She has been experiencing left-sided lower back and leg pain for 3 years, and her test results show a severe deficiency in Vitamin B12 (185.1 pg/ml) and Vitamin D (7.88 ng/ml); what medicines or supplements should she take?

Her severe Vitamin D and B12 deficiencies can cause significant muscle weakness, bone pain, and nerve irritation, contributing to her chronic symptoms. For Vitamin D (7.88 ng/ml), she requires high-dose Vitamin D3 (typically 50,000 IU weekly for 8 weeks) plus daily calcium. For Vitamin B12 (185.1 pg/ml), she needs high-dose oral B12 (1,000?2,000 mcg daily) or intramuscular B12 injections, which are highly effective for nerve-related leg pain. Please consult her physician for exact prescription doses. Additionally, she should obtain a lower back MRI to rule out structural nerve compression (like sciatica) as the primary cause of her left-sided pain.

I have been diagnosed with patchy haziness in both maxillary sinuses, slight deviation of the nasal septum towards the right side, and hypertrophy of both inferior turbinates causing blockage of both nasal cavities. I also have LAX cardia with LA Grade B oesophagitis, irregular periods, numbness in both hands and legs, bone pain, and tinnitus in both ears. Could you please suggest appropriate medications or treatment options for these conditions and advise which specialist consultations or further tests may be required?

Your symptoms require a multi-specialty approach. For your sinus issues, nasal blockage, and tinnitus, consult an ENT specialist; they may prescribe nasal corticosteroids. For your LA Grade B oesophagitis, a Gastroenterologist will likely recommend proton pump inhibitors (PPIs) and dietary adjustments. For irregular periods, please see a Gynecologist to evaluate your hormone levels. Finally, your bone pain and limb numbness warrant a visit to a General Physician or Neurologist to test your Vitamin D, B12, and thyroid levels. Please avoid self-medicating until these specialists evaluate you.

My centre finger and ring on my left hand are constantly numb. I'm a breastfeeding mum. I have a guilty skin type.

Nerve pressure in the wrist or neck, excessive use during pregnancy, vitamin insufficiency, or swelling following pregnancy can all cause numbness in the middle and ring fingers. Repeated hand positions might also cause nerve strain because you are nursing and taking care of a 5-month-old. When at all feasible, try resting the hand; avoid bending the wrist for extended periods of time; stretch gently; and consume wholesome meals that are high in calcium, iron, and vitamin B12. Please contact a doctor or dermatologist if there is a rash, colour change, pain, or spreading skin changes. The "guilty skin type" you referenced is not quite evident from the letter, and I am unable to view the photo here. If the numbness worsens, results in weakness, or interferes with everyday tasks, get medical help as soon as possible.