Hello,
I am Dr. Romain Rajan, General Physician.
I understand your concern.
From your reports:
Vitamin B12: 220 pg/ml â this is in the borderline low range. Normal is usually >300 pg/ml. Deficiency can cause fatigue, tingling/numbness, memory issues.
Vitamin D: 28.6 ng/ml â this is insufficient. Normal is >30 ng/ml, optimal 40â60 ng/ml. Deficiency can cause tiredness, muscle/joint pain, low immunity.
Supplements required:
Vitamin B12: You may start an oral B12 supplement (methylcobalamin/cyanocobalamin) after consulting your doctor. In more severe cases, injections are used.
Vitamin D: Weekly sachet/tablet of Vitamin D3 (60,000 IU) for 6â8 weeks, then monthly maintenance, along with sunlight exposure and
calcium-rich diet.
General advice:
Include foods rich in B12 (milk, curd, paneer, eggs, fish, meat).
Take sunlight exposure 20â30 mins, 3â4 times a week.
Balanced diet with fruits, vegetables, nuts.
Adequate hydration and regular exercise.
When to consult your doctor:
If fatigue persists despite supplements.
If you develop numbness, tingling, weakness, or mood changes.
ð² You can connect with me directly on Practo or reach me on WhatsApp at 85271646seven seven for a more personalized consultation.
Best regards,
Dr. Romain Rajan
General Physician