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Low iron, vit b12 and d
Hi Doctor, I recently had blood tests and would like your advice based on my reports.
My results are:
- Haemoglobin: 12.1 g/dL
- Ferritin: 20.7 ng/mL
- Serum iron: 37.44 µg/dL
- Transferrin saturation: 8.66%
- Vitamin B12: 164 pg/mL
- Vitamin D: 18.3 ng/mL
Could you please review my data and advise on the appropriate medicines, doses and duration? Do I need any further tests to understand the cause of the low iron, and when should I repeat my blood tests?
I dont have any other medical conditions, this blood test was regular blood check.
Answers (19)
Please consult
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Hello !!
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices
9 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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You have deficiency of vit d, b12 and iron.
Take syp R.b. tone 5m.l every morning and evening for 8 weeks.
Syp calcimax p 5m.l morning and evening for 4 weeks.
Tab neurobion forte one daily for 4 weeks.
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As per your report, your Iron level, saturation level is low.
Take Tab Iron folic acid with vit c - 1 tab - once daily -3 months
Recheck your level after 2-3 months.
Stay hydrated, stay healthy.
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History written is not enough. I need to enquire more. Pls opt for CONSULTATION
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Consult superspecialist MD physician
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Please consult
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Consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Needs evaluation please book a consultation to review your reports and symptoms before starting medication.
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Dr. Karan Suneja
General Physician
4 yrs exp
Delhi
Vit. B12 levels are low
Next Steps
Suggest for VIT B12 Tablets and adding more green leafy vegetables to your diet . If further issues can please consult.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Hello,
Take Balanced diet.
For diet details and ePrescription consult by practo app or contact me at GPay at +91959508739nine.
In future if consultations are required than consult by practo app or contact me at GPay at +91959508739nine.
If you are using GPay then time is 09:00 to 12:00 and 19:00 to 20:00.
Thanks.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables
Fiber meal
Walk
Do connect and consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your reports show a pattern of iron deficiency, your ferritin, serum iron and transferrin saturation are all on the low side even though your haemoglobin hasn't dropped yet. Your B12 and vitamin D are also low. These three together are common and usually respond well to supplementation.
Next Steps
Iron, B12 and vitamin D supplements are all reasonable here, but the exact strength and duration depend on your full picture, so please see a physician or gynaecologist to get those prescribed properly. Ask about checking what's causing the iron deficiency too, since it's worth finding the reason rather than only treating the numbers.
Health Tips
A repeat blood test after about 2 to 3 months of treatment will show whether the levels are improving as expected.
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