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Dr Owen
Dr Owen, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 55754
Experience:  Board certified Ob/Gyn
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I was diagnosed with mthfr c677t (andA1298AC) heterozygous

Customer Question

I was diagnosed with mthfr c677t (andA1298AC) heterozygous and b-inodogono( 455->A)and PAI-15G/4G and HPA1(1a/1b) all heterozygous. I feel continuously tired lack of energy I have chills that I shake when I got out from cover. this symptoms I have since couple of years but I only new the blood test now that I had my second ivf and I misscary for the second time although I was on innohep injection to thinner the blood. why do I feel so tired and chills lack of energy?
Submitted: 3 years ago.
Category: OB GYN
Expert:  Dr Owen replied 3 years ago.

Dr Owen :

hello

Dr Owen :

you probably feel tired because MTFHR also decreases your Vitamin B supply - the ENERGY vitamins.

Dr Owen :

So what is necessary to help treat MTFHR too is using Folate, Vitamin B6 and Vitamin B12

Dr Owen :

And, this should help you

JACUSTOMER-2bj1z0s8- : But I do take all of them
Dr Owen :

okay

Dr Owen :

also realize these are water soluble vitamins - so essentially they do not stay around in your body so much

Dr Owen :

No there are MANY other reasons for feeling tired too

Dr Owen :

You could have anemia

Dr Owen :

you could have a low thyroid

Dr Owen :

You could have a viral infection such as CMV - Cytomegalovirus

Dr Owen :

you could have a lack of sleep -

Dr Owen :

you might also not be exercising

Dr Owen :

you might also have anxiety, stress or depression

Dr Owen :

All of these things cause you to have the symptoms you have.

Dr Owen :

So in order to find out what is causing this - a step by step process of investigating should be done

JACUSTOMER-2bj1z0s8- : Chills?
Dr Owen :

yes

Dr Owen :

if you have chills - then viral infections such as CMV can cause this

Dr Owen :

even a low thyroid

Dr Owen :

So a step by step process of evaluation should be done

Dr Owen :

that really is the only way to figure out what is happening

JACUSTOMER-2bj1z0s8- : I don't have anemia,homoglobin15.1iron110but the problem is with this enzymes I don't know what I should do? Is exercising important ?
Dr Owen :

that way you will not be that frustrated about these symptoms you are having

Dr Owen :

what enzymes?

Dr Owen :

OH, exercise is the MOST important thing you can do

Dr Owen :

if you are not exercising 60 minutes 4 to 5 times per week - this can cause these symptoms

Dr Owen :

You also need testing for viral infections - such as CMV - d

Dr Owen :

even parasitic infections too that in your part of the world can affect you too

JACUSTOMER-2bj1z0s8- : I had an ivf and everything was check? The cmv is an infection need antibiotics?
Dr Owen :

CMV - cytomegalvirus - this is a Virus

Dr Owen :

not a bacteria infection

Dr Owen :

that is just one infection

Dr Owen :

I don't know if you have been checked for everything

Dr Owen :

you can not assume that - just because you have had IVF - this does not mean you have been checked for everything

Dr Owen :

you need to be checked for many other things too If you really want to get to the bottom of this -

Dr Owen :

And if you want to do that, then you need to get seen by an Internal Medicine doctor

Dr Owen :

Plus, I would also get seen by an Infectious Disease doctor too

JACUSTOMER-2bj1z0s8- : No I don't have , thyroid I am taking 75 euthirox
Dr Owen :

you don't have what?

JACUSTOMER-2bj1z0s8- : Cmv
JACUSTOMER-2bj1z0s8- : Why infections?
Dr Owen :

how do you know you do not have that?

Dr Owen :

why infections - because - these can cause the problems you are having - it is a COMMON reason for this

Dr Owen :

I'm just trying to help you here

Dr Owen :

and I'm telling you what you need to check

Dr Owen :

and what you need to do.

Dr Owen :

so if your ob/gyn is unable to help you at this point

Dr Owen :

it is very important to get everything I discussed with you checked.

Dr Owen :

and even your thyroid - since you are on medication - this should be checked too.

