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Vitamins Deficiency
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SEVERE deficiencies - need urgent supplementation.
Your Levels:
- Vit D: 13 (Normal: 30-100) - SEVERELY LOW
- B12: 125 (Normal: 200-900) - LOW
- Homocysteine: 56 (Normal: 5-15) - VERY HIGH (dangerous)
- LDL: 148 - Borderline high
High homocysteine = heart disease/stroke risk.
Treatment:
1. Vitamin D3:
- 60,000 IU once weekly x 8 weeks
- Then 2000 IU daily maintenance
2. Vitamin B12:
- Methylcobalamin 1500 mcg daily x 2 months
- Then 1000 mcg daily ongoing
3. Folic Acid (lowers homocysteine):
- 5mg daily x 3 months
4. Vitamin B6:
- 50mg daily (helps homocysteine)
5. LDL Management:
- Atorvastatin 10mg if doctor recommends
- Diet: low fat, high fiber
Recheck in 3 months: Vit D, B12, Homocysteine, Lipids.
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Do connect and consult
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Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.
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Would strongly recommend visiting a physician for such deranged parameters
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Take vit d3 60,000 units once a week for 4 weeks.
Tab neurobion one morning and one evening for 30 days.
Avoid fatty, sugary food
Do regular physical exercise.
Repeat lipid profile after 6 weeks.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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take b12 inj 5 dose
tab vit d3 60 k once a week for 1 mon
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Your reports show:
• Vitamin D: 13 ng/mL (deficient)
• Vitamin B12: 125 pg/mL (deficient)
• Homocysteine: 56 µmol/L (elevated, likely secondary to B12 deficiency)
• LDL: 148 mg/dL (borderline-high)
You’ll need supplementation and some dietary adjustments.
⸻
Plan:
1. Vitamin D deficiency:
• Tab/Sachet Cholecalciferol 60,000 IU once weekly for 6–8 weeks, then once monthly as maintenance.
• Take after a meal containing fat (for better absorption).
• Include sunlight exposure (15–20 min/day).
2. Vitamin B12 deficiency:
• Injections: Mecobalamin 1000 mcg IM once weekly for 4 weeks, then once monthly or
• Oral: Tab Methylcobalamin 1500 mcg daily for 2–3 months.
• Alternate option: Tab Neurobion Forte once daily for 2–3 months.
3. Elevated Homocysteine:
• Will improve once B12 is corrected.
• Consider adding Folic acid 5 mg daily for 1–2 months.
4. LDL 148 mg/dL:
• Adopt a low-cholesterol diet (reduce fried, processed foods, red meat, and high-fat dairy).
• Regular exercise, at least 150 min/week.
• Recheck lipid profile in 3 months.
⸻
Follow-up:
Repeat Vitamin D, B12, and lipid profile after 3 months.
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Tab cholecalciferol 60k IU once a week
Tab neurobion forte daily
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You definitely need suppliments in addition to good diet
Calcirol sachet once per wk for 6 wks dissolve in half a cup of warm milk
Cap Becasules once daily for 2 months
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Hello,
For consultation
1. Pay ( ₹ 500 only, 50 % off ) and consult by practo.
2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay. My mobile number is +91959508739nine.
3. If required call to +91959508739nine.
Take a glass of milk daily.
Thanks.
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST YET.
Your tsh is also raised.
Lipid profile all deranged.
Uric acid slightly raised.
UPRISE D60K ONCE A WEEK FOR EIGHT WEEKS FOLLOWED BY ONE PER MONTH FOR SIX MONTHS. VITD3
B12
TAB NEUROKIND OD ONE AT NIGHT AFTER DINNER FOR 2 MONTHS.
TAB ROSUVAST20 ONE AT NIGHT AFTER DINNER FOR 1 month.
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Nothing to worry about your vitamin deficiencies.. but you have to check T3,T4 values...
Next Steps
tell me about your BMI?
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No supplement required. Eat healthy, start the morning walk.
