Hello, I am Dr. Romain Rajan, General Physician.
I understand your concern â your recent blood tests show
vitamin B12, folate, and
vitamin D levels are on the lower side, which can cause fatigue, low energy, and other symptoms
â
Advices
⢠Vitamin D supplementation with D3 combined with K2 helps improve absorption and supports bone health
⢠For vitamin B12, methylcobalamin is often preferred for better neurological support, though adenosylcobalamin or hydroxycobalamin are also effective
⢠Folate supplementation as folinic acid is generally better tolerated and more active than folic acid
What to Monitor
⢠Observe for improvement in fatigue, energy levels, mood, and general wellbeing over the next few weeks of supplementation
⢠Mild warning signs include persistent weakness, numbness, or tingling, which may require dosage adjustment
Managment
⢠Start vitamin D3 with K2 as per standard dosage for your level
⢠Vitamin B12 methylcobalamin sublingual or injection depending on severity of deficiency
⢠Folinic acid supplementation for folate correction
⢠Recheck blood levels in 8â12 weeks to monitor improvement
When to Consult a Doctor Immediately
⢠Symptoms of severe B12 deficiency such as neurological issues, memory problems, or numbness
⢠Signs of high
calcium if vitamin D dose is excessive
⢠Persistent fatigue or unexplained new symptoms despite supplementation
Every patientâs situation is unique. For safe and effective correction of vitamin deficiencies, itâs important to discuss your full medical history and lab results
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 treatment plan
Safe supplement dosage guidance
Quick follow-ups to track your recovery
Take care, wishing you good health
Best regards
Dr. Romain Rajan
General Physician