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Tiredness, fatigue, hairfall, weight 48
My name is Nisha Tripathi, 38yrs female. Continuous fatigue ,tiredness and hairfall is my current problem. Also I am underweight as per standard which is 48 kg. My height is 5.3.
I am here with my test report summary. Except this all reports are within range.
Answers (25)
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Kindly consult for further details
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Consult
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Very sketchy report.
Please get a complete health package done from a reputed Laboratory in your area and consult a General Physician with the reports.
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B12 replacement
Check TSH, IgA-TTG
For some premature menopause also causes this needing HRT.
All the best.
www.jgsr-health-education.in
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As per your height and weight, your bmi is just marginally low. Do not bother about low weight. Add healthy carbs and proteins to your diet.
Get blood sugar and thyroid function tests done and share results.
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Reports suggest b12 deficiency
For this take
Methylcobalamin 1500 mcg od for 2 months
And then review
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Your report shows low Vitamin B12 (164 pg/ml) and low magnesium (1.65 mg/dL). These deficiencies can cause fatigue, weakness, hair fall, and low energy levels.
Vitamin D is slightly high (101 ng/ml), so further Vitamin D supplements should be avoided for now to prevent toxicity.
Also you are having low HDL (39 mg/dL) and borderline high LDL (129 mg/dL). This pattern suggests a mild lipid imbalance, which can increase long-term cardiovascular risk if not corrected.
At present this lipid profile does not require medicines. It is usually managed with diet changes, exercise, and lifestyle modification.
Next Steps
Start Methylcobalamin 1500 mcg tablet once daily after food for 6–8 weeks.
For magnesium, take Magnesium glycinate 200 mg once daily after dinner for 4 weeks.
Increase intake of milk, curd, paneer, eggs, nuts, seeds, and green leafy vegetables. Avoid taking Vitamin D supplements for now. Focus on diet correction and regular physical activity.
Repeat Vitamin B12, Magnesium, ESR and Lipid profile after 3 months.Since you have multiple nutritional issues I suggest you to take tests which includes CBC,RFT,CRP,Thyroid profile,Ferritin and iron,Liver enzymes.
Health Tips
Contact me anytime on practo for further consultation.
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Need to know your cbc and thyroid profile
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Hey, I see u have more than required Vit D. Excess can cause toxicity. Kindly consult with me on 94 two six eight six 78 nine six.
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No, deficiency of vitamin d3 b12 t3t4tsh disbalance. All r reason for your complaints.
All can be substitute.
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Tab neurokind od one at night for 2 months b12.
Consult superspecialist like md physician for rest.
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Only b12 deficiency, other things are normal.your weakness is due to very low level of b12. I need iron profile also to evaluate properly. Consult me on practo for further management and evaluation .
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At 38 years, with:
• Continuous fatigue
• Hair fall
• Underweight (48 kg at 5’3”)
The most common medical causes are:
• Iron deficiency (even if hemoglobin is borderline normal)
• Vitamin D deficiency
• Vitamin B12 deficiency
• Thyroid dysfunction
• Chronic stress / poor nutrition
Since you mentioned “except this all reports are within range,” I would need to know which values are abnormal. But based on symptoms alone:
Hair fall + fatigue + low body weight strongly suggests nutritional deficiency or thyroid-related issue.
Your BMI is around 18.5, which is borderline underweight — this itself can contribute to:
• Hormonal imbalance
• Weak hair roots
• Low energy levels
Next Steps
Please check or confirm these levels if not already done:
✔ Ferritin (more important than hemoglobin)
✔ Vitamin B12
✔ Vitamin D
✔ TSH (thyroid)
✔ Total protein / albumin
If ferritin is below 30 → iron supplementation is needed.
If Vitamin D
Health Tips
✔ Do not rely only on multivitamins
✔ Improve calorie intake gradually
✔ Add strength training (improves energy)
✔ Sleep 7–8 hours
✔ Manage stress
Hair fall and fatigue are usually reversible once the underlying deficiency is corrected.
To guide you properly, I need to see which specific values are abnormal in your report. If you share the exact numbers (especially ferritin, TSH, B12, Vitamin D), I can give you a precise treatment plan. Booking an online consultation would allow a structured deficiency correction plan tailored to your body weight and lab profile.
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What tests are normal plz consult with all test reports and detailed history.
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Fatigue and hair fall with low body weight can sometimes be related to nutritional deficiency, stress, thyroid issues, or low iron/Vitamin levels, even if basic reports look mostly normal.
Since your weight is on the lower side, diet and micronutrient intake also play an important role. A detailed review of your reports and symptoms will help identify the exact cause.
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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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
I understand your concern. However, giving specific medical advice without a proper evaluation may not be safe or accurate. A brief consultation will allow me to understand your symptoms, medical history, and any reports you may have, so I can guide you properly. Please feel free to consult me here and I’ll be glad to assist you.
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take supplements for vit d and vitamin b12
Uprise d3 capsule 60k once a week for 12 weeks
Meconerv daily for 3 months
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start nurokind fast
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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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Your symptoms of continuous fatigue, tiredness, hair fall, and low body weight (48 kg at 5'3") are commonly associated with nutritional deficiencies or hormonal imbalance.
Possible causes include iron deficiency, low Vitamin D or B12 levels, thyroid imbalance, inadequate protein intake, or chronic stress.
I advise ensuring adequate daily protein intake (dal, paneer, eggs, sprouts), proper sleep of 7–8 hours, and evaluation of Ferritin, Vitamin D, Vitamin B12, and TSH levels if not already assessed.
Correction of underlying deficiencies usually improves both energy levels and hair fall.
Kindly follow up with detailed reports for specific treatment advice.
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Dr. Nasar Ahmed
General Physician
1 yrs exp
Jammu
As per the report and history shared:
Lifestyle change early to bed early wake up morning walk plenty of water + lemon water.avoid outside food
And the report s/o chronic inflammatory process.
Kindly have proper work for that and provide proper history and investigation for proper management
Next Steps
Follow up consult me anytime
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Kindly do connect and consult
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Dr. Pratik Bhadoria
General Physician
5 yrs exp
Vadodara
Please share other investigations , even if they are normal I need to take a look before suggesting you something
Especially Thyroid function and Iron reports
Also is your appetite adequate?
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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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