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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 free detailed discussion
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Can you connect personally so that we can discuss about diff multivitamins or else you can have-
Tab shelcal 500 od... 1tab after meal at night with milk
Capsule Cholecalciferol vit d3... 1 capsule once a week
B13 Becasoule capsule... I won't prefer neurobion fort
Multi vit- tab carbamide forte one tab od... It has shown remarkable resultes
In case any issue connect with me through practo or whatsApp eight three six eight seven two eight one three seven
Next Steps
increase fruit diet
avoid alcohol and smoking
exercise well stay hydrated
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Needs to know more details regarding this and it seems that you have mildly elevated TSH.
Next Steps
Kindly consult me here or in whatsapp- 808nine7nine4nine53
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Dr. Romain Rajan
General Physician
2 yrs exp
Ghaziabad
Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. Your reports show Vitamin D deficiency (13 ng/ml), Vitamin B12 deficiency (125 pg/ml), and high homocysteine (56 µmol/L) â all of which are interlinked. Elevated homocysteine occurs due to low B12 and sometimes low folate, which can increase long-term cardiovascular risk. Your LDL of 148 is also mildly elevated. These findings are very common even in active individuals and can be corrected effectively with supplements and minor dietary changes.
1. Advices
Get 20â30 minutes of sunlight exposure on arms and legs daily.
Include more protein, leafy vegetables, eggs, and dairy products in diet.
Avoid excessive alcohol, processed food, and sugary snacks.
2. What to Monitor
Fatigue, numbness, or tingling in hands and feet.
Any muscle cramps or mood changes.
3. Management
Please start the following:
Vitamin D3 (60,000 IU) â one capsule weekly after meals for 8 weeks, then once every 15 days as maintenance.
Methylcobalamin (B12) â 1500 mcg tablet once daily after breakfast for 3 months.
Folic Acid (5 mg) â once daily for 3 months (helps normalize homocysteine).
Omega-3 supplement (Fish oil 1000 mg) â one capsule daily after meals for 3 months (helps reduce LDL and inflammation).
After 3 months, repeat Vitamin D, B12, Homocysteine, and Lipid Profile to assess progress.
If LDL remains high, a detailed diet plan or mild statin may be considered.
4. When to Consult a Doctor Immediately
If you develop persistent tingling, fatigue, or dizziness.
If you start new medications or have thyroid or liver issues.
Every patientâs situation is unique. With proper supplementation and diet, your values should normalize within 2â3 months, and homocysteine will drop significantly once B12 and folate improve.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive:
⢠A personalized supplement and diet plan
⢠Safe medicine adjustments (if required)
⢠Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Raviraj Singh Narwaria
General Practitioner
5 yrs exp
Mandsaur
Your reports indicate:
• Vitamin D – 13 ng/mL: Deficient
• Vitamin B12 – 125 pg/mL: Deficient
• Homocysteine – 56 µmol/L: Elevated (likely secondary to B12 deficiency)
• LDL – 148 mg/dL: Borderline high
⸻
Plan:
1. Vitamin D Deficiency
• Tab/Sachet Cholecalciferol 60,000 IU once weekly × 8 weeks, then once every 3–4 weeks as maintenance.
• Take after a meal containing some fat (milk, ghee, eggs, etc.) for better absorption.
• Daily 15–20 minutes of sunlight exposure recommended.
2. Vitamin B12 Deficiency
• Inj. Mecobalamin 1000 mcg IM once weekly × 4 weeks, then once monthly
OR
• Tab Methylcobalamin 1500 mcg daily × 3 months.
• Alternate: Tab Neurobion Forte once daily × 3 months.
3. LDL (Borderline High)
• Avoid fried, processed, and sugary foods.
• Prefer olive oil, nuts, flaxseeds, and fish for healthy fats.
• Regular exercise (30 min brisk walk, 5 days/week).
4. Follow-up:
Repeat Vitamin D, B12, and Lipid profile after 3 months to assess improvement.
⸻
Summary:
These deficiencies are reversible with proper supplementation and lifestyle modification. Once corrected, you’ll likely notice better energy, focus, and metabolic balance.
Next Steps
Review after one month
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Start tab d rise
Tab neurobion
Consult online will guide you further
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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.