High hs-CRP and Low Vit D and B12

2025-04-23 20:30:06
Hi Doctor, I recently did a full-body health check and most parameters are normal. I follow a clean vegetarian diet, rich in protein (90–100g/day from milk, curd, whey, etc.), maintain a calorie deficit for fat loss, and work out 4 days a week. I need your guidance on a few findings: Vitamin B12 – 109 pg/mL (Low) – what should I do? Any need for further tests like methylmalonic acid or homocysteine? Vitamin D – 25 ng/mL (Low) – how can I bring this up? hs-CRP – 3.3 mg/L (High) – does this need attention or follow-up? Transferrin Saturation – 19% (Low-Normal) – should I test serum ferritin to check iron levels? PDW – 15.8 fL (High), PLCR – 43.1% (High) – are these concerning or linked to inflammation?
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Seems slight nutritional deficiency. Include fresh green vegetables,  sprouts, curds, cheese  soybeans in your diet. You can take vit D 20microgram tablets daily for a month  tab neurobion one morning and one evening for 30 days. High crp indicates inflammation somewhere in body. For that, you have to say if you have had pain or swelling or any discomfort in body in recent past .

Answered2025-04-25 04:46:34

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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Answered2025-04-25 04:23:21

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Please get a consultation. Contact Carna Health Centre Nagarbhavi Bangalore for a consultation

Answered2025-04-24 17:10:55

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Seems like you have some sort of nutrient deficiency It might be due to diet There are chances of it getting corrected by diet modification But if it persists even after diet needs proper evaluation So kindly do consult for elaborative discussion
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tale food rich in multivitamins and minerals natural foods if possible

Answered2025-04-24 15:12:53

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You need proper management, kindly Connect and consult

Answered2025-04-24 12:47:40

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Kindly connect Need few more details.

Answered2025-04-24 11:41:19

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Take Vit-B12 and Vit-D supplements and daily exposure to sun for atleast 10mins at 10am , glass of milk, sunflower seeds and plenty of fruits would help you.

Answered2025-04-24 10:53:54

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B12 Neurokind od one at night for 3 months after dinner. It's oral. Injection Inj neurobion forte one ample intramuscular in gluteal reason one  in alternate  day for five injection  means in 10 days. Vit d3 Uprise d60k once a week for eight weeks followed by one per month for six months  a complete therapy by WHO. Last values  r for academic interest  which is Going to change in 27-29 days.

Answered2025-04-24 08:54:07

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Need few more details Kindly consult

Answered2025-04-24 08:41:23

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Thank you for reaching out with your query. In order to provide you with an accurate and complete medical opinion, I would need a more detailed history, relevant clinical findings, and possibly a review of your reports or investigations. Unfortunately, it is not medically advisable to provide a diagnosis or treatment solely based on limited information in a message. I recommend booking an online consultation with me through Practo. This will allow us to have a thorough discussion regarding your symptoms and help me guide you better. Looking forward to helping you in a more detailed manner. Warm regards, Dr. Sudarshan Lamture MD (Medicine) Sfurti Multispeciality Hospital

Answered2025-04-25 09:00:44

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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Answered2025-04-25 03:00:13

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For detailed evaluation of your case/further queries /guidance/management plan,whatsapp nine three seven zero two eight four three seven six or connect via Practo.

Answered2025-04-24 21:57:29

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Need few more details for proper evaluation. Kindly consult further

Answered2025-04-24 14:19:33

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

Answered2025-04-24 13:33:12

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Do connect and consult

Answered2025-04-24 12:32:24

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Repeat test after 1 month with life style modification

Answered2025-04-24 09:33:40

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Nothing to worry as such related to blood test.. better to have Vitamin D and Vitamin B12 supplement. As mentioned you are vegetarian.. where as most of the natural sources for Vitamin B12 are animal based. Also increase sunlight exposure, particularly in morning hours to increase Vitamin D
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Further would be better to consult physician for Vitamin supplements

Answered2025-04-24 08:12:58

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Take vit d and b12 supplements.

Answered2025-04-24 08:12:38

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