Brief Answer:
Value of glutamate is not very high

Detailed Answer:
Hello

Thanks for asking on this platform

I have gone through the report and found that glutamate level is raised and proline level is mildly low.
Glutamate helps in growth of nerve and nerve conduction.Low or high level can be due to abnormal metabolism.Glutamate is also found in monosodium glutamate which when consumed in large quantity or taken for long duration can increase the blood level.
I won't get overly worried as the level of glutamate is not very high(more than 3-4times of upper limit is significant).
Also I won't suggest you to take astymin syrup and bifilac zn because this contains amino acid and the blood level of most of the amino acids are within normal limit.Glutamin present in bifilac can cause further increase in level as it is a precursor of glutamate.

I hope this helps.
Please let me know if you have any more doubts.
Reagrds

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Brief Answer:
Get the test repeated after 6-8 weeks

Detailed Answer:
Thanks for follow up

As the glutamate level is not very high there is no need for any active intervention.
Please get the test repeated after 6-8 weeks to see the pattern.
I have seen the CBC report.There is mild decrease in MCV and MCH suggestive of iron deficiency but RDW which should be raised in iron deficiency
is normal.So better I would suggest you to get iron profile done to see whether the child is deficient in iron or not.Also get peripheral blood smear and reticulocyte count done to rule out any mild hemolytic anemia.

Regards

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Brief Answer:
Repeat iron profile may help

Detailed Answer:
Hi

I have seen the report dated 2011.
Here both reticulocyte count and ferritin are within normal limit.Microcytic hypochromic anemia commonly occurs in hemolytic anemia and iron deficiency.Other common cause is anemia of chronic disease (if child is suffering from long term illness).
Reticulocyte count is done to rule out hemolytic disorder like thallasemia.Hemolytic disorders are usually since birth (although it can occur later on also).So normal reticulocyte count rules out hemolytic disorder.
As the ferritin value has been done earlier and the CBC shows low MCV and MCH;I would like to get the iron profile done to rule out any recent onset of iron deficiency.

Feel free to ask further if you have any query.
Regards

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Brief Answer:
Iron study is within normal limit

Detailed Answer:
Hi

Have seen the report and it rules out the iron deficiency.Now other causes of microcytic hypochromic anemia should be ruled out like chronic diseases if any and lead toxicity.
Please consult a pediatrician to find out the cause of microcytic hypochromic anemia other than iron deficiency.

Regards

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