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Vitamin d deficiency
My vitamin d3 levels came 20.89 and alp is 159. Rest all ok
What to do
I have sleep issues
Please suggest
Answers (27)
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Your vitamin D level (20.89 ng/ml) is in the insufficient range, and mildly elevated ALP can be consistent with increased bone turnover seen in vitamin D deficiency. This may also contribute to nonspecific symptoms like fatigue, body aches, and possibly poor sleep quality. However, isolated sleep issues are usually multifactorial and not solely explained by vitamin D deficiency.
Next Steps
You should start vitamin D supplementation—typically cholecalciferol 60,000 IU once weekly for 6–8 weeks, followed by a maintenance dose (e.g., 1,000–2,000 IU daily). Ensure adequate calcium intake through diet or supplements if needed. It would also be reasonable to check serum calcium, phosphorus, and repeat vitamin D after 8–12 weeks.
Health Tips
In addition, improve sunlight exposure (15–20 minutes/day), maintain sleep hygiene (fixed sleep schedule, limit screen time before bed), and reduce caffeine intake in the evening. If sleep issues persist despite correction of deficiency, further evaluation for primary sleep disorders or stress-related causes may be required.
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Please consult to manage sleep issues.
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Vitamin D supplements need to be given. But do not become dependent on it and supplement with diet rich in Vitamin D like egg yolks, dairy products like yogurt, oily fishes like salmon etc. Long term Vit D supplement might increase your calcium level and thereby increasing the risk of developing stones.
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As of now u have low vit d levels. U have to start on vit d supplementation 60k IU weekly for 2-3months throughout this period u should consume good amount of dairy products like milk and curd etc..
To prevent vit d deficiency u should get daily sunlight exposure of atleast 5-10mis.
Next Steps
take vit d supplementation
Health Tips
get regular sunlight exposure. increase dietary intake of milk,curd etc..
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Increased ALP could be because of Vit D deficiency
Next Steps
Start on Vit D3 supplements
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Take tablet uprise d3 60k once weekly × 6–8 week
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Start tayo 60 k
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Cap Lumia 60k once weekly for 12weeks.....
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This is not related to sleep issues. For your sleep issues Kindly connect with me at 9999 x 104 x 408 or take an instant consultation.
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You have vitamin d insufficiency, which may have caused a slightly raised ALP.Take d rise cap 60000 iu once a week for at least 8 weeks.
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Your report indicates mild vitamin D deficiency. ALP 159 can be mildly elevated when vitamin D is low because bones increase turnover. This may also cause fatigue, body pain, and sleep disturbance.
Next Steps
• Tab Cholecalciferol (Vitamin D3) 60,000 IU – once weekly for 4 weeks
• Tab Shelcal HD (calcium + vitamin D) – once daily after food for 2–3 months
Health Tips
• Get 20–30 minutes sunlight exposure daily (morning)
• Eat eggs, fish, milk, curd, nuts
• Regular walking/exercise helps bone strength
Contact me any time on Practo for further consultation
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Take vit d3 60000 units once weekly for 8 weeks
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Take D rise 40k - 1 tablet once a week for 8 weeks then once a month for 6 months.
Manage diet according for raised alp.
Next Steps
kindly consult for raised alp and Sleep issues.
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Vit d deficiency causes low calcium, which in turn increases parathyroid hormone,which results in elevation of alp , so we need to treat vit deficiency by supplements
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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..
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST FOR ALP.
TAB CLONAZEPAM 0.5 ONE AT 9_9.30AFTER DINNER.
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Take Vitamin d3 tablet .
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Take tab upright 60,000 units once every week for 8 weeks. Take more of nuts, mushrooms, fortified cereals, eggs, curd, cheese
What sleep issues you face, please share and then I can help you further.
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Capsule vitamin d3 60K IU once weekly for 8 weeks followed by once monthly
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Your **Vitamin D Test level of 20.89 ng/ml indicates Vitamin D insufficiency (ideal level is usually above 30 ng/ml). This can sometimes contribute to fatigue, body aches, low mood, and sleep disturbances.
Your **Alkaline Phosphatase Test (ALP) level of 159 U/L is mildly elevated. When seen together with low Vitamin D, this may reflect increased bone turnover due to Vitamin D deficiency, which is quite common. Since the rest of the reports are normal, this is usually not a serious concern and is often corrected once Vitamin D levels improve.
Next Steps
• Start Cholecalciferol 60,000 IU once weekly for 8 weeks, then once monthly for another 2–3 months.
• Get 15–20 minutes of sunlight exposure daily, preferably morning sunlight.
• After 8–10 weeks, repeat Vitamin D Test and Alkaline Phosphatase Test to confirm improvement.
• If sleep problems continue, evaluation for stress, sleep hygiene issues, or lifestyle factors may also be needed.
Health Tips
Include foods rich in Vitamin D and calcium such as eggs, milk, curd, paneer, fatty fish, and fortified foods.
• Maintain a regular sleep routine (sleep and wake up at the same time daily).
• Avoid mobile screens, caffeine, and heavy meals 2–3 hours before bedtime.
• Regular exercise and morning sunlight often improve both Vitamin D levels and sleep quality.
If you would like, you can book an online consultation and share your detailed reports and sleep history so I can guide you with a more personalized treatment plan.
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Dr. V R Tindwani
Family Physician
51 yrs exp
Ahmedabad
Correcting vit d will correct alp also
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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. 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. Saarika
General Physician
4 yrs exp
Chennai
Uprise 60k once a week for 8 weeks followed by once a month for 4 months --vitamin d
Lifestyle changes and diet will relieve the symptoms
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule 60k IU once a week for 12 weeks
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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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.