Q. I would like to get a proper diagnosis regarding my high hs-CRP.

Hi,

Welcome to icliniq.com.

Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows:

1. C-reactive protein (CRP) levels are a bit high indicating mild inflammation. This value is suggestive of high cardiac risk.
2. Your cholesterol, LDL (low-density lipoprotein), and the ratios are also high indicating ongoing atherosclerosis inflammation, which is contributing possibly to high CRP, if no other causes like infection, inflammation, etc., are found.
3. Serum iron levels are reduced in inflammation as they are used up during cell damage reactions.
4. Vitamin B12 is dependent on multiple factors. Maybe inflammation, reduced absorption, or varying regular activity could be the cause. No need to worry for now.
5. Control of diet, aerobic exercise, weight reduction, and fiber rich diet will control cholesterol level and hence CRP levels. Fibrates and statin treatment may be necessary.
6. At present, iron and B12 therapy are not necessary. Repeat the test once your lipid profile is under control. If iron and B12 are still low, then we can start the treatment.
7. No other intestinal disease or malabsorption is indicated, as other values are normal.

Hi,

Welcome back to icliniq.com.

I went through the report and also compared it with the previous report (attachment removed to protect patient identity). Based on your present query, my opinion is as follows:

• The abnormal lipid profile is in line with your prediabetes findings of increased glycosylated hemoglobin. This suggests unhealthy lifestyle in the past year rather than improvement when compared to your previous reports.

• I am not sure about your weight, but weight reduction with more muscle gain is essential. There appears to be more fat, which is causing insulin resistance and abnormal lipid profile.

• If this continues the same without any lifestyle modifications, then there is a distinct possibility that you might end up as diabetic in the next two to three years.

• However, at present changing the lifestyle, being more active, cutting or quitting smoking along with weight reduction is must. Smoking will increase free radicals production in the body, which damages various organs including pancreas, reducing further insulin levels.

• Make sure your body mass index is less than 25, preferably around 23 with more muscles.

• At present, your ECG is normal and cardiac opinion is not necessary.

• If you are not able to make suitable lifestyle modifications and lipid profile is the same after six months, then medications needs to be started. Once medications are started, it is more likely for lifetime.

• You need to stop smoking and alcohol. Do muscle building exercises along with aerobics, protein rich diet and reduce fat intake.

• If you are unable to achieve the normal range, then statin medications can be started after six months. At present, nothing to be alarmed about.

• Better food habits are most essential. Do have an active life.

1. Obesity.
2. Lifestyle.

Weight reduction, exercises, good food habits along with cessation of smoking and alcohol.

Repeat tests after six months to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist

Hi,

Welcome back to icliniq.com.

• Good to know, you are able to maintain a healthy lifestyle, except for smoking.

• Possible cause at present could be genetic makeup (family history of diabetes or abnormal lipid profile or history of myocardial infarction in family or abnormal metabolism) or cigarette smoking.

• Rarely tests can be mixed up. If you are still in doubt then get a repeat lipid and glycosylated hemoglobin profile done.

• If the values still remain the same then further lifestyle modifications including stopping cigarettes would be necessary.

• If you can continue with healthy lifestyle and repeat the test after six months and if it returns to normal then there will be no need for medication.

• I would advise you to continue lifestyle modification more strictly and medication can be resorted, if laboratory values do not improve.

Repeat the tests after six months and revert back to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Prakash. H. M.

Experience: 19 + Yrs

Hematology

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