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Low Haemoglobin
My Haemoglobin has come low (10) and vit d is 20 and B12 is 306. I feel fatigue, dizzy/floated frequently. Can I start any supplements?
Answers (10)
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You have deficiency of iron, lower end of vit b12 and d.
Take syp livogen 5m.l
2 times daily.
Take more of fresh green leafy vegetables, beetroot, pumpkin, fruits like pomegranate, apple, sprouts, mushrooms, curd, cheese, fortified cereals, soya, nuts.
Repeat Haemoglobin, vit d and b12, tests after 4 weeks.
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Your values:
• Hemoglobin: 10 g/dL → Mild anemia
• Vitamin D: 20 ng/mL → Deficiency
• Vitamin B12: 306 pg/mL → Borderline low
With symptoms:
• Fatigue
• Dizziness / floating sensation
Your symptoms are very likely explained by iron deficiency anemia + vitamin D deficiency.
Interpretation:
Next Steps
✔ 1. Identify Type of Anemia
Before blindly starting iron, ideally check:
• Serum ferritin
• MCV
• Peripheral smear
Most common cause in your age group → iron deficiency (especially if heavy periods).
⸻
✔ 2. Supplement Plan (General Guidance)
After confirming iron deficiency:
Iron supplement
• Elemental iron 60–100 mg daily
• Take after food (if gastric irritation)
Vitamin D
• 60,000 IU weekly for 6–8 weeks
• Then maintenance monthly dose
Vitamin B12
• Oral methylcobalamin 1000 mcg daily for 4–6 weeks
Recheck Hb and Vitamin D after 8–10 weeks.
⸻
✔ 3. Rule Out These Causes
• Heavy menstrual bleeding
• Thyroid dysfunction
• Poor diet
• Gut absorption issues
If dizziness persists despite correction, further evaluation may be required.
Health Tips
✔ Take iron with vitamin C (improves absorption)
✔ Avoid tea/coffee 1 hour around iron dose
✔ Get 20 minutes sunlight exposure daily
✔ Include iron-rich foods (dates, spinach, jaggery, lentils)
✔ Include B12 sources (eggs, dairy, fortified foods)
Your numbers are correctable and your symptoms are very likely nutritional in origin.
Since anemia in women can have underlying causes (especially menstrual or thyroid-related), I recommend booking an online consultation so we can review your CBC indices and decide the exact dosage and duration rather than starting random supplements.
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Women in your age low haemoglobin is from periods.
Do the following,
1. Cholecalciferol 60k once every week for 8 weeks and then once every month for a year
2. Ferrous sulphate 200mg once a day for 6 weeks
3. Blood test CBP after 6 weeks
All the best.
www.jgsr-health-education.in
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Yes you can surely. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.
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You need treatment for it...this is the reason for you fatigue...but need CBC report to know the cause of your low Hb..
Consult for better and further treatment
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Your reports levels can cause fatigue, dizziness, and light-headedness.
What you can do:
Iron + Folic Acid supplement for low hemoglobin
Vitamin D supplement
Vitamin B12 supplement
Eat iron-rich foods: eggs, lentils, green vegetables, nuts
Sunlight exposure for Vitamin D
Hydrate well and rest adequately
Follow-up:
Repeat blood tests after 6–8 weeks of supplementation
For proper dose and personalized plan, consult me or text me on Practo.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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