After reviewing your reports:
✅
Vitamin B12
If symptomatic (fatigue, tingling, hair fall):
Best option:
• Inj. Methylcobalamin 1000 mcg IM weekly × 4 weeks
Then
• Monthly × 3 months
OR
• Oral methylcobalamin 1500 mcg daily for 3 months (if no absorption issue)
⸻
✅
Vitamin D
• Cholecalciferol 60,000 IU once weekly × 8 weeks
Then
• Once monthly for maintenance
Take with fatty meal.
⸻
✅
Calcium
• Calcium citrate 500 mg daily (along with Vitamin D)
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✅ Sodium 128
Important:
Repeat sodium in 3–5 days.
Meanwhile:
• Do NOT drink excessive water
• Maintain moderate salt intake
• Check if any vomiting/loose motions/
thyroid issues
If sodium stays
For
B12:
• Eggs, milk, paneer, curd
• If vegetarian → supplementation required long-term
For
Vitamin D:
• 20 minutes sunlight daily (11 am–2 pm)
• Weight-bearing exercise
For Sodium:
• Avoid overhydration
• Check
thyroid (if not done recently)
⸻
Summary
Most important issues:
1. Vitamin D deficiency (severe)
2.
Vitamin B12 deficiency
3. Low sodium (needs repeat check)
These are correctable conditions.
⸻
If you tell me:
• Your age
• Any symptoms like tingling, weakness?
• Are you vegetarian?
• Any thyroid disorder?
I can fine-tune dosage.
Since sodium is 128, I would strongly advise repeating electrolyte levels soon — better to evaluate early rather than delay.