Dr Owen :

THE NEW ranges for TSH blood thyroid tests are 0.6 to 2.5

Dr Owen :

So these are things that need complete evaluation

JACUSTOMER-2bj1z0s8- : Cmv and infectious doctor?
Dr Owen :

and you do need to get seen by an Internal medicine physician for all of this

Dr Owen :

CMV - that is a viral Infection -

Dr Owen :

that NEEDS to be evaluated too - and IF your own doctor can not do this - then you need to see an Internal medicine doctor and or an Infectious disease doctor

JACUSTOMER-2bj1z0s8- : Yes we keep it at 1tsh,
Dr Owen :

I'm just telling you what you need to get done

Dr Owen :

If you really want to get to the bottom of why you have these problems - then you should be seen by an Internal medicine doctor and an infectious disease doctor

JACUSTOMER-2bj1z0s8- : Ok but were from cmv would come from?
Dr Owen :

IT is an infection - it can come from anyone you came in contact with who might have had it - you never know

JACUSTOMER-2bj1z0s8- : why infected?
Dr Owen :

You could have been in contact with someone who had it -

Dr Owen :

IT IS SO important for you to get this all tested -

JACUSTOMER-2bj1z0s8- : oh am married 15 years same man...
Dr Owen :

NOT a STD

Dr Owen :

CMV is NOT a STD

JACUSTOMER-2bj1z0s8- : If am not wrong I have been checked it before I need to check my blood test. So internal doctor 4what?
Dr Owen :

The Internal medicine doctor is the PERFECT type of doctor to find out Why you have these symptoms

JACUSTOMER-2bj1z0s8- : Ok, I have been to all kind of doctors but they make the routin blood test everything ok no broblem come back home continue fell the same...
Dr Owen :

IF all these tests that I have told you are negative - then this can also point to depression / anxiety too

Dr Owen :

because if you REALLY and TRULY have had every thing I have discussed - and EVERYTHING is absolutely normal - then this can point to Depression / Anxiety as the problem

JACUSTOMER-2bj1z0s8- : Any way the question was about this enzymes in the blood that are heterozygous anything to be done?
Dr Owen :

no, not at all

Dr Owen :

except IN the first part I told you that you need to be taking Vitamin B6, Vitamin B12 and folate

JACUSTOMER-2bj1z0s8- : Ok, thanks
Dr Owen :

sometimes you need to be taking B6 FOUR times per day

JACUSTOMER-2bj1z0s8- : i do take p5p b6 my blood can absorb in any other form
Dr Owen :

ok

JACUSTOMER-2bj1z0s8- : Can not
Dr Owen :

but realize the Vitamin B's are essentially out of your body as soon as you take them -

JACUSTOMER-2bj1z0s8- : So?
JACUSTOMER-2bj1z0s8- : what is to be done?
Dr Owen :

SEE an Internal Medicine doctor

Dr Owen :

SEE an Infectious Disease doctor

Dr Owen :

GET MORE than just routine blood tests

Dr Owen :

Start a GOOD exercise program

Dr Owen :

Take more vitamin B's

Dr Owen :

these are all things that will help you

JACUSTOMER-2bj1z0s8- : i got an infection of methyl cobalamin b12 few days ago and I take a pill a day
Dr Owen :

Also, strongly suggest getting evaluated for depression and anxiety

JACUSTOMER-2bj1z0s8- : Injection
Dr Owen :

yes I know the Vitamin B12 is an injection

Dr Owen :

B6 is a pill that is taken up to 4 times per day

JACUSTOMER-2bj1z0s8- : ok, thAnk you.
Dr Owen :

Folate is a pill that is taken once per day

Dr Owen :

I wish you the best

Dr Owen :

and follow what I have suggested

Dr Owen :

Please click on Excellent

Dr Owen :

thank you

JACUSTOMER-2bj1z0s8- : i can't find folate in UAE only colic acid
JACUSTOMER-2bj1z0s8- : folic
JACUSTOMER-2bj1z0s8- : I know is a problem
Dr Owen :

you might need to just order folate online

JACUSTOMER-2bj1z0s8- : is colic acid ok?
Dr Owen :

you might just try Amazon.com - if they can deliver to you

Dr Owen :

No, you really should get folate

JACUSTOMER-2bj1z0s8- : ok!thank you!
Dr Owen :

I wish you well

Dr Owen :

please click on Excellent

Dr Owen :

thank you

JACUSTOMER-2bj1z0s8- : Thank you
Dr Owen :

you are welcome

Dr Owen :

Please click on Excellent

Dr Owen :

Thank you

Dr Owen :

If you are still there - please click on Excellent before you leave - thank you

Dr Owen :

Are you there/

Dr Owen :

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Dr Owen :

What happened?

Dr Owen :

I have been helping you now for an hour -

Dr Owen :

We appreciate positive ratings for helping you

Dr Owen :

Thank you