Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing your reports. Having iron,
Vitamin D, and
B12 deficiency together is quite common, and the good part is that all three are correctable with the right approach.
What you should do now
1. Iron deficiency
Supplements:
⢠Oral iron like ferrous ascorbate or ferrous sulfate once daily (preferably empty stomach)
Diet:
⢠Green leafy vegetables, beetroot
⢠Jaggery, dates, raisins
⢠Lentils, chickpeas
⢠Non vegetarian sources like eggs and red meat
ð Take iron with Vitamin C (lemon, orange) for better absorption
ð Avoid tea or coffee within 1 hour of iron intake
2. Vitamin D deficiency
Supplements:
⢠60,000 IU once weekly for 6 to 8 weeks, then maintenance
⢠Maintenance: 2000 IU daily or 60,000 IU once monthly
Lifestyle:
⢠Sun exposure 20 to 30 minutes, 3 to 4 times per week
3.
Vitamin B12 deficiency
Supplements:
⢠Methylcobalamin 1500 mcg daily for 2 to 3 months, then maintenance
Diet:
⢠Milk, curd, paneer
⢠Eggs, fish, chicken
⢠Fortified cereals
Vegetarians usually need long term supplementation
Important advice
⢠Do not stop supplements after feeling better
⢠Repeat levels after 2 to 3 months
⢠Maintain long term low dose to prevent recurrence
When to consult a doctor
⢠If severe weakness, dizziness, or tingling persists
⢠If levels do not improve despite supplements
Please remember that correcting all three deficiencies together will significantly improve your energy, immunity, mood, and overall health.
For personalised one to one consultation and dose adjustment, you can reach out to me on WhatsApp at 85271646 seven seven.
Wishing you good health and recovery.
Dr. Romain Rajan
General Physician