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Sever vitamin d3 and b12 deficiency
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Hello. I have reviewed your laboratory reports regarding your severe Vitamin D3 and B12 deficiencies.
At these levels, you are likely experiencing symptoms such as chronic fatigue, body aches, or perhaps "pins and needles" sensations in your hands and feet. Because the deficiencies are severe, dietary changes alone will not be enough to restore your levels quickly; medical-grade supplementation is necessary.
1. Vitamin D3 (9.67 ng/mL): Analysis & Plan
The Deficiency: A level below 10 ng/mL is considered a severe deficiency. This can lead to weakened bones (osteomalacia) and generalized muscle pain.
Correction Phase: Doctors typically prescribe a high-dose loading phase, such as 60,000 IU of Vitamin D3 once weekly for 8 to 12 weeks.
Maintenance: After the loading phase, a daily maintenance dose of 1,000–2,000 IU is usually continued to keep levels stable.
2. Vitamin B12 (173 pg/mL): Analysis & Plan
The Deficiency: Levels below 200 pg/mL are deficient. B12 is crucial for nerve health and red blood cell production.
Correction: Depending on your symptoms, a physician may recommend intramuscular injections (e.g., Methylcobalamin) to bypass the digestive system for immediate absorption, or high-dose oral tablets (1,500 mcg daily).
Dietary Sources: If you are vegetarian, you must rely on fortified cereals or supplements, as natural B12 is primarily found in animal products.
3. Next Steps and Testing
Calcium Levels: It is important to check your Serum Calcium levels alongside Vitamin D, as the two work together for bone health.
Complete Blood Count (CBC): This will help determine if the B12 deficiency has already caused "Megaloblastic Anemia" (enlarged red blood cells).
Re-testing: You should repeat these tests after 3 months of consistent supplementation to adjust your dosages.
Summary Advice:
You can consult me to receive a formal prescription for the 60k weekly Vitamin D3 and to decide if your B12 levels require injections or oral therapy.
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Take tab uprise 60,000 units tablet, once a week for 10 to 12 weeks.
Tab neurobion forte one daily for 12 weeks.
Take mushrooms, fortified cereals, eggs, curd, milk, cheese, berries, nuts, whole grains, in your diet.
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Take D rise capsule once a wk for 3 month
Take supplements for vitamin B 12
For more discussion you can contact me directly on practo
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You have severe deficiency.You need tablets for these.You also need to test for hemoglobin and calcium level as these 2 also depends on B12 and D level.
Next Steps
Book a video consultation I can guide.
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You have Deficiency of Vit D
Take Cap LUMINA 60 k once in a week for 6 weeks along with Shelcal-HD once daily
Plus CALKIND-PLUS once daily for Vit B requirement
Health Tips
Add Leafy veg in you dailly diet
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Your Vitamin D3 level (9.67 ng/mL) is considered a severe deficiency, and your B12 level (173 pg/mL) is also significantly low. For Vitamin D3, a standard clinical approach involves a weekly high-dose supplement (60,000 IU) for 8 to 12 weeks, followed by a maintenance dose. For B12, given the low levels, a combination of oral supplements or even initial intramuscular injections might be necessary for faster recovery. Both these deficiencies can lead to significant fatigue, muscle pain, and bone weakness if not treated aggressively."
Next Steps
Take your Vitamin D supplement with a fat-containing meal (like milk or butter) to ensure maximum absorption. For B12, incorporate eggs, dairy, and fortified cereals into your diet. I recommend a repeat blood test after 3 months of consistent supplementation to monitor progress and adjust the dosage."
Health Tips
Do not attempt to self-medicate with arbitrary doses, as Vitamin D is fat-soluble and can lead to toxicity if taken in excess for too long. Similarly, B12 deficiency can sometimes mask other underlying issues like Anemia. It is vital to follow a structured prescription tailored to your body's requirements."
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Your reports suggest Vitamin D deficiency, which requires a proper treatment plan along with dietary guidance
I would recommend booking a consultation so I can prescribe the right supplementation and help you with a diet plan for faster recovery.
Book at your convenience.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Do consult
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The best course of action in this case will be to take these vitamins that are deficient in your body.
Tab Nurokind OD 1 tab for 30 days
Cap Uprise D3 60k 1 cap once per week for 12 weeks
Health Tips
Don't think that you will get instant results within a week or 2. It will take time to correct your deficiency level so just wait patiently and take your medicine on time the medicines will do the work perfectly.
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Uprise d60k once a week for eight weeks followed by one per month for six months. Vitd3
Tab neurokind od one at night for 2 months after dinner.
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Yes.its severe deficiency for both.you need to change your dietary habits and lifestyle modifications. Early morning walk is good for vitamin d raised.also you need supplements for this.for medicine you need to consult me on practo for further management and evaluation.
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Dr. Moin Ahmad Siddiqui
Trichologist
7 yrs exp
Lucknow
Arachitol nano solution weekly
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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 discussion
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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. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule weekly once for 12 weeks
Meconerv 1500 daily for 3 months if you have no allergy
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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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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.