Hello
I always sleepy class I
And focus in class is very, very low
I put a lot of headache if the activity that the cure is sleep acetaminophen
In exercise of the rest have less ability
My blood test results is as follows

FBS 89 ===70-105
Cholestrol 128 ===50-240
Triglycerides 82 ===50-150
HDL 38 ===45-65
LDL 73 ===30-150
Total protein 7.5 ===6.8-20
Albumin 4.9 ===3.5-5.5
Total Billirubin 0.7 ===0.5-1.5
Direct Billirubin 0.2 ===0.0-20
S.G.O.T 24==== 5-40
S.G.P.T 36 ===5-40

Alkaline phosphatase 128==== 40-140

WBC 5.8 ===4.5-10
RBC 5.92 ===4.5-5.50
Hemoglobin 14 ===12-16
Hematocrit 44.8=== 36-48
MCV 75=== 80-94
MCH 24 ===27-31
MCHC 31 ===33-37

Platelet 241 ===140-450
Neutrophil 44 ===42-80
Lymphocyte 48=== 20-50
Monocyte 1
Eosenophil 7

Testestron 5.4 ===0.20-1.20
T4 8.4 ===4.20-12

T3 1.4 ===0.5-2.2
TSH 1.7=== 0.50-6.20
New Test - (40 days after the test above)

Iron 87=== 41-132
TIBC 387 ===230-440
Feritin 56 ===16-220

WBC 5.6 ===4.5-10.0

RBC 6.12 ===4.50-5.50
Hemoglobin 13.7 ===12-16
Hematocrit 45.2 ===36-48
MCV 73.85=== 80-94
MCH 22.38=== 27-31
MCHC 30.3=== 33-37

Platelet 232 ===140-450
Neutrophil 56 ===42-80
Lymphoctye 40 ===20-50
Monoctye 2
Eosenophil 2


HB A===== 96.2 =====95-100
HB A2===== 2.4* ===== Less than 3.5
Hb Fetal ====== 0.7 ====== Less than 2%
HB S======== Negative========= Negative
Hb Variant (Like D,G or Lepore) ========= Negative ======== Negative


==============================
The following test from my sinuses

Paranasal sinuses
The paranasal sinuses are well pneumatized.
No evidence sinusitis and other abnormalities noted.
Adjacent skeleteal structures and soft tissues are normal


What is the strategy for me is recommended?
Vitamin B 12 with folic acid to reduce symptoms and premature fatigue and headache also has been recommended?
I am a twenty-year-old boy(Male)
I am from Iran Please help me
Thank you so much

Your blood work looks pretty good. I would do a course of some kind of herb or colloidal silver or MMS to see if that helps. You may have a low level pathogen that is very difficult for doctors to detect. You could also ask the doctor to test you for Epstein Barr virus.

I don't know what is available in Iran. My first choice would be MMS but I doubt you have that. The second choice would be olive leaf extract. It is more likely you could find that. It should be standardized to 20% oleupurins, or close to it. Colloidal silver is another option but again, it may be hard to find in Iran.

On any of these that you might try take the supplement for at least one week after all symptoms are gone.

The B12 and folic acid may be helpful also even is your levels are normal.

__________________

Your test results effectively rule out iron deficient anemia and thalassaemia.

However the low blood cell volume(MCV),weight(MCH) and hemoglobin level (MCHC) could point to a genetic deficiency of an enzyme called G6PD which causes hemolytic anemia. G6PD protects the integrity of the blood cells and helps to maintain the hemoglobin content necessary for effective oxygen transport.

G6PD deficiency is widespread throughout the Middle East and African nations including Iran and is a major problem in the integrity of donated blood for use in hospitals.

https://www.informaworld.com/smpp/con...ent=a772840714

Normally G6PD deficiency means a lowering of the number of RBC's but if you have been taking folic acid supplements or the blood test was taken during a period of maximum fatigue then there would be a high relacement of any destroyed RBC's and low RBC's would not show up in testing.

You also appear to have an elevated testosterone level (although the readings look a bit strange?). If you have been taking testosterone supplements this could make any G6PD deficiency worse and the fact that you are at the age of maximum natural T levels would also highlight any G6PD deficiency.

Its advisable to get tested for G6PD deficiency by your doctor as there can be a lot of genetic variations and bad reactions to drugs. It can also be passed on to later generations.

