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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Vitamin B 12 Deficiency?

Hi - I had a blood test following a bout of sinusitis 4 years ago which found that my esr was 100+ and has remained so ever since (even following a course of steroids, the esr remained high). I feel awful, with symptoms of lethargy, fatigue, no energy - almost like symptoms for chronic fatigue syndrome, but I know that a high esr and cfs are not associated as the esr is usually very low with cfs. I was also diagnosed 2 years ago with chronic renal failure, stage 3 following a routine blood test. I have undergone numerous investigations (such as scans, USS, etc) but the medical staff can still not find the cause for the high esr. Other medical problems I have are: hypertension (controlled on medication), hypothyroidism (controlled on medication), recently diagnosed with low vitamin b12 and have just completed a course of injections for this. Any ideas what may be the cause of this high esr or any suggestions? Thanks you.
Mon, 18 Aug 2014
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General & Family Physician,  's  Response
You have not mentioned any other investigation report.Some thing seems to be missing.You have not mentioned about your Hemoglobin or Total and differantial leukocyte count report.Do you suffer from fever may be low grade off and on or burning micturation.What all medicines you are taking, what all you have taken we need to know in details for a proper advice.I am sure your B12 deficiency must be over after injections.Mean while i can give you only advice you keep taking medicines as prescribed to you. Add diet full protien , vitamins and Iron and Iron and vit B12 suppliment in tablet or injectable form.
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How To Treat Vitamin B 12 Deficiency?

You have not mentioned any other investigation report.Some thing seems to be missing.You have not mentioned about your Hemoglobin or Total and differantial leukocyte count report.Do you suffer from fever may be low grade off and on or burning micturation.What all medicines you are taking, what all you have taken we need to know in details for a proper advice.I am sure your B12 deficiency must be over after injections.Mean while i can give you only advice you keep taking medicines as prescribed to you. Add diet full protien , vitamins and Iron and Iron and vit B12 suppliment in tablet or injectable form.