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Suggest Treatment For Fatigue, Depression And Chills
Question: I have had a ALK PHOS (including ALK PHOS TOTAL) increase over several months. My TOTAL is now 143 within a range of 33-130. Other symptoms include sore bones, fatigue, worsening depression, chills. Hmmm. ????
Brief Answer:
Needs to have bone scan and calcium, phosphate and LDH levels
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.
First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, though these levels are not very high or significantly raised, however with other symptoms which can also be explained by depression but only after ruling out any organic cause by doing some basic blood work up including calcium, phosphate and LDH levels to rule out any bony mets or any other medical condition.
Meanwhile keep taking supplements for calcium, vitamin D3 alongwith ossien mineral complexes or bisphosphonates orally for healthy bones. If needed a decade scan or bone scan can be performed.
For depressive symptoms kindly get a detailed review with a psychiatrist and a motivational psychologist.
Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Needs to have bone scan and calcium, phosphate and LDH levels
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.
First of all, it is sad to know what you had been experiencing lately. Based on the history you have shared, though these levels are not very high or significantly raised, however with other symptoms which can also be explained by depression but only after ruling out any organic cause by doing some basic blood work up including calcium, phosphate and LDH levels to rule out any bony mets or any other medical condition.
Meanwhile keep taking supplements for calcium, vitamin D3 alongwith ossien mineral complexes or bisphosphonates orally for healthy bones. If needed a decade scan or bone scan can be performed.
For depressive symptoms kindly get a detailed review with a psychiatrist and a motivational psychologist.
Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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