I went through your post and investigations (attachment removed to protect patient identity). There are a few significant abnormalities which I will try to address.
Your hemoglobin is high but your hematocrit is normal. It is usually seen in people who smoke or live at a high altitude. So, if you are a smoker, you need to quit. Your vitamin D level is low, for which you will need supplements. I suggest taking capsule Lumia 60K (Vitamin D) weekly for six weeks.
Your LFT (liver function test) shows elevated liver enzymes SGOT and SGPT, which possibly is due to fatty liver unless you are alcoholic or have hepatitis. You need to make lifestyle changes. Take fresh fruits and vegetables and brisk walk for 40 minutes five days a week. Homocysteine is not an issue, ignore it.
Thank you doctor,
Do I need to do something to get my hemoglobin down? I use to smoke, but I have quit smoking one month back. I have anxiety as well.
If you have stopped smoking, it will come down in the next three to four months which is the lifespan of RBCs (red blood cells). For anxiety, I suggest you take Sertraline 50 mg (sertraline hydrochloride) after lunch or better would be an exercise program to get rid of anxiety.
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It contains multivitamins, for example: Mecobalamin, Pyridoxine and Folic acid ... Homocysteine levels in plasma may also increase in hypothyroidism, and in deficiency of folic acid, vitamin B6 a... Read full
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