Brief Answer:
See detalied answer please

Detailed Answer:
Hi and Welcome to Ask A Doctor service. I have read your question and here is my advice.
Yes your labs show raised triglyceride and little raised gammaglobulin.To be very honest , nothing sounds very serious as most of the labs are normal but let me explain them little .

The raised TG is a risk factor for heart disease and stroke however alone it uncommonly cause any probelm and it is quite manageable. It only causes great concern if there is other risk factor like diabetes , hypertension , obesity , or family history of heart disease .Still there are drugs that can lower it quite effectively .Don't get panic for it.Yes you shoud focus on diet ( more fbers and vegetables , less sweets ) and some excercise. your doctor may also give you drug for it.

Regrading th raised gammaglobulin ,there are a number of causes like infections or auto immune diseases .This is important if you have other symptoms like fever, weight loss , or joint pain or swelling , or low HB .Your doctor may need to assess you in details .In the absence of any symtpoms , it does not seems to be any serious.I would advise you sould repeat it in month time.But if you have symtpoms as above then you sould discuss it with your doctor .

The joint pain and little sttifness may be due to vitamin d deficiency as shown in your test .I would advise you sould take some vit D and calsium for it.A normal ESR make any serious disease unlikely

Hops I have read your question .Please feel free to ask anything else you need to know. kind Regards Dr Rahman.

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Brief Answer:
Please see detalied answer

Detailed Answer:
Hi .
Yes you are right that folitrax is immunosuppressive however it is only used if it's benefits clearly overweight it risks.
If you could kindly tell us why your doctor precribe this?
We commonly use this medicine for joint diseases called Rheumatoid arthritis. If used judiciously ,it has been found to be quite safe .
Still we generally test people every few months to chek for any serious side effects of this drug which are not common. If we find any , we can always switch it off and the side effects are revirsible.

So if truly needed , its not something of great worries but we shoud keep an eye for side effects by doing some blood tests. You dr will tel you about that.

Hopes it's clear. Please don't hesitate to ask anything else you need to know.

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Brief Answer:
Please see detalis below

Detailed Answer:
Hi and thanks for providing the good details.
Your concern is very right , as we shoud rule out infection first .
Howe'ver this more depends on your symtpoms .Of course viral nifection can cause joint pain .But the way you said , that small joints of hands , both hands involvment and stiffness in morning quite suggestive of Rheumatoid arthritis. Let me accept that's it's very difficult for me to exactly say it without proper examinationand history , but I assume your Dr is probably quite right as things more favour rheumatoid arthritis then any viral or bacterial Infection.
Yes one more factor to focus is duration of symtpoms , if duration of joint pains are long like more then few months then it also favour RA.However nothing is final and thier is a criteria for diagnosing RA .I would also suggest to get few more specific tests for RA like Anti CCP , also to get CRP .
you can discuss this with your Dr but at the moment don't worry a lot it looks less likely to be any infection. Even of its not RA , we can always come back and it's never too late .
Hopes it's clear now.
please dont hesitate to ask anything else you need to know.
Regards

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Brief Answer:
Please see detalis

Detailed Answer:
thanks for sharing the results .
Yes all you tests are normal .
The normal CRP and Normal ESR is quite reassuring .These points against any organic disease like viral infection or bacterial infection ( though it's still possible but less likely ) .
Similarly all these tests being normal make RA quite unlikely .
So yes it puts some doubts about it being RA.But it is still possible .
If your hand joints get swollen, or red , or very painful in the morning and stiff for more then an hour ( you said your joints are stiff for about half hour) then it looks like RA otherwise it may be related to your vit d deficiency.
What I personally think , I would have waited a month or two before starting methotrexate and repeated tests again .You can talk to your doctor and discuss this .
Another good idea would be to get an appointment with a Rheumatologist, this would be the best thing we shoud do .
But your normal CRP and XXXXXXX ESR Makes any thing serious very least likely you shoud not be panicking.
Hopes you get my point. Feel free to ask .

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Brief Answer:
No need of other tests

Detailed Answer:
Hi .
Yes if a rheumatologist think that this may be RA then Its very likely to be RA as RA is best diagnosed by examination and history; yours symtpoms are quite suggestive of RA .Sometimes tests can be normal.
There is no need to do any other immunallogic tests .
The raised gamma globulin and b2 glubulin can aslo be explained by RA so I don't think you need any other tests .
And don't worry as RA is quite mangeable disease.
Good luck .

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Brief Answer:
My Pleasure

Detailed Answer:
This gives me great pleasure if I could help you somehow.
thank you .
Stay blessed.

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