Doctor insights on:
Thyroid B12 Deficiency
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 moreSee 2 more doctor answers
Generally not but if: B12 deficiency is relatively common and if mild, often cause no symptoms. If deficiency is chronic and more severe, anemia may develop, fatigue, irritability, and nerve damage may occur. Severe deficiency can lead to dementia as well. Any of these condition, if severe, can cause secondary etc..B12 is an important vitamin and treatment is relatively easy/inexpensive..Consult your doc..Good luck. ...Read more
Yes: Celiac disease is an auto-immune condition. In other words, with auto-immune conditions, the body's immune system is responding incorrectly and attacking itself. In the case of celiac disease, the body's immune system is causing intestinal damage. Having celiac disease, will put you at risk of developing others, such as thyroid disease, type 1 diabetes and others. The opposite is also true. ...Read more
Fe -Ca: Ida is common in young menstruating females. Calcium deficiency? Quite odd at any age. Wonder if your Albumin is normal giving a falsely low calcium.... Why would anyone check a calcium in a healthy 18 yo? Maybe there is more to this story. Maybe you should talk to doc who drew your labs. ...Read more
Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?
No: Thyroid cancer is fairly common, the most common endocrine malignancy, and therefore, it can be seen in the setting of thyroid dysfunction (most commonly, hashimoto thyroiditis), but thyroid dysfunction has never been shown, to my knowledge, to cause thyroid cancer. ...Read moreSee 1 more doctor answer
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 ?
No: There is no association between the two. ...Read more
For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?
Mild anemia: Assuming you've had no recent bleeding episodes, these findings could be seen in mild/early anemia of chronic disease. Hgb and Hct are only boarder line low, and iron panel appears within the reference range. Even something as simple as a particularly heavy period could cause mild anemia of this type, though. If you have a chronic medical illness, it could cause this type of anemia. ...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
No interactions: No interactions between these medications that I am aware of. ...Read more
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
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
I have low b12 and folate (folic acid) but no period for 6 months , large fibroids , normal hormone levels , could this all be linked together or menopause ?
Iron def. anemia: The symptoms in pregnancy for anemia are jsut as in any other conditions but in pregnancy it can affect the fetus as well so you should talk to your ob/gyn md. You will feel tired as in any anemia. Pica is difficult to attribute to iron def. As you normaly could have pica in pregnancy by itself. Ur prenatal vitamin have iron but if you still need additional amounts you need evaluation for it. ...Read more
Yes: Hyperthyroidism can cause elevated liver enzymes. Drugs used to treat hyperthyroidism can also cause liver enzyme elevation. Discuss with your doctor what is causing what. Sometimes the simplest thing you can do is to treat the hyperthyroidism (curative) and see what happens to the liver enzymes. In all cases, you must follow the enzymes for trends. ...Read moreSee 1 more doctor answer
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