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.

Hello Your blood test shows a **Vitamin D level of 17.9 ng/mL**, which is deficient (optimal range: 30–50 ng/mL). However, your **Vitamin B12 level (1184.0 pg/mL)** is actually **higher than normal** (typical range: 200–900 pg/mL), which may not require immediate intervention unless you have specific symptoms.  Recommended Steps:  1. For Vitamin D Deficiency:     - Take **Uprise D60K (60,000 IU) once weekly for 8 weeks**, followed by a maintenance dose (e.g., once monthly for 6 months).     - Include sunlight exposure (15–20 min/day) and vitamin D-rich foods (fatty fish, fortified dairy, eggs).  2. For Elevated Vitamin B12:    - No medication is needed to lower B12, but ensure proper hydration to help excrete excess through urine.     - Review any supplements or injections you may be taking, as they could be the cause.  3. For Bone Pain:     - Painkillers like **Dhoom or Sciras-DSR** may provide temporary relief, but addressing the **Vitamin D deficiency** will help long-term.  Follow-Up Advice:  - Recheck **Vitamin D and B12 levels after 3 months** to monitor progress.  - If bone pain persists despite treatment, further evaluation (e.g., calcium, PTH, or bone density tests) may be needed.  For a **detailed assessment and personalized plan**, I recommend scheduling a consultation with me. You can reach me on WhatsApp at **Eight Zero Zero Nine Eight Two One Three Three Two** to discuss your concerns further. 

Uprise d60k once a week for eight weeks followed by same once a month for six months. A complete therapy by WHO. B12 is high But don't  worry  slowly  it decrease,  no medic to lower the b12 level.  Plenty of water n liquid to increase output of urine. Pain killer  just stop inducing nerve so u got relief it's harmful  in long run. U can dip  leg, or go for warm bath to relief bone pain. Or steam bath

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Take sachet ostad3 60,000 iu once week for 6 weeks

Uprise d3 capsule once a week for 12 weeks. Neurobion forte once a day for 30 days.

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You have VitD deficiency for which D3 supplements can be taken. Your Vitb12 is high.may be you are taking some multivitamins tablets or injection. It will be in within normal when you stop taking those supplements.

Take d rise once a week for next six week Maintain hydration

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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

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Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult