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Low vit d and lethargic joint
Two weeks ago my vit d level came to 24.The doctor has given me 60k units of oral vit d shots.I often have pain in my knees, shoulders and back. And the calf also keeps getting tired.Can this ever be okay, doctor? The bones of my hands, feet or waist often crack while I am doing some work.what should I do now ?
Answers (4)
You are a 24-year-old female with complaints of joint pains and low backache. Your vitamin D level is only slightly low, and this degree of vitamin D deficiency alone is unlikely to explain all of your symptoms.
Do you have pain or swelling in the small joints of your hands or feet? Do you experience early-morning stiffness of your joints, particularly lasting more than 30–60 minutes?
So far, you have only checked your vitamin D level. I would recommend the following initial investigations:
CBC
ESR,CRPTSH
VIT B12
Next Steps
If you have small-joint pains, joint swelling, or significant early-morning stiffness, I would additionally recommend:
Rheumatoid factor (RA factor)
Anti-CCP antibody
ANA
Based on the examination and investigation results, we can then determine the cause of your symptoms and plan appropriate treatment.
Health Tips
There is no need to panic after seeing the list of investigations. Your symptoms may have a simple cause, such as anemia or a nutritional deficiency.
Let’s start with some basic blood tests based on your symptoms and then decide if any additional tests are required.
Also, there is no need to worry about giving multiple blood samples. A single blood sample can usually be used to perform all the required blood tests.
Once the reports are available, we can review them and decide on the next step.
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Your vitamin D level of 24 ng/mL is mildly insufficient and can contribute to generalized muscle/bone aches and fatigue. Continue the prescribed vitamin D 60,000 IU course as advised, but persistent joint pain and calf fatigue should not automatically be attributed to vitamin D.
If symptoms continue, consider evaluation with calcium, phosphorus, ALP, PTH, CBC, TSH and vitamin B12, and a clinical examination. Joint cracking without swelling or significant pain is usually benign.
Please follow up with your doctor if the pain persists despite correcting vitamin D, or if there is swelling, weakness, numbness, or difficulty walking.
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Start calcium supplement along with this
Tablet Shelcal xt.. Daily in afternoon for 30 days
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Your report shows vitamin D in the deficient range, which fits with the joint and bone aches you are describing. Bone and joint pain from this usually eases gradually once levels come back up.
Next Steps
Continue the vitamin D your doctor already started, and mention your fatty liver to them too, since liver function can affect how vitamin D is absorbed.
Health Tips
If the pain gets worse instead of better, or new symptoms show up, let your doctor know rather than waiting it out.
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