Brief Answer:
followup

Detailed Answer:
Hello mr XXXXXXX
I have gone through your reports in details. And after due analysis of reports and the symptom correlation i can say reports are near to normal.
First of all i would like to explain about the reason for increased esr level. No other blood finding in hematology report are elevated. Esr is increased due to any acute infection. It may be a simple cough and coryza or other bacterial infection.
Other part is lipid. Most of the finding in reports are increased to moderate level. Finding are showing that you are at moderate risk. It clearly state that your habit, diet are some where affecting your heart. Level of cholesterol is increasing in your body. You are at moderate risk.
If habits are not improved it may lead to you at high risk for heart trouble.
Suggest you to avoid all fatty oily alcohol non veg spicy and junk food.
Also start jogging and other physical exercise to make you fit.
At this point of time i would not suggest you any medicine because when you change your routine all the associated problem subside by itself.

There is no relation between elevated ESR and lipid level.
Hope this is clear to you.
Please share your query if you have any

thanks
Dr Ratnesh

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Brief Answer:
Followup

Detailed Answer:
Hello
Its really good that you are taking all measure to keep you fit.
My concern is even after physical exercise and balance diet lipid is comparatively high. So need to work on this.
I would suggest you to give some extra effort and dietary control to keep lipid and cholesterol level normal.
Avoid any type of fatty diet like fried, oily thing which lead to fat deposition in body.

Thanks
Dr Ratnesh

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Brief Answer:
Followup

Detailed Answer:
Hello
Alpha Aplha Tonic (Reckeweg) has been suggest for 1 month.
Normally their is no harm in taking syrup for long time. Syrup is for calcium, iron and vitamin deficiency in the body.
You may continue the Apha alpha syrup for 1 more month.

But i would not suggest you to take this syrup for long time in continue manner. This is not because medicine has any side effect. Medicine is safe to use and has no side effect. But because i want to decrease your dependency over the medicine.
Meanwhile continue the medicine for 1 more month in same doses and then update as required.

Thanks
Dr Ratnesh

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Brief Answer:
Followup

Detailed Answer:
You are right.calcium and iron supplement are needed for females to maintain a healthy living. Medicine would not help to increase the weight directly but it would help to make her digestive system better. and if she eat proper food and then food help her to gain the weight. So this would be natural way to maintain the weight in body.
Medicine accomplish all desired requirement and the best way to cure such problem. This is absolutely alright to continue the medicine and i have told you the medicine has no side effect.
There are many alternative supplement available but medicine is working fine and their is no point to change the medication right now.
So continue the medicine and we will review the medication after one month.

Thanks
Dr Ratnesh

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Brief Answer:
Followup

Detailed Answer:
There are alternative medicine. You may take ferrum phos 1x 10 grains once in day. Medicine comes in powder form.
calcarea carb 3x 4 pills twice in a day

but suggest you to continue the alfa alfa syrup for 1 more month. then we will review the case and start new medication.

Hope this is clear to you

Thanks
Dr Ratnesh

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