Kindly consult so that I can provide a proper treatment plan.

No need to worry your levels explain the exhaustion and hand pain perfectly . B12 at 236 is low normal but symptomatic, Vitamin D at 37 is insufficient, and mild anemia adds to the fatigue. All are easily correctable. Book a quick consultation with me now I’ll give you the right doses, duration, and follow up plan for fast relief. 😊

Tab neurobion forte one daily for 4 werks. Syp R.b.tone 5m.l every morning and evening for 2 weeks.Syp ostocalcium 5m.l morning and evening for 2 weeks. Tab zerodol sp one every 8hours for 3 days for pain. Take more of fresh green leafy vegetables,  pumpkin,  beetroot,  pomegranate, orange,  apples, jaggery,  nuts, milk,  curds.

Kindly do connect and consult with me for better treatment plan and advice on practo app

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Tab neurokind od one at night for 2 months

You will require medicines Are you taking any medicines at present for your B12 and Vitamin D?

your report of b12 level is at lower range of normal level and vit D is ok normal . kindly specify your complain in detail and of what duration  .

Livogen z,renerve,tayo 60

Need a few more details please consult for further evaluation and treatment

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Your bit 12 is boderline low Hb ideally should be more bt ita not that too low . You can be befitted by the supplements Like vit bcomplex Vit d3 supplements Iron rich diet You should get yourself checked for s.Tsh S.Calcium Pain in hands cn be due to vit deficiency Bt persistent joint pains should be evaluated for rheumatoid arthritis