Doctor insights on:
65 Mg Iron
Anemia:rbc-3.7, hct-35.4, fer-50, iron-54, tibc 268, iron sat 20%, PLT 222, retic .6%, potas 5.2, B12 1500, folate (folic acid) 24.8. College athlete weight gain, fatig?
?Not anemic: Your rbc is low, but hct is probably at the bottom of normal. The other lab values are all normal. This discrepancy between rbc and hct usually means either your red cells are unusually big, or something is interfering with the counting. This can happen with a cold agglutinin (red cells clump in the cold), excessive alcohol, liver problems, or low thyroid. Given other symptoms, check thyroid. ...Read moreSee 1 more doctor answer
Ibandronic acid tablets 150 mg and vitamin D3 60k once a month, calcium tablets daily enough to treat osteoporosis? I am male, 30. Can it be cured?
Depends: For a male your age to have osteoporosis, there is likely to be more factors involved. Consider and test for copper deficiency. Also take magnesium daily, vitamin K2 daily, and some vitamin A occasionally. Strontium can also be useful, as well as boron. Avoid drinking coca cola or pepsi, as these damage your bones mineral balance. ...Read more
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?
Depends: Every person who needs thyroid medication, has to have their dose individualized, based on both their clinical symptoms and their labs. So one person might be on 150 mcg and another similarly sized and affected person might only be on 75 mcg and yet, based on their symptoms and labs, they are on the correct dose. So, truly the answer depends on a trained physician's skill and recommendations. ...Read more
Prevacid (lansoprazole) for barrett's esophagus. Armour thyroid 120 mg( graves thyroidectomy 40 yrs ago), bupropion 75mg bid. Drug interaction? Hair loss sick etc
You can use a drug interaction checker whenever you have questions about drug-drug interactions or drug - food interactions. Here is one option (Drugs.Com): https://www.drugs.com/drug_interactions.php Your pharmacist is also an excellent source of information.
Got 20/1 omega6/3 ratio. Arthritis bad. Take 2k of grill oil. Got afib take padaxtra. Can i take large dose plant DHA supp. Ok. Am vegan exc. Krill?
Plant vs fish omegas: The type of omega 3 fatty acids (including dha) in plants are shorter in fatty acid chain length than the ones in fish. Our bodies use then longer chains much more efficiently, perhaps 6-10 times more efficiently. ...Read more
For 57+ F with Hb 10.6, RBC 3.6, Pt 1.2L & ESR 51 while normal MCV & MCHC, does Ferritin 35 [4 - 204] indicate iron deficiency or haemolytic anemia ?
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
Pregnancy/anemia: If you were not anemic before pregnancy and now becomes anemic after the pregnancy, this is most likely physiological or dilutional anemia, i.e. greater expansion of plasma volume over red cell volume increase during the pregnancy. During the pregnancy, your iron and folate (folic acid) requirement will be increased for fetus and placenta. ...Read more
Pv? Labs hgb 16.1 hct 46.9 mcv 100 mch 34.3 wbc 11.3 a1c 6.0 mono 3.8 gran# 8.5 16hrfast glucose 104 rbc 4.7 rdw13.6 vitD 29 do i ignore labs?
Pv?: Unclear question. These appear to be pretty normal depending on the lab, though fasting BS and a1c a tad high and you have low vit D which is also pretty normal in the US. Who ordered the labs? and why? Have you asked that person to interpret? ...Read more
I'd elevated TSH;around 18, taking eltroxin 100 mcg daily, it's under control now but I look bloated, height 5.7", 145 lbs, age 29. What is wrong here?
Hypothyroidism: Eltroxin (levothyroxine) is used for hypothyroidism. If your TSH is 18, then you probably need an increase in dose of your eltroxin, although 100 mcg is probably enough to make you feel better, but a dose that normalizes your TSH will make you feel normal. Make sure you take it on an empty stomach and without hot liquids. See your doctor. ...Read more
My dad 70 yrs has macrocytic anemia. Hemoglobin 9.5, hematocrit 28. Hematologist gave maltofer pill a day. In a month hemoglobin 10 hematocrit 30?
What is the question: Please rephrase your question to get a better answer. Please discuss in detail with his hematologist. The fact that hematologist gave the iron- means that your hematologist thinks there is a component of iron deficiency. So, continue iron and f/u with your md. However, it does not fit exactly with macrocytosis. Other work up still needs to be done to see explanation for macrocytosis. ...Read moreSee 1 more doctor answer
I, ITP (4,000/cumm)patient last 20 y.
My 18-month son have
platelet 4.2 L/c
Platelet diffe width 23.9
symton blod diease?
Hematologist please: Kindly take your son to a pediatric hematologist or to a hematologist ASAP. ...Read more
I have celiac disease & I'm on a strict 100% gluten free diet. I take Propranolol 20mg tabs & Levothyroxine 137mcg tabs daily. Do these contain Gluten?
Specific dose: can be recommended by your doc but you may need more to raise the level of D. Experts say between 50 and 80 is best. Many people take 5K mg D. Peace and good health. ...Read more
I am currently prescribed 50mg topiramate twice daily; 20mg escitalopram; 7.5mg zopiclone and up to three 25mg promethazine doses a day.
Is this safe?
Generally Yes: Usually, it is not the combination of meds. It is the individual meds. With topamax (topiramate) monitor very carefully asymptomatic increase eye pressure. Sometimes might suffer from headache, blurry vision, needing sungalsses where cannot tolerate the sun anylonger on it. Also watch for kidney stones and lacking sweating with topamax (topiramate). Lexapro is very safe but not in pregnancyany longer... ...Read more
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 moreSee 2 more doctor answers
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
4-21-14 Thyroidectomy r/t thyroiditis, goiter. On Synthroid (thyroxine) 137 mcg- hypo s/s returning have felt great for months. Would adding Cytomel help?
Not specific: The signs & symptoms of hypothyroidism are not specific for hypothyroidism (not a single one). Recheck your thyroid labs. If they're normal, your symptoms are due to something else. Having said that, I'm happy to do a trial of Cytomel with the Synthroid (thyroxine) in patients who want to try as long as I don't make them hyperthyroid. Some people report feeling better with comparable labs taking a little T3. ...Read moreSee 1 more doctor answer