Your values:
• Hemoglobin: 10 g/dL → Mild anemia
•
Vitamin D: 20 ng/mL → Deficiency
•
Vitamin B12: 306 pg/mL → Borderline low
With symptoms:
• Fatigue
• Dizziness / floating sensation
Your symptoms are very likely explained by iron deficiency anemia + vitamin D deficiency.
Interpretation:
Next Steps
✔ 1. Identify Type of Anemia
Before blindly starting iron, ideally check:
• Serum
ferritin
• MCV
• Peripheral smear
Most common cause in your age group → iron deficiency (especially if heavy periods).
⸻
✔ 2. Supplement Plan (General Guidance)
After confirming iron deficiency:
Iron supplement
• Elemental iron 60–100 mg daily
• Take after food (if gastric irritation)
Vitamin D
• 60,000 IU weekly for 6–8 weeks
• Then maintenance monthly dose
Vitamin B12
• Oral methylcobalamin 1000 mcg daily for 4–6 weeks
Recheck Hb and Vitamin D after 8–10 weeks.
⸻
✔ 3. Rule Out These Causes
• Heavy menstrual bleeding
•
Thyroid dysfunction
• Poor diet
• Gut absorption issues
If dizziness persists despite correction, further evaluation may be required.
Health Tips
✔ Take iron with
vitamin C (improves absorption)
✔ Avoid tea/coffee 1 hour around iron dose
✔ Get 20 minutes sunlight exposure daily
✔ Include iron-rich foods (dates, spinach, jaggery, lentils)
✔ Include
B12 sources (eggs, dairy, fortified foods)
Your numbers are correctable and your symptoms are very likely nutritional in origin.
Since anemia in women can have underlying causes (especially menstrual or
thyroid-related), I recommend booking an online consultation so we can review your CBC indices and decide the exact dosage and duration rather than starting random supplements.