Need few more details kindly consult

Continue tab  neurobion Take injection neurobion once a week for next three months

Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Hi, Often a lot of problems are attributed falsely to low vitamin d levels. That's not the cause of your tingling sensation. Ideally we need to fully understand what is causing these symptoms. Do consult when feasible

Check for fasting blood sugar levels Review with reports.

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

VitB12 on lower limit Check FBS,PPBS also

Looks more like Vit b12 deficiency, even though the levels seem normal, latent deficiency is a definite possible. Also to get checked yourselves for Diabetes

Check sugars.. mostly neuropathic problem...consult me

Consult me

Get an HBA1C test done

Blood test for fasting blood sugar. Megnesium Glycinate 550 one at night for three weeks.

-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life .

**Specialist Doctor's Response:**  **Re: Persistent Tingling in Hands & Feet (Vitamin D/B12 Related?)**  Dear Patient,  Your **tingling (pins-and-needles sensation)** in palms and feet, despite completing a Vitamin D course, suggests possible **neuropathy**. Here’s a detailed analysis:  --- ### **Potential Causes to Investigate:**  1. **Vitamin B12 Deficiency (Even at 234 pg/mL)**     - **Optimal B12** is >400 pg/mL for nerve health. Your level is borderline.     - **Action**: Methylcobalamin supplements (1500 mcg/day) for 3 months.  2. **Diabetes/Pre-Diabetes**     - **Check**: Fasting glucose, HbA1c (as suggested by other doctors).  3. **Other Deficiencies**     - **Magnesium/Potassium** (Essential for nerve function).  4. **Nerve Compression**     - **Carpal Tunnel Syndrome** (Hands) or **Sciatica** (Feet).  --- ### **Immediate Steps:**  ✔ **Repeat B12 Test** (Active B12/Homocysteine levels).  ✔ **EMG/Nerve Conduction Study** (If tingling worsens).  ✔ **Diet**: Eggs, dairy, lean meat (B12); nuts/seeds (Magnesium).  --- ### **When to Worry?**  ⚠️ **Weakness, burning pain, or balance issues** → Requires urgent evaluation.  --- **For a personalized treatment plan, consult me.**  📱 **WhatsApp**: **Eight Zero Zero Nine Eight Two One Three Three Two** 

Kindly connect…

FBS, PPBS, hba1c

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.

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

Uprise d3 capsule once a week for 12 weeks.

See vit b 12 Levels

Cold climate/ AC??? Please consult available now

Check sugars