Brief Answer:
low vitamin D, low testosterone, liver function tests disorder...

Detailed Answer:
Hello,

let me comment on your tests first. Your vitamin D is extremely low and requires supplementation. Some of your symptoms can be attributed to it. Supplementation with vitamin D3 is required. I usually prescribe 2000 units per day for cases like yours and check again in a couple of months.

Other abnormalities include: transaminases' levels elevation (particularly the liver transaminase ALT). This is probably caused by fatty liver disease due to excess body weight. Loosing weight is the only way to approach this condition. Confirmation can be achieved with liver ultrasound scan and perhaps also some tests to exclude other causes like various forms of hepatitis (both infectious and autoimmune) and other liver diseases.

I've noticed a low MCV in your full blood count which combined with a high number of red blood cells may mean thalassemia minor. Otherwise your iron stores would have to checked with ferritin, serum iron and total iron binding capacity.

Your testosterone levels are lower than normal, which requires investigation conducted by an endocrinologist.

Finally it seems that you have a borderline glucosylated hemoglobin which may mean mild diabetes or prediabetes. Loosing weight and increasing your physical activity will help in both cases. Using drugs for diabetes is not required at this point.

Some of your symptoms may be attributed to low vitamin D and sulpiride. I can't explain everything though. Your anxiety issues are probably irrelevant to either sulpiride or the test results.

I hope you find my comments helpful!
Please use your follow-up questions, if you need to ask more! I'll be glad to answer.

Kind Regards!

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Brief Answer:
does not seem so serious...

Detailed Answer:
You're welcome Ahmed!

Lack of vitamin D is definitely not very important because taking supplements is all it requires to reverse it. Thalassemia minor (if this is indeed the case) is not very important either because it does not impair the quality of life. It may have implications on future family prospects though. Low testosterone has to be investigated first in order to evaluate its importance. The same applies for the liver function tests. If fatty liver disease is the cause, then it's not usually very important but there is a small fraction of patients that this condition may evolve into hepatitis and cirrhosis, so watching your body weight is advised. Finally diabetes or prediabetes seems to be the most important issue here. Diabetes is a very serious disorder that has to be managed as early as possible to avoid or delay its long term complications. Watching your body weight and increasing you physical activity may reverse it, although this is not always possible.

Kind Regards!

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Brief Answer:
2-3 months at least, loosing weight will help

Detailed Answer:
Regarding your first question: you should take vitamin D for at least 2-3 months and check 25(OH)vitamin D3 again.
Regarding your 2nd question: loosing weight will help you in many ways. It's definitely going to help with the presumptive fatty liver disease. Testosterone problems may occur with increased body weight but I doubt that this is the only problem. More investigation has to be done.

Kind Regards!

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