instruction: hi doctor this is for my husband on saturday he had a master health check up and a few values are not good I would like to hear your opinion on those he is 35 years old his weight is 71 keg and height is 168 am the abnormal values are as follows serum globulin 2 go do high normal range 3 2 to 46 ug my high normal 6 10 whereas to and ash are normal vitamin 65 low serum hel 34 low other triglycerides and lil values are normal vitamin b12 144 low normal 180 914 also I attached his egg where it was mentioned unconfirmed report please check and let me know the outcome of the report he is an athlete who is active in a cycling race running and swimming but he was out of the sport for one year and hence gained weight around 75 keg from 68 keg now again he reduced keg in the last three months but he is following bad diet plans such as paleo one week intermittent for the next week proper balanced normal food for one week hence I am really worried about his health
output: hi I feel his low vitamin b12 levels may be linked to his paleo diet which can be deficient in legumes nuts which are beneficial for the heart he need not be so fastidious about the diet I feel and vitamin b12 can be got from dairy products eggs fish and chicken his low vitamin levels are almost very prevalent in indians and basically this can be rectified by more outdoor activity and if need 60 units of rise once per week for six weeks his hel levels are low and although his lil bad cholesterol levels are also low I would recommend daily exercise half an hour daily to boost hel levels his isolated high to levels mean you need to check for a thyearoid goiter and possibly do a thyearoid scan but it could also be linked to high globulin levels isolated high globulins need work up too possibly disorders of immunity or rare disease like multiple myeloma possibly consult a hematologist I hope this helps