kindly discuss for your concern.

Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.

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

Take vitamins regularly

Yes ofcrs start Sac. Calcitrol --60k-once a week for 30 days Tam shelcal --500mg--1 tab --od for 30 days

Need few more details Kindly consult

Non exposure to the sun could be one of the causes. 8.19 ng/,ml is low -deficiency of vitamin d. You can take vitamin d in the injection form or orally 60000 iu sachet once a week for at least 15 weeks along with calcium supplement daily. Exposure to sunlight for 20-30 minutes in the morning ,milk and other dairy products, eggs Orange juice ,codliver oil capsules are a very rich source of vitamin d

Take vit D supplements

Yes its very much possible to have deficiency for years as the symptoms of deficiency are non specific.