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Suggest Treatment For Vitamin D Deficiency

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Posted on Mon, 19 Sep 2016
Question: I'm sure you guys have a lot of diffrent info on me by now, and I am thankfull for the answers you provide. It help my doctor diagnosing me.
Here is a new question.
One day, I was getting out of bed, had breakfast an then heard a screming outside. So I got up, and ran outside to see what was going on. My heartrate shot in the air, very rapid pulse. And then I get the feeling of passing out, but not passing out. Legs trembling and really feeling bad like when having bloodpressure drop. Now, my heart should be checked out good enough by cardiologists, so what can this be? My adrenals? (Bi-kidneys acth value was a bit off)B12? Vitamin D lacking?
PS My daughter has the exact same problem.... Scary.
After, Ifeel kind of weird, like a light pressure over chest. Some tingling in arms. But better quite fast. But I dont tolerate that kind of sudden action/adrenalin obvioulsy....

Forgot to say, that this happens almost everytime I do these things, like something accute happens. It is not just that day I was talking about here.
Same for my daughter. Same symptoms, like if she gets scared and has to run. She did a treadmill test where she walked very far and then had to stop just to pass out briefly three times with drop in heartrate and bloodpressure.
Some has spoken about Lyme?
doctor
Answered by Dr. Shehzad Topiwala (2 hours later)
Brief Answer:
Tests

Detailed Answer:
Sorry to learn about your bothersome symptoms.

I have reviewed the attached report but it is not in english so it is difficult to interpret.

The low vitamin D levels can be improved by supplementation but I would first check your calcium levels in the blood before doing that.

The ACTH by itself is not alarming. It has to be examined in the light of the patients' situation. So an in-person assessment is useful to see if a condition called adrenal insufficiency or excess is present and then further testing will allow better use of the ACTH result.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)

None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (4 minutes later)
Ok thanks. Do you suspect any things? Like heart , or lack of vitamins, hormonetrouble or CFS, Lyme etc? Since my daughter has same symptoms, and to some degree my mother too? Btw mother has had operation on thyroid gland.
doctor
Answered by Dr. Shehzad Topiwala (12 hours later)
Brief Answer:
Follow up

Detailed Answer:
A proper diagnosis will require a thorough physical examination. You should see an endocrinologist in-person.
I saw a metanephrine test in the attached report. The best test to screen for the possibility of pheochromocytoma is plasma free metanephrines.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Vitamin D Deficiency

Brief Answer: Tests Detailed Answer: Sorry to learn about your bothersome symptoms. I have reviewed the attached report but it is not in english so it is difficult to interpret. The low vitamin D levels can be improved by supplementation but I would first check your calcium levels in the blood before doing that. The ACTH by itself is not alarming. It has to be examined in the light of the patients' situation. So an in-person assessment is useful to see if a condition called adrenal insufficiency or excess is present and then further testing will allow better use of the ACTH result. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) None of these tests require any fasting and can be done at any time of the day