Question: Hi Doctor, Below is my Patient Histroy..Please advise me hat to do:
Current Problem - From Past More than one month:
•     Having Low Grade Fever (99 to 100) – Mostly in Afternoon to Evening.
•     Dizziness
•     Weakness and Leg Pain
•     All time Body heated even temperature is normal.

Other Problem:

•     Having Numbness in Left Thigh from past 3 Years. Not severe but sometimes paining –Medication - Neurica
•     Sometimes Low-grade fever appeared with weakness and gone in a week without medication.

On Medication:
•     BP – From last 6-7 Years (Rapelol 50)
•     High Cholesterol ( Lipicard AV)
•     Diabetes ( Amaryl 1 Mg and Glycomet 500 mg)
Past History:
•     Diagnosed with Lymph node cervical TB in 2006 and treated for 10 months. Again due to fever appearance done 8 months additional course of ATT. Even after that fever occurred, so consulted with homeopathy specialist, taken medicines and Amway products and healed from the problem. But once in a month mild fever with weakness occurred and went without any medicines within week.
Test Reports:
•     Widal Test – Negative
•     Malaria – Negative
•     ESR – 26 – 28 -18 – 28 (In 1 month)
•     CPK – Negative
•     Blood Culture - Negative
•     Urine Culture – Negative
•     HIV – Negative
• XXXXXXX – Negative
•     Sinus X-Ray – Negative
•     Abdomen and Thorax CT Scan : -
•     Observations: Small Calcified pretracheal and subcarinal nodes and small fibrotic patch within lingular segment – Advised for Bronchoscopy but referred doctor suggested not to do, wait for ESR value increase.
•     TFT – Negative
•     Brain MRI – Negative
•     Observation within 1.5 months: Blood Platelets was 2.92 on 28th Feb, decreased…last week 1.76 now 2.03 Lacs. Observation 2: symptoms feeling currently are same as TB episode.

Thanks Doctor,
2 Queries:
-In TB Dizziness is possible? as last time i didnt have this symptom.
-After 6 Years, If i start third time ATT treatment, will it harm my liver as My GGT is bit high (139) due to consumption of alcohol. Also is Bronchoscopy of Lung area must or can i go with ATT treatment directly as one of My physician is agree either way. But three doctors are not in favor of ATT starting. I consulted in reputed hospitals as well as reputed doctors. Please advice. when I was on ATT second time(in 2008) i felt normal and stopping that after 8 months again felt fever. so If I start third time then it will be the right step or not?

Thanks Doctor. Actaully I discussed with my HP. He is saying that once a person gets TB, all tests related to TB comes positive. Also he tells that up to 100 degree fever is now-a-days counts normal fever. But as per my body i feel good when my body temperature remains 98. after that i feel feverish and bodyache. I am totally confused what to do. I also consulted with ENT for dizziness but she couldnt find any infection in ear. Can you suggest any other advanced TB test. As if I go for lung Bronchoscopy and nothing comes then again problem will as it is.

I have gone with some test recently:

Platelet cnt: 2.44 Lac
ESR = 9

B12=178 pg/ml
Vitamin D= 46 nmol/L

For these Vitamin what dose of suppliments i should take..do my symptoms related to these only?

Thanks DOCTOR,
My Doctor has prescribed the below doses:

Alphacalcidol cap 0.5 mcg in a week

Eldervit 1/m injection - once in a week

Zevit daily one

are these doses are low or she has given me as per my existing history of high cholesteral, blood sugar and hypertension? Please advise otherwise i will follow ur prescription as I need to be fine ASAP. past 2.5 months i am suffering a lot :(