instruction: hello doctor I got my annual health check up done last weekend from the report the values show I have blood readings variations page and of 26 do I need to take any medication variation of cystatin 07 against max of 03 any medication required if so please suggest tables vitamin deficiency page of 26 any medication needed or just sunlight is enough page 21 and 25 variation any medication needed if so suggest tablets high cholesterol please let me know if I need to take any medicine if so please suggest tablets high creatinine shows 25 the report reference is 6 to whereas on the internet it shows it can go up to 3 let me know if any medication is required scan report did spa test based on ultrasound it looks clean grade fatty liver any medication needed if so please suggest medicine tit looks clean please suggest
output: hello I have seen the attachment the us ultrasound abdomen and the tit treadmill test are not cause for concern the prostatomegaly I prostate enlargement seen on the us has been correlated with a normal spa level the high hemoglobin 17 go may cause symptoms due to clotting and blood slugging like headaches chest pain and sometimes stroke so that you should need to be evaluated by a hematologist if you are a smoker you should quit smoking as that too could cause high hemoglobin levels low vitamin levels are seen very commonly in india you can do some running getting at least half an hour exposure to sunlight and take rise 60 units per week for six weeks to improve these levels do not worry about cystatin as your gor glomerular filtration rate is normal the cholesterol especially the lil low density lipoprotein is worrisome I would advocate daily aerobics for half an hour stop fried foods and bakery foods more nuts and green leafy vegetables if you want to take a medicine to lower cholesterol then rosuvastatin 10 my would be good the creatinine is again a value and egfr being normal I would not advise anything but if you wish further information you could consult a nephrologist