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How to treat pain from low vitamin and TSH levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing pain in my left hand, as well as occasional back pain and leg pain. My vitamin B12 level is 187 pg/mL, and my hs-CRP is 3.9 mg/L. Additionally, my TSH value is 5.98 IU/L. Fortunately, my ECG results came back normal, showing sinus rhythm as normal. Please give your suggestions.

Thank you.

Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concerns regarding your multiple-site pain. After reviewing your reports and considering your high vitamin B12 and hs-CRP (high sensitive C-reactive protein) levels (attachments removed to protect the patient’s identity), I suggest you take vitamin B12 injections to address the issue more effectively and maintain your vitamin B12 levels. To address your hs-CRP levels, it is important to make lifestyle and dietary changes. So, I suggest you follow a few instructions mentioned below:

  1. Increase your daily intake of fruits and vegetables.
  2. Engaging in brisk walking for at least 30 to 45 minutes daily.
  3. Avoiding fatty, oily, and non-vegetarian foods.
  4. Working on weight loss to maintain a healthy BMI (body mass index).
  5. Incorporating flax seeds into your diet.
  6. Consider joining a gym and following a customized diet plan.

By implementing these measures, you can effectively manage your hs-CRP levels. I hope this information is helpful. Feel free to reach out if you have any further queries.

Thanks and regards.

Patient's Query

Hi doctor,

Thank you for your reply.

My hs-CRP value was 1 but increased to 3.9. Does it have any specific reason for the rise, and is it due to vitamin B12 deficiency? Kindly answer.

Thank you.

Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

There is no evidence that low vitamin B12 would raise hs-CRP level. Hs-CRP is an inflammatory marker that is raised due to poor lifestyle and diet in patients with underlying diabetes and high blood pressure. You just need to make the lifestyle changes that I advised, along with supplements. It will all be resolved slowly as you lose weight and make dietary changes. I hope this helps.

Thanks and regards.

Medically reviewed by iCliniq medical review team
Published At August 21, 2023
Reviewed At November 6, 2024

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

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