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Vitamin deficiency
Hello Doctor, my reports show Vitamin D is 8.2 ng/mL and Vitamin B12 is 215 pg/mL. Please advise what treatment or supplements I should take. Thank you.
Answers (21)
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
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Dr. Harichandana,
MBBS, MD (General medicine)
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T Vitd 60000u once a week for 4 to 6 weeks
T ca 1od for 1 mnth
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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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Vitamin D and vitamin B12 defficiency.Requires treatment
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take tab uprise d3 60000IU once weekly for 8 weeks
followed by 2000 IU/ 60000 once monthly for 3 months
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It's showing severe deficiency of vitamin D
Take tab uprise d3 once a week for 6 week
Followed by tab vit d 2000 daily for 3 months
Health Tips
Vitamin d3 source
Fish liver oil
fatty fish
egg yolk
butter and animal fat
vitamin b12 source
Milk
Curd
cheese
fish
Meat ( red meat )
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Start vitamin d Sachet
Uprise d3 60k , once weekly for 8 months
And tablet neurobion 500mg once a day for 15 days
Next Steps
start taking Sun bath, in the morning, at least 10 minutes with proper exposure of body ,
for better recovery
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Vitamin D 8.2 ng/mL is severe deficiency
Vitamin B12 215 pg/mL is borderline low
Rx:
Tab Vitamin D3 60,000 IU once weekly × 6–8 weeks
Tab Vitamin B12 / Neurobion Forte once daily × 4–6 weeks
Add calcium-rich diet + sunlight exposure
Repeat levels after 6–8 weeks
You can consult with me via Practo for follow-up.
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Tab neurobion forte one daily for 4 to 6 weeks.
Tab uprise 60,000units once a week for 6 weeks.
Take mushrooms, fortified cereals, nuts, curd, cheese almond, soya, sprouts.
Repeat test after 6 weeks.
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Your vit B12 is in normal range but on lower side so take Tab Neurobian forte or Tab Methylcocalamine 1500mcq once a day for a month
Your vit D is deficient So start Sachet vit D3 60k with milk at bedtime once a week and continue till 2 month.Meanwhile added food with rich source of vit B12 and other minerals
Next Steps
Proper diet and repeat test after treatment
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Vitamin D (25-OH): 8.2 ng/mL —>Severe deficiency
Can cause fatigue, body aches, low immunity, bone pain, mood changes.
Vitamin B12: 215 pg/mL —>Borderline low
May cause tiredness, poor concentration, tingling/numbness if it drops further.
Wed few more info consult me on Practo
Next Steps
Take Cholecalciferol 60,000 IU GRANULES (D rise sachets ) one sachet in 1 small glass of water once a week for 4 weeks
Tab neurobion forte 1 tab/day for 1 month
Health Tips
Recheck B12 & vitD after 6week
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Vit d3 is very poor.
Inj uprise d60k one in gluteal region intramuscular every two months for three injection will full fill your demand. Or go oral
Uprise d60k once a week for eight weeks followed by one per month for six months a COMPLETE THERAPY BY WHO.
NEUROKIND OD ONE AT NIGHT AFTER DINNER FOR 2 MONTHS.
ALREADY ANSWERED TWICE
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Your vitamin B12 level of 215 pg/mL is at the lower end of the normal range (typically 200-900 pg/mL), which may contribute to symptoms like fatigue, weakness, or neurological issues if borderline deficiency is present. Combined with your severely low vitamin D at 8.2 ng/mL (normal >30 ng/mL; severe deficiency
Next Steps
Initiate vitamin D correction with a higher dose: 60,000 IU weekly for 8 weeks, followed by maintenance of 60,000 IU monthly, retest levels in 2-3 months. For B12, start with oral supplementation (1,000 mcg daily, sublingual for better absorption) or consider B12 injections if symptoms like tingling or anemia are present; recheck B12 in 4-6 weeks. If you have related symptoms (e.g., fatigue, hair loss), provide more details for a full evaluation, including possible tests for folate, thyroid, or malabsorption.
Health Tips
Increase dietary sources: For vitamin D, include fatty fish (salmon), egg yolks, fortified dairy/milk alternatives, and get 10-15 minutes of midday sun exposure (with sunscreen after). For B12, focus on animal products like meat, eggs, dairy, or fortified cereals/plants if vegetarian/vegan. Take vitamin D with a fatty meal for optimal absorption, and B12 on an empty stomach. Monitor for improvements in energy and mood, and avoid self-medicating long-term without guidance. For personalized advice based on your full health history, please consult with me online to refine this plan.
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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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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Vit d supplement
Next Steps
consultation
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule 60k once a week for 12 weeks
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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. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Uprise D3 60k once weekly
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Take tab neurobion daily for three months
Cap d rise once a week for next three months
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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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