ABOUT ME,

Health Profile & Context

Physical Stats & Weight Struggle

• Profile: 23-year-old Male | Height: 6'2" | Weight: 60 kg.
• Status: Chronically underweight my entire life. Despite having extensive knowledge of exercise and nutrition, my weight remains stuck at 60 kg.
• The Theory: I have recently discovered that my thyroid levels are leaning toward the higher end (T3: 2.00 ng/ml, T4: 11.9 ug/dl), which I suspect is the primary driver behind my inability to gain weight. I am currently monitoring whether stabilizing these levels and addressing deficiencies will finally allow for weight gain.

Gastrointestinal & Respiratory Issues

• Diagnosis: Long-term LPR (Silent Reflux) and Acid Reflux.
• Symptom History: Suffered from a persistent globus sensation (lump in the throat) for 2 years, which has recently faded.
• Current Symptoms: For the past 3 months, I have been experiencing a forceful cough and frequent episodes of breathlessness.
• Treatment Resistance: Standard PPIs (Proton Pump Inhibitors) have not worked for my reflux.

Neurological & Mental Health

• Panic/Anxiety: Since 3 months ago, I began having intense anxiety and panic attacks about 1–2 times per week. These are often accompanied by the aforementioned breathlessness and seem potentially linked to my reflux/LPR flare-ups.
• Medication History: I was previously put on Sertraline (Sert), but it was ineffective and did not help manage the episodes.

Current Medications & Supplements

• Myteka (Montelukast): Currently taking for respiratory/inflammatory management.
• Vitamin B-12: Currently supplementing. I have tried B-12 in the past without success, but I am re-attempting it now as my recent labs show a deficiency (190 pg/ml).
• Vitamin D: Addressing borderline insufficiency (20.04 ng/mL).

Goal I am looking for feedback from others who have navigated the intersection of LPR, high-normal thyroid levels, and chronic underweight status. Specifically, I’m interested in whether anyone found that fixing a B-12 deficiency or lowering thyroid activity finally "unlocked" their ability to gain weight, and how you managed the respiratory-linked panic attacks. Thank You!

Patient Information

• Age: 23 Years
• Gender: Male
• Report Date: May 6, 2026

Test Name	Result	Units	Reference Range
Hemoglobin	15.1	gm/dl	13.7 – 18.0
R.B.C Count	4.98	mil/ul	3.8 – 5.2
Hematocrit	42	%	40 – 50
M.C.V	86	fl	76 – 96
M.C.H	30	pg	24 – 30
M.C.H.C	35	g/dl	30 – 36
Total Leucocytes (TLC)	6.6	$10^3/\mu L$	4.0 – 10.0
Neutrophils	47	%	40 – 75%
Lymphocytes	43	%	20 – 45%
Eosinophils	04	%	1 – 6%
Monocytes	06	%	1 – 10%
Basophils	00	%	0 – 1%
Platelets	198	$10^3/\mu L$	150 – 450

• Morphology: Normocytic Normochromic

2. Thyroid Profile

Test Name	Result	Units	Reference Range (Adults)
T3 (Triiodothyronine)	2.00	ng/ml	0.35 – 1.93
T4 (Thyroxine)	11.9	ug/dl	4.87 – 11.72
TSH (Thyroid Stimulating Hormone)	0.919	$\mu IU/ml$	0.4 – 4.2

3. Vitamins & Inflammatory Markers

• Vitamin B-12: 190 pg/ml
  • (Normal Range: 234 – 894)
• 25-Hydroxy Vitamin D: 20.04 ng/mL
  • (Deficiency: < 20 | Insufficiency: 21–29 | Sufficiency: $\ge 30$)
• CRP (C-Reactive Protein): < 2.50 mg/L
  • (Normal Range: < 10)

Summary of Out-of-Range Findings

• High: T3 and T4 levels are slightly above the reference range.
• Low: Vitamin B-12 is below the recommended range.
• Borderline: Vitamin D is at the threshold between deficiency and insufficiency.