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Tired and fatigued, not feeling prime
I am 34, I feel tired and fatigued, probably due to work stress etc. I have not been working out much and I think I am not drinking enough water
I took a blood test recently and my vitamin B levels are at 229 and my vitamin D is 12
I was told that these are very low. Should I take supplements?
Other markers are looking within the range
Answers (27)
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A Vit D level of 12 is a clear deficiency and can absolutely cause fatigue, low mood, muscle weakness, and low energy.
At 229, you're in the borderline range for B12. Some people feel symptoms at this level like fatigue, brain fog, tingling in hands/feet, low mood and weakness.
Next Steps
You should take Vitamin D supplementation.
Typical treatment (confirm with your doctor):
60,000 IU once weekly for 6-8 weeks then
1,000-2,000 IU daily maintenance
Also:
15-20 minutes of sunlight exposure (arms/legs exposed).
Take Vitamin D with a fatty meal for better absorption.
It would be reasonable to supplement B12.
Common options:
Oral methylcobalamin 1000 mcg daily OR
If symptomatic, some doctors give B12 injections.
Recheck in 8–12 weeks.
Health Tips
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Your B12 levels are low . Vit D3 levels are extreamly low.. both are easily treatable with medicines or inections. This will relieve your fatigue to a great extent. Multivitamins should b taklen along with injections.
Next Steps
few other blood tests should be done for full treatment..kindly consult
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Kindly consult for proper evaluation and treatment , you also need to get thyroid function tests , Hb after thorough examination
Need to be started on supplements with some lifestyle changes
Health Tips
Kindly consult for further advice and management
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Kindly consult for detailed information and treatment
Next Steps
Daily 10-11am half an hour brisk walk in garden without shoes
Health Tips
Consult
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You have a vitamin d deficiency and near lower limit normal of vitamin b 12.Both could cause fatigue and lethargy.Take d rise cap 60000iu once a week for atleast 12 weeks and meganeuron od plus once a day for 2 months
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Yes please do.
Cholecalciferol 60k once a week for eight weeks followed by once a month for a year
Methacobalamin capsule one a day (long term).
All the best.
www.jgsr-health-education.in
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Kidney consult for detailed advice
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Hello,
Yes, your Vitamin D (12) is low and needs treatment.
Vitamin B (229) is borderline low. Both can contribute to fatigue.
What you can do:
• Start Vitamin D3 60,000 IU once weekly for 6–8 weeks (under guidance)
• Take Vitamin B12 supplement daily
• Get 20–30 mins sunlight
• Improve diet (eggs, dairy, green vegetables)
• Stay hydrated and exercise lightly
Since fatigue can also have other causes like stress, sleep issues, or thyroid problems, proper review is important.
Based on your symptoms, this may require proper clinical assessment and prescription. You may book an online consultation with me for detailed evaluation and personalised treatment plan.
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From your reports your b12 is under normal value and your vit d is significantly low .You felt tired,fatigue probably due to your vit d severe deficiency
And yes you should take supplements for vit d
Next Steps
For vit d deficiency
-Syrup d3(cholecalciferol) 1 syrup(bottle)per week for 4 weeks
-expose to early morning or late evening sunlight for 15 to 20 minutes .avoid exposure on high sunny days and afternoon sunlight
For vit b12 deficiency
-as your value is under normal range no tablet is needed dietary correction is sufficient
-consume high amounts of green leafy vegetables,egg,fruits,liver meat,fish
Health Tips
If your symptoms is not improving despite taking this,contact me anytime on practo for further consultation
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Please consult for step wise approach to your problem.
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Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO for vit d3.
Tab neurokind od one at night for 2 months.
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Kindly consult with me on 94 two six eight six 78 nine six for proper guidance.
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Your reports:
• Vitamin B12 = 229
• Vitamin D = 12 ng/mL
Interpretation:
Next Steps
Vitamin D Correction
Typical regimen (after doctor confirmation):
✔ 60,000 IU Vitamin D3 once weekly for 6–8 weeks
✔ Then maintenance 1,000–2,000 IU daily
Take after a fatty meal for better absorption.
⸻
Vitamin B12
Since level is borderline:
Option 1:
✔ Oral methylcobalamin 1,000–1,500 mcg daily for 2–3 months
Option 2 (if symptoms significant):
✔ B12 injections weekly for 4 weeks
Retest after 3 months.
⸻
Also:
✔ Increase protein intake
✔ 15–20 min sunlight exposure
✔ Improve hydration
✔ Restart light exercise (very important for energy)
Health Tips
✔ Deficiencies take weeks to improve — don’t expect instant energy
✔ Sleep 7–8 hours
✔ Reduce excessive caffeine
✔ Manage work stress consciously
✔ Combine supplements with strength training
Your fatigue is very likely deficiency-related, and this is reversible.
If you want, share:
• Your hemoglobin level
• Thyroid value
• Diet pattern (veg/non-veg)
I can create a structured correction plan for you. Booking an online consultation will allow proper dose calculation and follow-up planning so your energy levels improve systematically rather than randomly taking supplements.
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You should take supplements:
• Vitamin D3: 60,000 IU once weekly for 6–8 weeks, then monthly maintenance (or 1,000–2,000 IU daily).
• Vitamin B12: 1,000 mcg daily (oral) for at least 2–3 months, or as advised by your doctor.
Also improve hydration, sunlight exposure (15–20 mins/day), diet, sleep, and stress management.
Repeat levels after 8–12 weeks.
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Yes,you need to take supplements. Without taking supplements your symptoms and wekness may be worsen time to time.so take these supplements or you can consult me on practo for further management.
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Yes — your levels are low.
• Vitamin D = Deficient
• Vitamin B12 =Borderline low
Both can cause fatigue, low energy, body ache, poor concentration and mood changes.
Advice
Vitamin D:
• 60,000 IU once weekly for 6–8 weeks
• Then maintenance dose (1,000–2,000 IU daily)
• Sun exposure 15–20 mins/day
Vitamin B12:
• Oral methylcobalamin 1000 mcg daily for 2–3 months
(Or injections if symptoms are significant)
Also:
• Improve hydration
• Regular light exercise
• Balanced diet with protein
Repeat levels after 3 months.
For personalized dosage and full fatigue evaluation, kindly text me over Practo for detailed consultation.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule 60k Iu weekly once for 4 weeks
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Uprise d3 60k once a week for 3 months
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes needed
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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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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do 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. Ramanitharan Salem Raja
General Physician
5 yrs exp
Salem
Yes u need supplements
Health Tips
stand in under Direct sun light every day for atleast 30 mins
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