.7 L
Creatinine 0.61 L
Anion Gap 13.9 H
Epithelial Cells- Many 
WBC-10-20

May be WBC: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, I trust the WBC 10-20 was in urine. If so, it should be repeated with proper urine collection of mid-stream specimen, after cleaning the external genitalia. Your doctor can advise on proper collection technique. Others are okay. ...Read more

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Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read more

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Vit d 6.84 ng/ml, can cause only legweaknes(on and off) low energy(on and off), hairloss. So low vit d causes any other symptoms? Is sunlight enough?

Vit d 6.84 ng/ml, can cause only legweaknes(on and off) low energy(on and off), hairloss. So low vit d causes any other symptoms? Is sunlight enough?

This level is low!: This vitamin d level is very low. Vitamin d not only helps your body absorb calcium much better, it also affects your muscle and core strength. We don't recommend spending too much time getting sunlight as as the primary source of vitamin d, due to the risk of skin cancer! see your doctor for a temporary high dose of vitamin d to 'catch you up', then take 1000-2000 units of vitamin d3 daily. ...Read more

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Any hypertensive meds that don't cause hair loss? Vasotec, lebatalol, diovan, bystolic (nebivolol) work but cause hair loss. Benicar doesn't reduce dystolic #.

Any hypertensive meds that don't cause hair loss? Vasotec, lebatalol, diovan, bystolic (nebivolol) work but cause hair loss. Benicar doesn't reduce dystolic #.

Unusual side effect: I have treated pts for forty years, and i can't remember that complained of hair loss after starting any of these agents. That does not mean it never happens (one lesson i've learned in medicine is never say never). Every drug has a huge list of adverse effects because each one a pt complains of in a study gets listed. Vasotec is an ace, Diovan (valsartan) & Benicar r arb's, same effects. Hair loss unlikely. ...Read more

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Can pernicious anemia or severe vitamin B12 deficiency cause chronic non-specific duodenitis??

Can pernicious anemia or severe vitamin B12 deficiency cause chronic non-specific duodenitis??

Not clear: No clear evidence for the causal-effect relationship between the two. PA is an autoimmue-mediated destruction of parietal cells in stomach, resuling in impairmnent of B12 absorption. Certainly it is possible that pernicious anemia may co-exist or exacerbate duodenitis via immune process or loss of balance in duodenal fluid, or anemia. But the causal-effect relationship is not well established. ...Read more

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Does vitamin b17 affect cancer?

Does vitamin b17 affect cancer?

No: Vitamin b17 is not a vitamin, but an utterly cynical scam from the 1970's with rich right-wingers ripping off poor right-wingers. You are being targeted for a sucker. Examine the court transcripts in the laetrile rutherford case and decide if you want these people do do your thinking. It's still sold as "apricots from god", but failed every basic test. ...Read more

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12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

Nutrition!: A gastric bypass is a very complex nutrition situation. If your physician has not dealt with it much i would suggest asking for a referral to a nutritionist or a bariatric center. That being said, the dosage of iron is fda approved treatment for iron deficiency, and the vitamin d is a reasonable amount. You have many nutrient levels that should be monitored and carefully watched! ...Read more