It would also be wise to get your vitamin D levels checked to make sure they are not below normal,as vitamin D has been shown to increase G6PD levels(in some prostate cancer studies).

https://www.ncbi.nlm.nih.gov/pubmed/18348143

https://www.labtestsonline.org/unders...g6pd/test.html

The only natural treatment I am aware of for counteracting G6PD deficiency is Vitamin E.

https://www.pakmedinet.com/15492


Not sure whether you can get this in Iran but if not then a NATURAL Vitamin E supplement(not synthetic) will probably do.

https://www.iherb.com/Now-Foods-Gamma...tgels/299?at=0

Similarly if you are low on vitamin D either;

https://www.iherb.com/Now-Foods-Vitam...els/10421?at=0

Or any local Vitamin D3 Gel capsule at 5,000iu

.

Hello
I think a small amount of ferritin in your blood is low.
Average value of ferritin in men 100 and 300 is the maximum.

Thank you for help my friends

I'd say stop eating refined carbohydrates. They always made me sleepy and lacking concentration.
This is the regime I follow
I've not had an afternoon/midday nap since as I don't get that lethargy after eating that used to make me sleepy and unable to maintain attention.

My sleep is 7 hours per day
My foods is fish,meat,hen.
I went advice hematology
and doctor prescription was 60 tables iron.
And was located three months later I repeated the tests I
I repeated the tests after the result will be provided to a Friend
Thank you for reply.

new test after taking capsules Frosanol(Iron) (Sixty)
But still some of my blood parameters is low

FBS 91 --- 70-105
BUN 13 --- 7-21
Cholestrol 158--- 50-240
Triglycerides 58--- 50-150
HDL 51--- 45-65
LDL 95 --- 30-150
Total billirubin 0.7---0.5-1.5
Direct Bilirubin 0.2---0.0-20
S.G.O.T 25---- 5-40
S.G.P.T 38----- 5-40
Alkaline phosphatase 131 ---- 40-140
Creatinine 1.1 ---- 0.40-1.5
Iron 59 ---- 41-132
TIBC 396 ---- 230-440
Feritin 108 ---- 16-240

WBC 5.4 ---- 4.5-10
RBC 6.12 ---- 4.50-5.50
HB 14.6 --- 12-16
Hematocrit 45.3 ---- 36-48
MCV 74.01 --- 80-94
MCH 23.85 --- 27-33
MCHC 32.22 --- 33-37
Platelet 214 ---- 140-450
Neutrophil 59 ---- 42-80
Lymphocyte 38 ---- 20-50
Monocyte 1
Eosenophil 2

ESR 1st 2 ---- 0-15
Esr 2st 6

G6PD No Deficiency

can you get these?
Acetyl L Carnitine
B12 sublingual 1mg
Co enzyme Q10

Also Ginger, cinnamon, hot red pepper, ginsing are good if you are feeing weak and cold.

Just a start.

I would try a 10 day course of probiotics and eliminate dairy for the same period to see how that helps. Also, the acetyl L carnitine and B-12 is a great idea.

While I am sure this would help I think we have to understand that once we have an established gut flora they tend to act in unison to repel new arrivals on the scene, so I suspect that 10days of probiotics alone isn't the answer but a more extensive dietary program will be required. See Dr Art Ayers blog and comments in this thread I think we've got to lower our intakes of pro inflammatory foods so those lean type gut bacteria that prefer low inflammatoy situations are able to thrive and proliferate and build up sufficient numbers to dominate the more pathogenic bacteria. But I think we should be talking in terms of months rather than days.

Im surprised that the doc put you on iron as in your first lab reports your iron levels and your hematcrits were normal, as well as ferritin.. so why did he do that?

Yet here in your second report your iron level is borderline low when it was not before with your RBC and Hematocrit just about the same. Seems like your doc is just fishing to me. Males normally should not supplement with iron unless they really have some kind of iron deficiency disorder or other type of blood or bleeding disease.

The only thing that was high in your first test was testosterone but I don't think its that unsusal for a guy your age.

I do not see anything in your blood that indicates any disease. You have to look in another direction to figure out why you are so tired. Again I will focus on parasites, microbes... can you find an alternative practitioner to look at your lood with Dark Field Live Blood Analysis Microscope? I will come back with a link to show you what that is all about

These links will take you to videos that explain why so many people are tired, or weak or feeling sick and their doctors cannot figure it out. this is the underlaying causes of many conditions and diseases.

https://subscriptions.bioethika.com/v...parasites.html

https://www.grayfieldoptical.com/symb...arasitism.html

I had similur symptoms when I had low testosterone, try doing a few squats a day.