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Vitamin deficiency
Hello Doctor, my reports show Vitamin D is 8.2 ng/mL and Vitamin B12 is 215 pg/mL. Please advise what treatment or supplements I should take. Thank you.
I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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It's showing severe deficiency of vitamin D
Take tab uprise d3 once a week for 6 week
Followed by tab vit d 2000 daily for 3 months
Health Tips
Vitamin d3 source
Fish liver oil
fatty fish
egg yolk
butter and animal fat
vitamin b12 source
Milk
Curd
cheese
fish
Meat ( red meat )
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Vitamin D 8.2 ng/mL is severe deficiency
Vitamin B12 215 pg/mL is borderline low
Rx:
Tab Vitamin D3 60,000 IU once weekly × 6–8 weeks
Tab Vitamin B12 / Neurobion Forte once daily × 4–6 weeks
Add calcium-rich diet + sunlight exposure
Repeat levels after 6–8 weeks
You can consult with me via Practo for follow-up.
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Your vit B12 is in normal range but on lower side so take Tab Neurobian forte or Tab Methylcocalamine 1500mcq once a day for a month
Your vit D is deficient So start Sachet vit D3 60k with milk at bedtime once a week and continue till 2 month.Meanwhile added food with rich source of vit B12 and other minerals
Next Steps
Proper diet and repeat test after treatment
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Vitamin D (25-OH): 8.2 ng/mL —>Severe deficiency
Can cause fatigue, body aches, low immunity, bone pain, mood changes.
Vitamin B12: 215 pg/mL —>Borderline low
May cause tiredness, poor concentration, tingling/numbness if it drops further.
Wed few more info consult me on Practo
Next Steps
Take Cholecalciferol 60,000 IU GRANULES (D rise sachets ) one sachet in 1 small glass of water once a week for 4 weeks
Tab neurobion forte 1 tab/day for 1 month
Health Tips
Recheck B12 & vitD after 6week
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Vit d3 is very poor.
Inj uprise d60k one in gluteal region intramuscular every two months for three injection will full fill your demand. Or go oral
Uprise d60k once a week for eight weeks followed by one per month for six months a COMPLETE THERAPY BY WHO.
NEUROKIND OD ONE AT NIGHT AFTER DINNER FOR 2 MONTHS.
ALREADY ANSWERED TWICE
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Your vitamin B12 level of 215 pg/mL is at the lower end of the normal range (typically 200-900 pg/mL), which may contribute to symptoms like fatigue, weakness, or neurological issues if borderline deficiency is present. Combined with your severely low vitamin D at 8.2 ng/mL (normal >30 ng/mL; severe deficiency
Next Steps
Initiate vitamin D correction with a higher dose: 60,000 IU weekly for 8 weeks, followed by maintenance of 60,000 IU monthly, retest levels in 2-3 months. For B12, start with oral supplementation (1,000 mcg daily, sublingual for better absorption) or consider B12 injections if symptoms like tingling or anemia are present; recheck B12 in 4-6 weeks. If you have related symptoms (e.g., fatigue, hair loss), provide more details for a full evaluation, including possible tests for folate, thyroid, or malabsorption.
Health Tips
Increase dietary sources: For vitamin D, include fatty fish (salmon), egg yolks, fortified dairy/milk alternatives, and get 10-15 minutes of midday sun exposure (with sunscreen after). For B12, focus on animal products like meat, eggs, dairy, or fortified cereals/plants if vegetarian/vegan. Take vitamin D with a fatty meal for optimal absorption, and B12 on an empty stomach. Monitor for improvements in energy and mood, and avoid self-medicating long-term without guidance. For personalized advice based on your full health history, please consult with me online to refine this plan.
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Vitamin D and vitamin B12 defficiency.Requires treatment
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Start vitamin d Sachet
Uprise d3 60k , once weekly for 8 months
And tablet neurobion 500mg once a day for 15 days
Next Steps
start taking Sun bath, in the morning, at least 10 minutes with proper exposure of body ,
for better recovery
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