
I Am Male 49 , I Have Mild High Temperature

I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and reviewed all your uploaded tests and would explain that there are a few points of concern in your blood lab tests:
- Your Hemoglobin levels are high, possibly indicating polycythemia
- Very low vitamin D
- High ferritine levels.
Coming to this point, I would recommend checking also dopamine plasma levels ( in order to investigate or possible Page syndrome) and urinary metanephrines ( to investigate for possible pheochromocytoma).
Consulting with a hematologist is necessary, considering the high Hematocrit and Hemoglobin levels, in order to distinguish the type of Polycythemia (vera or secondary). Inflammation tests (PCR, fibrinogen levels, ESR, etc.) should be checked too.
You should also discuss about high ferritin levels and possible hemochromatosis. In this regard, a cardiac MRI would be helpful.
Hope to have been helpful!
I remain at your disposal for any further questions whenever you need!
Wishing good health,
Dr. Ilir Sharka, Cardiologist

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