How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 30034
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

I have a CGT reading of 94, B12 of 995 and vit D 46.1 and had

Resolved Question:

I have a CGT reading of 94, B12 of 995 and vit D 46.1 and had swollen feet and legs for last 3 months. Is it possible to improve these levels and if so how please? Thank you
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi--what about your other liver function tests and your kidney function tests--were they normal? Have you had your thyroid function tested too?
Customer: replied 2 years ago.

I take 50 mg thyroxine. I saw the kidney specialist as i thought that was the cause of my swollen feet. He ordered the following tests results as follows:


Vit d 4601


ESR21


CGT 94


Creat 85


Vit B12 995


TSH 0.61


T4 17.9


eGFR 60


 


I have a kidney scan on Wednesday

Expert:  Dr. Chip replied 2 years ago.
OK Cathryn--may I ask exactly what you meant by improving the levels?
Customer: replied 2 years ago.

WEll along with the readings I've been given the tolerances for these readings and according to them they are mostly out of range:


 


Vit D should be 50 -150


ESR 1 - 18


CGT 1 - 42


Creat 45-84


B12 200-900


 


 


Its the CGT reading that has alarmed me the most and I am so weary of being weary and not sleeping, I should have said that I only sleep when I have taken Phenergan @ 25 mg


 


Thank you


 


 


 

Expert:  Dr. Chip replied 2 years ago.
Just wanted to check. I does sound like you have a problem with your liver but without the other liver enzyme levels all I can say is the high GGT and the B12 levels point to that. You need further testing and an ultrasound of your liver to further define exactly what the problem is but you may be suffering from what's sometimes called fatty liver and that can be treated with proper diet and abstention from alcohol. You need to discuss all this with your doctor
Customer: replied 2 years ago.

Is the high B12 rating linked to the liver underfunctioning and is that linked in any way to the low Vit D level please?

Expert:  Dr. Chip replied 2 years ago.
Yes the B12 level and the vitamin D levels are both linked to your liver function but neither of those are specifically causing your symptoms
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 30034
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and 4 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

Thank you for the information

Expert:  Dr. Chip replied 2 years ago.
My pleasure Cathryn but let me know how it goes and please remember to rate my service to you
Customer: replied 2 years ago.

I am very worried as it appears to be quite serious - another sleepless night!

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions