Brief Answer:
Hypothyroid state; vitamin D deficiency and deranged lipid profile...

Detailed Answer:
Hi,

I went through your attached reports with diligence. Though they were a few abnormalities marked, most of the abnormalities are not significant and can be considered essentially normal. Ones which are significant and need attention are listed below:

1. Significantly high TSH value. You have a TSH value close to 20. It means that 100mcg of thyronorm isn't sufficient and needs to be increased. Please visit your treating doctor and ask for dose increment.
2. Vitamin D deficiency. At value of about 12 ng/ml, you are at risk for development of calcium deficiency and bone problems. Further more at the age of 40 when menstrual irregularities are going to start (menopause), this problem may get attenuated. I will strongly recommend you start calcium rich food - milk, milk products, leafy vegetables and if necessary health drinks should be started. To begin with I will start you on vitamin D supplement like D rise XXXXXXX 40000 IU once a week for 6 weeks along with tab omnical one tablet a day for 2 months.
3. You have deranged lipid profile along with borderline high apolipoprotein value. This doesn't lead to health concerns immediately. However if high values persists in future, you are at mild to moderate risk of future cardiovascular incidents (heart attacks and strokes). Therefore you need to act at the earliest.
- Start low calorie, low fat, high fibre diet
- Drink lots of fluids
- Start exercises (both cardioexercise like jogging, cycling, threadmill, swimming, etc., as well as weight training exercise). Join fitness classes if needed.
- Maintain your weight within ideal BMI limits. I am not sure what your current weight is. But if it's high, make sure your loose weight soon.

Besides these three abnormalities, all other parameters are essentially within normal limits.

I hope I have answered your question. Let me know if you need any clarifications.

Regards

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