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Extreme fatigue and dizziness
Hello, I'm having extreme fatigue and dizziness since a year, last year I got my full body checkup done n my vitamin D levels were very low, I took the supplements n it improved but not completely.
A month ago I started having severe fatigue n dizziness so I got my full body checkup done and these are my parameters- heamoglobin-11.9,MCV-82.8, MCH-26.2,RDW-14.8,TLC-15.2, Neutrophils-9.12, Lymphocytes-5.32,ESR-18, VIT B12-97,VIT D-22, T4-12, TSH-6.32, Iron(Ferene)-49.
Rest parameter in serum iron is normal. My doctor did not gave any thyroid medicine and the VIT supplements he gave is Tonofolic DS, B long , MB Son SL, vitamin D Tayo shots but after having the medicines for a month I don't feel any improvement.please help.
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Video low, b12 low, tsh raised diagnosis hypothyroidism. Main cause of extreme fatigue.
You need lot of patience as it is summer a head.plenty of liquid n water, lemonade, electoral, butter milk.
Add bhuna chana , banana and milk a proofed energetic drink.
Shattu drink give you energy.
You need to start treatment hypothyroidism.
Tab thyroxine 75mcg one before breakfast for two months.
Tab calcijoint xt one at night for two months.
As thyroxine depleted calcium level.
Not to stop, follow up by MD physician.
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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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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Do connect and consult
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Hi,
A lot of the time, symptoms are attributed to low vitamin d levels when that is not the case. Most of us have low levels and fortified milk is a good way to start along with adequate mid noon sunlight exposure.
Do not depend on supplements for this
Do consult once.
We will need to address a few things regarding
1. Your diet
2. Your sleep pattern
3. Your exercise routine
Take care
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Kindly connect
Will help you.
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Connect
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
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.
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Dear Patient,
Your symptoms—**extreme fatigue, dizziness, and abnormal lab values**—suggest multiple underlying issues that need targeted correction. Here’s a breakdown:
---
### **Critical Deficiencies & Abnormalities:**
1. **Severe Vitamin B12 Deficiency (97 pg/mL)**
- **Optimal B12** is >400 pg/mL. Your level is critically low → causes fatigue, nerve damage.
- **Action**: Switch to **methylcobalamin injections** (1000 mcg weekly for 4 weeks, then monthly).
2. **Subclinical Hypothyroidism (TSH 6.32 mIU/L)**
- **TSH >5.5** with symptoms warrants **levothyroxine** (25–50 mcg/day).
3. **Iron Deficiency (Ferritin 49 ng/mL)**
- **Borderline low** → impacts energy. **Iron supplements** (Ferrous sulfate 100 mg/day + Vitamin C) for 3 months.
4. **Vitamin D Insufficiency (22 ng/mL)**
- Needs **60,000 IU/week for 8 weeks**, then maintenance.
5. **High TLC/Neutrophils (15.2/9.12)**
- Suggests **chronic inflammation/infection** → Needs CRP, ANA tests.
---
### **Why Current Treatment Failed?**
- **Oral B12/B-complex** cannot correct severe deficiency quickly.
- **No thyroid medication** despite symptomatic TSH elevation.
- **Inadequate iron/Vitamin D dosing**.
---
### **Next Steps:**
1. **Repeat Labs**: B12, TSH, Ferritin post-treatment.
2. **Neurological Exam**: Rule out B12-induced neuropathy.
📱 **For a revised treatment plan, consult me on WhatsApp**: **Eight Zero Zero Nine Eight Two One Three Three Two**
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule once a week for 12 weeks.
Neurobion forte once a day for 30 days.
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Dr. Reshma Rahman
General Physician
3 yrs exp
Delhi
Kindly connect…
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need more history for further evaluation. Kindly consult
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