Doctor insights on:
Continued Need For Low Levels Of Supplemental Oxygen
For what reason should patients with COPD be given low flow concentration (1-2l/min) supplemental oxygen?
BASED ON PO2/O2 SATU: Grp1 po2at or below 55mmhg(awake&at rest) if higher but fall to these levels during sleep or>10mmhg, or5%o2 sat+ corpulmnale, covered for exercise only if the levels drop to groupa level during exercise. Grp2 po2 56-59 mm hg or o2sat89%, and documentation of edema/chf, or cor pulmonale by pul artery pressure, or erythrocytemia withhct>56%. ...Read more
Is there signifance to folate (folic acid) level > 24 ng/ml and a vit B12 level of 343 pg/ml for someone with continuing fatigue? Fyi vit d =38 and ferritin=39.
If you have low iron stores following a blood test, can that lead to anemia? Is there a recommended dosage of iron supplement to help restore levels.
Yes and yes: The first thing to go down low is the iron storage. If you don't fix it- eventually you are going to become anemic. Yes, you can take iron supplement by mouth 3x/day. But most importantly is to find why your iron is low. You should have a GI work-up- egd and colonosocpy and check your urine- to check blood in urine. If + blood in urine- you need imaging study, perhaps urologist etc. Go to see gp. ...Read more
Is a Serum level of Copper of 61 µg/dL and an RBC level of 49 µg/dL of Copper low enough to interfere with Iron absorption and metabolism?
Follow up needed: In order to accurately interpret these labs results, one has to be sure of the normal ranges used by the lab. These results also need to be correlated with your overall health status Going by the info above, it appears like you've been seen by someone who ordered these labs, I will strongly recommend following up with him/her for further evaluation. ...Read more
I don't know: What dose you're taking and what you consider a "large" dose -- 2000 u of d3 is generally adequate for most people and a good starting dose -- but it takes 3 mod. For the new level to equilibrate and shouldn't be rechecked or dose adjusted before that time. ...Read moreSee 2 more doctor answers
Low blood oxygen: At the advanced stages of copd, the lungs do not perform their function well, oxygen has a harder time crossing into the blood stream. At this point, the body is not getting enough energy, the blood oxygen level is low. Raising the amount of inhaled oxygen offsets the problem, and prolongs life. Oxygen is used at the lowest amount that would achieve the goal. ...Read moreSee 1 more doctor answer
Could a prolactin level of 30.8 and insuf vitamin D be indicator of low dopamine needing treatment with a dopamine agonist?
Prolactin -hi, low D: The need for dopamine replacement, as in Parkinsons's , presents with motor symptoms like cogwheel rigidity,gait changes. Too much dopamine can lead to psychotic symptoms. Meds as SSRIs,gaba, estrogen opioids,risperidone can increase prolactin.May be lab variation repeat in 1 month, may be due to prolactinoma a common small mass in the pituitary, check MRI. Low Vit D is commo f/u/w/doc ...Read more
Depends...: Actual medical history and details of the reason for monitoring the oxygen level are required before this question can be answered. The level isn't the same for someone with no medical issues vs someone with cyanotic heart disease (for example). If there is a specific person you are asking about - discuss your concern with their physician. ...Read more
What should be dose of vitamin d injection for 30 level of d? and -1.8 and -1.9 bmd level of bones.
Vitamin D3 is: usually raised by taking 5000 Iu capsules, once daily. Please do what your doc says. 30 is just inside normal range. Experts say between 50 and 80 is optimal. Peace and good health. ...Read more
Help understanding what treatment is needed for the following test results:iron, total 166 normal, iron binding capacity, 231, low %saturation 72, high ferritin, 22, normal transferrin, 173, low?
No treatment: More information is needed. For example, are you anemic? If you are not anemic, a normal iron, and normal transferrin without an elevated TIBC does not indicate iron deficiency. If you are anemic, then these tests need to be repeated to look for other causes of your anemia. ...Read moreSee 1 more doctor answer
Administration of insulin is essential for survival. Insulin therapy must be continued indefinitely and does not usually impair normal dail?
What is the optimal serum ferritin level for hair health? Can heavy periods and/or a vegetarian diet w/inadequate iron intake cause low ferritin level
See below: Ferritin levels are not associated with hair health. Heavy periods and vegetarian diet could lead to iron deficiency, and low serum ferritin. It can be easily addressed by taking oral iron and multivitamins. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
Can you point me in the direction of the type of specialist I should see? Low igm, low vitamin d, low mvp, iron deficiency, low magnesium and low calcium.
Specialist: Either an internist or hematologist would be the best choice. ...Read more
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