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Vitamin b12 and D medications
* Vitamin B12: below 148 pg/mL
* Vitamin D: 16.6 ng/mL
* Haemoglobin: 15.8 g/dL
* HbA1c: 5.7%
* ALT: 57 U/L
* ALP: 159 U/L
Consulted a doctor and I preferred taking injections
He prescribed the following
1. Rejunuron forte - alternate days 5 dose
2. Arachitol 6L - weekly once for 4 week
Is this correct medication ? I am worried more about vitamin D medication as cumulative is very high
Answers (16)
the correct dose depends on your history
Please book a consultation to review the prescriptions and decide , mildly elevated ALT and HbA1c also need a follow up
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B12
Neurokind od after dinner for two months.
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
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Yes, the treatment your doctor prescribed aligns with clinical protocols for addressing your severe deficiencies, but your concern regarding the cumulative dose of Vitamin D is completely valid and warrants a precise discussion.
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Your Vitamin B12 level is significantly low (<148 pg/mL), and your Vitamin D level is also low (16.6 ng/mL). Injectable vitamin B12 replacement is reasonable, and the prescribed regimen may be appropriate depending on the exact formulation and dosage.
However, before starting Arachitol 6L weekly for 4 weeks, please confirm the exact strength and formulation with your treating doctor. High-dose vitamin D is commonly used for deficiency, but the cumulative dose alone does not establish safety. Calcium and renal function should also be considered, and vitamin D levels can be reassessed after treatment.
Your haemoglobin is normal, which does not exclude vitamin B12 deficiency. If you have tingling, numbness, difficulty walking or other neurological symptoms, ensure prompt treatment and follow-up.
Your ALT (57 U/L) and ALP (159 U/L) are mildly elevated and warrant further evaluation, including GGT, bilirubin and repeat liver function tests as appropriate.
My advice: Do not change the prescribed regimen independently. Confirm the exact vitamin D dose before the next injection and arrange follow-up to assess treatment response and the cause of both deficiencies.
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A B12 of 148 and vitamin D of 16.6 are both genuinely low. Injections plus a weekly high dose is a standard way to correct them, not unusual treatment. The total vitamin D dose planned over four weeks is within the usual range used for a deficiency this low, so it isn't excessive on its own.
Next Steps
Your ALT and ALP are mildly raised. Recheck your liver function once this course ends, along with repeat B12 and vitamin D levels. Also flag your HbA1c of 5.7 to your doctor, since it sits at the borderline of prediabetes.
Health Tips
Follow the schedule your doctor gave rather than changing doses yourself, and mention any nausea or ongoing fatigue right away. Please consult your physician once this course ends.
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