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B12 D AND FOLATE DEFICIENCIES
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Hello, I am Dr. Romain Rajan, General Physician.
I understand your concern â your recent blood tests show vitamin B12, folate, and vitamin D levels are on the lower side, which can cause fatigue, low energy, and other symptoms
â
Advices
⢠Vitamin D supplementation with D3 combined with K2 helps improve absorption and supports bone health
⢠For vitamin B12, methylcobalamin is often preferred for better neurological support, though adenosylcobalamin or hydroxycobalamin are also effective
⢠Folate supplementation as folinic acid is generally better tolerated and more active than folic acid
What to Monitor
⢠Observe for improvement in fatigue, energy levels, mood, and general wellbeing over the next few weeks of supplementation
⢠Mild warning signs include persistent weakness, numbness, or tingling, which may require dosage adjustment
Managment
⢠Start vitamin D3 with K2 as per standard dosage for your level
⢠Vitamin B12 methylcobalamin sublingual or injection depending on severity of deficiency
⢠Folinic acid supplementation for folate correction
⢠Recheck blood levels in 8â12 weeks to monitor improvement
When to Consult a Doctor Immediately
⢠Symptoms of severe B12 deficiency such as neurological issues, memory problems, or numbness
⢠Signs of high calcium if vitamin D dose is excessive
⢠Persistent fatigue or unexplained new symptoms despite supplementation
Every patientâs situation is unique. For safe and effective correction of vitamin deficiencies, itâs important to discuss your full medical history and lab results
You can reach out to me directly for this case, and also connect with me in future for any medical consultation
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive
A personalized treatment plan
Safe supplement dosage guidance
Quick follow-ups to track your recovery
Take care, wishing you good health
Best regards
Dr. Romain Rajan
General Physician
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Your B12 and Vitamin D are mildly low, and folate is borderline. You can take methylcobalamin 1500 mcg daily, folinic acid 5 mg, and vitamin D3 60,000 IU once weekly for 8 weeks, then monthly. Include eggs, milk, and green veggies in your diet. Please consult me online to tailor the doses and duration as per your exact reports.
Hope this helps
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Need few more details
Kindly connect.
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Hello sir
I’m available to discuss your problems in detail. Please feel free to message me on WhatsApp at 9133 seven seven 996 seven (@ ₹95)
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Kindly consult with me on 94 two six eight six 78 nine six.
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Hello,
For consultation
1. Pay ( ₹ 500 only, 50 % off ) and consult by practo.
2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay.
3. If required call to +91959508739nine
Take a glass of milk daily.
Thanks.
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Need some more details kindly consult
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By WHO
UPRISE D60K ONCE A WEEK FOR EIGHT WEEKS FOLLOWED BY ONE PER MONTH FOR SIX MONTHS. ADD MAUSAMBI JUICE FOR VIT K.
NEUROKIND OD ONE AT NIGHT AFTER DINNER FOR TWO MONTHS.
FOLIC ACID5 MG TWO TIMES A DAY AFTER FOOD FOR TWO MONTHS.
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Need few more details
Kindly consult
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Sure I can help
Kindly book consultation
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If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for al free detailed discussion
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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1) Inj. Vitcofol-C i/m. weekly once for next 6 weeks followed by monthly once for 1 year
2) caps vit -d3 60k iu weekly once for 1 month
3) Tab Shelcal 0-1-0 for 1 month
Next Steps
consult me for further information
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Connect please
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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