Take green leafy vegetables   pappaya,  regularly. Drink more water, a glass of hot water after dinner and first thing in morning. Take syp cremaffin 10ml morning and evening for 10 days. Tab flexon m.r. one morning and one evening for 5days. Tab antoxid one morning and one evening for a month. Tab neurobion forte one daily for a month.

Thank you for the detailed history. Based on your symptoms—progressive fatigue, difficulty with mobility, stiffness in the feet without knee pain, chronic constipation, and documented Vitamin D deficiency—there could be more than one underlying issue contributing to your current state. Your inability to tolerate milk could indicate underlying lactose intolerance, but more importantly, it raises concern for possible calcium and other micronutrient deficiencies. The history of past alcohol use may also have long-term effects on nutrient absorption, especially fat-soluble vitamins like Vitamin D. While Vitamin D deficiency alone can cause musculoskeletal pain, fatigue, and weakness, we also need to consider other possibilities such as osteomalacia, early neuromuscular disorders, electrolyte imbalances, or even chronic low-grade metabolic bone disease. The worsening with hot compress and specific stiffness in the feet could also suggest something biomechanical or neuropathic. This case clearly warrants a detailed musculoskeletal and metabolic workup—just treating Vitamin D in isolation may not help unless we identify and manage the root cause. A personal consultation would allow for a physical examination, targeted investigations (like serum calcium, phosphate, PTH, magnesium, CK, and possibly imaging), and a tailored treatment plan. I strongly recommend we proceed with that to prevent further progression.

Hi.. thank you so much for sharing your concern. Kindly connect and consult to discuss further treatment if possible

Need few more details Kindly consult

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Needs to be evaluated Kindly connect.

Exercise  with physiotherapist like calf raises. In morning  sit in sunlight just 40 min. Tab eterocoxib Mr two times a day after food for five days.

Thank you for sharing your symptoms in detail. Your weakness, stiffness in feet, and reduced mobility—along with chronic constipation and lactose intolerance—may be linked to nutritional deficiencies, reduced muscle strength, and age-related musculoskeletal changes. Need further evaluation.

Sir I need more information on your illness. Something is missing. So please consult online. Get a fully blood profile and echo done to check on your heart status and also chest xray . Share the reports accordingly. Regards

Should go for test of esr and crp what is vit D level of low then take supplements.

Avoid fried food and spicy food and Water intake more Green leafy vegetables and fruits Do connect and consult

Pls do uric acid and also RA Factor , kindly connect for more information

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.

Need few more details for further evaluation. Kindly consult

Fibre rich diet. Cremaffin syp during night. 10ml sugar free

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