Dr. Bharat Patodiya
MBBS ., MD MEDICINE., DNB MEDICAL ONCOLOGY
General Medicine, Internal Medicine, Medical Oncology
Welcome to icliniq.com.
My first step is to congratulate you for a definite action towards your health as the bariatric surgery. Also, you have achieved a great weight reduction with it which needs appreciation too.
I understand that you have not been following the diet and just accept the fact and move forward in life. But, I could not understand the term poor health. Is it low, lean muscle mass or weakness or fever or not achieving the desirable body shape?
I did analyze your blood report (attachment removed to protect patient identity), which does show vitamin D and folic acid deficiency, with apolipoprotein-A and lymphocytes being high.
With poor compliance to diet, vitamin A, D, E and K deficiency are expected. So, the same to the folic acid. It can be easily corrected with supplementation.
High apolipoprotein-A is surrogate of cardiac disease marker and can be raised in inflammatory stress to the body such as your current state.
For lymphocyte being high I will not worry at present as the absolute value is less than 5000. I suggest repeating a CBC (complete blood count) after two to three weeks. If it is still high or increasing, then we will evaluate.
Scalp folliculitis can be an indirect representation of your body inflammatory state and also can reflect vitamin A and D deficiency. Though depending on state, you may need antibiotics.
You will do well with dietary supplementation and regular exercise. Take help of a dietician who can incorporate healthy food choice according to your preference.
Yes, adequate water is highly recommended.
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