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10 Best Chelation Therapy doctors in Lal Baug

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Questions & Answers on "Chelation Therapy" (101)

Answered on 23rd May '24

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Dear Doctor, Due to my father's high blood viscosity, suspicion of polycythemia arises, necessitating blood draws every 3 weeks to maintain appropriate levels. At 69 years old, he experiences symptoms such as skin itching, swelling, head numbness, and fatigue. Currently, his JAK2 V617F mutation showed 0.8 then 1.2%, with JAK2 exon 12 negative and EPO at 13.4. Abdominal CT and chest X-ray are normal. After a few months of phlebotomy, his levels normalized. Now, we await the bone marrow biopsy results, which do not confirm Polycythemia Vera: "Microscopic description: The bone marrow biopsy sample shows somewhat hypocellular hematopoietic parenchyma relative to age, which is terminally mature. Myeloid ratio is 2:1 with dominance of late precursors; no blast cells are noted. The number of megakaryocytes is normal with no clustering. There is no interstitial fibrosis or lymphoid infiltrate. Diagnosis: Mature, hypocellular hematopoietic parenchyma without myeloproliferative features. Cytogenetic analysis confirmed male karyotype; no clonal chromosomal abnormalities detected. Indication for examination D7510 Secondary polycythemia Note Submicroscopic rearrangements, small structural chromosomal aberrations, DNA-level differences cannot be ruled out with the method used." I am quite confused as JAK2 positivity typically suggests PV, yet the biopsy suggests otherwise, possibly indicating secondary polycythemia. Could you please clarify based on this information what you personally think is more likely, Polycythemia Vera or another secondary cause? Thank you very much for your help.

Male | 67

Your father's symptoms and test results do suggest some complexity. The presence of JAK2 mutation often points towards Polycythemia Vera (PV), but the bone marrow biopsy does not show typical myeloproliferative features, suggesting it might be secondary polycythemia instead. Consult a hematologist, specializing in blood disorders, and can provide a more accurate diagnosis and appropriate treatment plan.

 

Answered on 3rd July '24

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I had unprotected sex last in 2022, I did a hiv test last year October 2023 and tested negative,I wasn't exposed to any sexual activities,do I need to get tested again ?

Female | 26

If you had unprotected intimate relations in 2022 and your HIV test was negative in October 2023. You are not required to take another test as long as you haven't been risky since then. HIV symptoms sometimes show up late, so if you feel something out of the blue, like inexplicable weight loss or too many infections, then it's good to get tested again.

Answered on 8th Aug '24

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Hello doctor,I am 23 years old HIV positive women.I married and I want to use long term contraception.I like Implanton but I read tah there is interaction between hiv medication and implanton implant.so please help me with which one is best for me.My medicine is the following one: Dolutegravir, Lamivudine and Tenofovir Disoproxil Fumarate Tablets/Dolutegravir, Lamivudine et Fumarate de Tenofovir Disoproxil Comprimés 50 mg/300 mg/300 mg

Female | 23

You are consuming Dolutegravir, Lamivudine, and Tenofovir, note that these HIV drugs might have an interaction with Implanon to contemplate. This conflict is likely to affect the efficiency of both the HIV drug and the implant. One should tell the doctors to find a safe and useful option of contraceptives you prefer.

Answered on 3rd July '24

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