Brief Answer:
Thank you for getting back.
Detailed Answer:
Hi mr XXXXXXX XXXXXXX
Thank you for getting back and stating your current medical problems.
Acne could have been precipitated by
vitamin B12 supplements, as B12 can cause acne in about 5% of people taking it.
Numbness of hands and legs suggest a minor dysfunction of nerves, and also increased sensitivity of nerves to mechanical pressure. You may take Pregabalin capsules for it. I usually give a dose of 75 mg once daily at nights.
Low back pain could be mechanical or due to posture-related issues. This would benefit from
physiotherapy and back extension exercises.
For
weight loss or maintaining ideal weight, a combination of diet control and exercises are best. Medications may have side effects and
bariatric surgery is not needed now.
For other issues, such as shivering when in anger, or tension and anxiety,
meditation or yoga would help. If needed, you may take escitalopram with
clonazepam combination (Nexito Forte) tablets.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
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