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How to manage vitamin D, thyroid, and cholesterol imbalances?

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 a diabetic patient and I take Cetapin XR 1000 twice a day but, due to some irregularity and working stress my fasting sugar is now 140. In my test report, some other abnormalities were also present, which I have mentioned below:

  1. Triglyceride: 151
  2. Cholesterol HDL direct: 35
  3. Cholesterol VLDL: 30.2
  4. SGOT: 62
  5. Creatinine serum: 0.68
  6. A:Gratio: 0.85
  7. Iron: 49
  8. TSH: 6.408
  9. 2 hydroxy Vitamin D: 6.8
  10. ESR: 25

Kindly suggest me a treatment plan.

Hello,

Welcome to icliniq.com.

From your reports, I observe you have a vitamin D deficiency, subclinical hypothyroidism, transaminitis, and reduced HDL (high-density lipoprotein). You are overweight. So, I would advise you to engage in physical exercises, brisk walking, and make dietary modifications.

For diabetes, you are already taking Metformin 2 gms a day. So, the only thing to be done is to control the levels by adopting a healthy lifestyle. Take a vitamin D3 Calcirol sachet 60000 units a week for ten weeks. Seek an endocrinologist to manage your subclinical hypothyroidism.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Medically reviewed byiCliniq medical review team

Published At September 8, 2017
Reviewed AtOctober 30, 2025

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