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Deficiency of vitamin b12 and d3
Hi doctor, in recent blood tests, i found that i am vitamin b12 and d3 deficient. Vitamin b12 is 140 and vitamin d3 is 7.6. Since I am vegetarian so can you please suggest some veg supplements. I am having bodyache, headache, tingling sensations, nerves tingling pain and weakness in body since 2 weeks. My bp went low some days back 88/64.
Answers (34)
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Thanks for your question. For a detailed and personalized treatment plan, I recommend a direct consultation. You can connect with me instantly through Practo for quick and accurate medical help.
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Nutritional deficiencies + likely adrenal fatigue
Very common in females
Take treatment under supervision
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Pls start inj. B12 and D3
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You should take supplements for b12 & d3 deficiency, detailed symptoms are common in these vitamin deficient persons
Next Steps
Kindly make CBC to find out if there is anaemia
Health Tips
iincrese grean leafy veg and sorouts in diet, exposure to indirect sunlight will help to build vit d3
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Tab 2B12 once daily
Cap Uprise d3 60k once a week, every sunday for 6 weeks
Next Steps
Consult me on practo, can guide you further
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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.
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Most commonly all of your symptoms can be attributed to the vitamin deficiency which is generally be due nutritional deficiency which means that you don't have enough intake of the given vitamins.
And since you're a vegetarian, meeting this requirement through diet is very tough.
Next Steps
1) You should take cyanocobalamin injections and start on Oral Vit B12 supplementation
2) You should start a weekly oral supplementation of vit D3 along with a daily oral dose of vitD3+ Calcium
For knowing the exact regimen of how to take the oral doses and injections feel free to book a consultation.
Health Tips
1) Take the supplements with milk as it increases the bioavailability of the drug
2) Avoid medicines used for gastritis as they further impair the VitB12 absorption.
For any other query feel free to consult.
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Need few more details
Kindly connect.
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Take inj. Neurobion 3ml one daily for a week, then tab neurobion forte one daily for 2 months.
Tab vit d3 60,000units once a week for2 months.
Tab pregabalin 150mg one morning and one evening for 10 days.
Take fortified cereals, soya bean, sprouts,almonds,Fermented foods, curd, cheese, mushrooms,beet root, spinach, orange, berriesGet test repeated after 2 months.
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Your vitamin d and B 12 levels are significantly low.If you have associated symptoms,you can take injection cyanocobalamin 1000 mcg weekly once for 4 weeks and then tablet neurokind OD once a day for 2 months.For vitamin d deficiency you can take either injection vitamin d 600000 units and then 60000 iu capsule once a week for atleast 12 weeks.Consider taking dairy products, vegetables and fruits in sufficient quantity.Exposure to be sunlight is advised.
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Take tab Neurobion forte once daily for 2 weeks
Tab Vitamin D3 60 k once weekly x 6 weeks
Next Steps
Take soyabean , walnut, almond,etc
Health Tips
For any queries,u can consult me
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Your Vitamin B12 (140 pg/mL) and Vitamin D3 (7.6 ng/mL) levels are both significantly low and can explain your symptoms — body aches, weakness, tingling, and low BP. These deficiencies need to be evaluated and treated properly to avoid long-term complications.
As you’re vegetarian, you should start vegetarian supplements for both vitamins:
• Vitamin B12: Methylcobalamin 1500 mcg daily after food
• Vitamin D3: Cholecalciferol 60,000 IU weekly for 8 weeks, then monthly
Also include a balanced diet, sunlight exposure, and hydration.
I strongly recommend a follow-up consultation to monitor your response and adjust treatment if needed. Early correction will lead to significant improvement in your symptoms. You may also need to get some other investigations to help treat your symptoms.
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At these levels diet alone may not help.
Please meet with a doctor who will prescribe you proper medicine for a while and also guide you about your diet and lifestyle changes to prevent a repeat of the problem
You may also need to get some other investigations to help treat your symptoms.
Only after a proper checkup should treatment be started so meet your doctor soon
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Hello,
For ePrescription please pay and consult or contact me at WhatsApp at +91959508739nine .
Take a glass of milk daily.
Thanks.
Dr Praful Mahamuni,
Family Doctor ,
MBBS .
Health is wealth.
Jai hind . 🇹🇯
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Uprise d60k twice a week for eight weeks followed by same once a month for six months.
Neurokind od one at night for 3 months.a
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Vegan source supplements:
For Vitamin B12 : C Matilda forte one capsule once a day for one month
For Vitamin D: Sunorb D3 (60kIU) sachets (1 sachet dissolved in 1 small cup cold milk) once a week for 8 weeks.
However monitor your BP as low BP could be due to any other cause (dehydration/ cardiac etc); consult a physician if less than 90/60 mmHg.
Next Steps
Repeat Vitamin B12/ D3 after 3 months and follow up
Health Tips
Include dietary sources of B12 and D in daily diet.
(Walnuts/ almonds/ green leafy vegetables/ fortified milk/ yoghurt, etc)
Daily: 20 min exposure to early morning sunlight (7 am-8.30am)
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Connect
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Mounika S
General Physician
4 yrs exp
Guntur
Need to take B12 And Vit D supplements, common deficiency in vegetarian individuals. Nothing to worry about. Kindly connect for further management and dosage
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Dr. Mohit Pawar
General Physician
4 yrs exp
New Delhi
Tab multiviatmins as prescribed .
Vit d and vit b
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
Kindly take supplements for both deficiency
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Connect
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Meconerv 1500 once a day for 30 days.
Uprise d3 capsule once a week for 12 weeks
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Dr. Yuvraj Arora Monga
General Physician
28 yrs exp
Delhi
Dear Practo User.
Thanks for sending across your query.
Your symptoms are likely due to severe B12 and D3 deficiencies. we can recommend some Early supplementation to boosts energy, relieves nerve pain, and restores vitality fast. Which we need few more details.
Next Steps
For further details you can consult with me in Dr. Monga medi clinic or consult me directly by taking a consultation on Practo.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Neurobion forte.
Uprise d3
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food and
Water intake more
Neurobion forte
Uprise d3
Do connect and consult
Will help you
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Tab neurokind next 1 OD for 15 days
cap cholecalciferol 60 k once a week for 6 WK
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Dr. Anmol Kudal
General Physician
4 yrs exp
Nashik
Hello take nurokind plus rf capsule once after dinner for 3 weeks
Take uprise d3 60k capsule once a week for 8 weeks
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Dr. Vibhor
Orthopedic surgeon
12 yrs exp
Jaipur
Milk and dairy products
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Dr. Amit Kendre
General Physician
4 yrs exp
Pune
Connect
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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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Dr. Anjali Christina D
General Physician
9 yrs exp
Madurai
Your symptoms—tingling, fatigue, and low BP—can indeed be linked to Vitamin B12 and D3 deficiency. Since your B12 is significantly low (140 pg/mL), this could be contributing to nerve-related symptoms. It’s good that you've identified it early. Since you are vegetarian, options for supplementation are available, but it’s best to consult a doctor directly to assess the severity and determine if injections or higher doses are needed initially. Please consult via Practo for proper evaluation and management.
Next Steps
detailed evaluation and personalized supplement plan. Neurological symptoms and low B12 may require prompt attention.
Health Tips
Helpful Tip:
Ensure you get regular sun exposure for natural Vitamin D. Include B12-fortified foods in your diet.
Word of Caution:
Do not delay treatment for B12 deficiency, as prolonged low levels may lead to irreversible nerve damage and can cause dementia (memory loss) in the long run
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Use nurokind fast and uprise d3
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