Q. Kindly comment on my general blood test.

Hi,

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I have gone through all your reports in details (attachment removed to protect patient identity).

• Most of the work up is perfectly normal, except a few borderline elevations in LFT (liver function tests), which are not significant.

• You CRP is very high. CRP is a marker present in blood, which predicts the chances of myocardial infarction in future and grossly deranged CRP predicts that you are at high cardiac risk genetically. Hence, every possible prophylaxis should be taken.

• Though there is no particular medicine which decreases the level of CRP in blood as they are genetically determined, I suggest you antioxidant capsule daily with breakfast. Antioxidants scavenge the free radicals present in blood and protect formation of plaque.

• I also suggest tablet Supradyn (Multivitamin) once daily should be taken. Consult your specialist doctor, discuss with him or her and take treatment with consent.

• Apart from that, you have not mentioned your smoking habits, drinking habits, history of early cardiac events in the family, were these tests suggested due to some problem, your blood pressure and diabetes status, your anxiety levels and any previous history of long-term medical treatment.

• After a detailed history, consideration can be made to start you on Baby Aspirin 75mg once daily to prevent myocardial infarction in the future and a slight dose of statins Atorvastatin 5 mg can be considered.

• Till then, continue antioxidant daily, exercise daily for 45 minutes, try to eat lots of vegetables and fruits and 30 g of fibres to be taken daily.

Revert with details to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist