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Low vitamin d and b12
I got my test done and my vitamin d level was 5.58 whereas b12 levels were 132 !!!
I am completely clueless how do I proceed further...
I won't be able to take injections because of side effects and high pain reasons and since I am already weak is it possible with supplements???
If yes then what supplements should I take??
Answers (38)
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
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Dr. Harichandana,
MBBS, MD (General medicine)
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You can take oral supplements and other lifestyle modifications. Kindly consult with me on 94 two six eight six 78 nine six.
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B complex or B12 and vit d3 tablets will be available in the pharmacy
D3 60000 IU tablets weekly once for 3 months and repeat the test again
B12 tablets twice daily for 1 month and repear the test
Take chicken or fish or egg or mutton to improve the B12 levels
Sunlight exposure betwen 7 to 7.30 am and dry fruits and anti oxidant foods to improve D3 levels and ur blood circulation
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This is very common . Consult for treatment
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Hello, you can definitely start with supplements.
1. D3 60,000 IU once a week for 8-10 weeks
2. Neurobion or similar B12 supplements 1 tab once daily for 2 months.
To be taken preferably after a meal. We can recheck the symptoms after 2 months and then reduce the doses.
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Your reports show severe deficiencies:
• Vitamin D: 5.58 ng/mL → severe deficiency
• Vitamin B12: 132 pg/mL → definite deficiency
Yes — these levels alone can explain weakness, fatigue, body pain, brain fog, dizziness, low mood, and low stamina.
And yes, it is absolutely possible to correct both deficiencies with oral supplements if injections are not an option for you. Injections are faster, but not mandatory.
Given that you’re already feeling weak, starting treatment immediately with oral therapy is important.
Next Steps
1. Vitamin D (oral only — no injection needed)
• Cholecalciferol (Vitamin D3) 60,000 IU
• Once weekly for 8 weeks
• After that: 60,000 IU once monthly (maintenance)
• Take it after a fatty meal (milk, curd, nuts, or ghee-based food)
2. Vitamin B12 (oral, high-dose therapy)
Choose one of the following daily options:
• Methylcobalamin 1500–2000 mcg orally once daily
• OR a combo capsule with Methylcobalamin + B6 + Folate
Take this daily for at least 8–12 weeks, then recheck levels.
Oral methylcobalamin is safe, effective, and well tolerated, even in people who cannot take injections.
3. Recheck tests
• Repeat Vitamin D and B12 after 8–10 weeks
• Expect symptoms to improve gradually over 2–4 weeks
Health Tips
• Early improvement = energy, clarity, less body pain
• Full recovery may take 6–10 weeks
• Avoid skipping doses — consistency matters more than strength
• Mild initial fatigue or headache can occur but usually settles in a few days
• Get 10–15 minutes of sunlight daily if possible
⚠️ Seek urgent help if you develop:
• Numbness/tingling worsening
• Balance issues
• Palpitations or breathlessness
Your deficiencies are treatable and reversible, and injections are not compulsory in your case.
To decide exact doses, brands, and duration tailored to your weight, symptoms, and diet, I strongly recommend booking an online consultation with me — it will help you recover faster and safely without unnecessary anxiety.
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Do the following,
1. See a dietitian
2. Blood tests: Coeliac antibodies (IgA-TTG), Intrinsic factor antibodies, CBP, LFT, KFT
3. Medications:
i) Cholecalciferol 60k once a week for 8 weeks followed by once a month for a year
ii) Hydroxycobalamin injection 1mg Mon, Wed, Sat for 2 weeks followed by the same injection every 3 months
4. Stool tests for ova and parasites.
I hope you take the advise seriously and not end up with serious complications of B12 deficiency.
All the best.
J G S R clinic
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Yes you need to take this vitamin supplement in order to replenish it in your body
Next Steps
U either can take a short course of injectable vitamin b12 or start taking table daily and same 12 week course for vitamin d3
Health Tips
Take under guidance of a doctor
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Well these levels at the age 18, suggests some severe deficiencies risking Bone pain and weakness by which you are already suffering from, so for vit d3 60000 IU weekly 6 to 8 weeks, and for vit b12 high dose cyanocobalamin 1mg daily for the next 3 months.
Next Steps
Also some dietary changes are need to be done with sun exposure and dairy products intake. Also take calcium supplements for better absorption of this.
Health Tips
retest after 3 months.
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Supplements will really help you in this stage.
Take a supplement for both Vitamin D and Vitamin B12 and I ll mention the doses at the end. But these levels also suggest that there might other deficiencies in your body too. Try to stick to a balanced and nutritious diet to help you for weakness and deficiencies.
Coming to supplements - Vitamin D3 - Dose 60,000IU, once a week for 12 weeks(as it is very low)
Vitamin B12 - Methylcobalamin 1500mcg on alternate days for 2 weeks( alternate because it causes constipation)
Next Steps
Go for a Balanced meal, Check for other deficiencies like iron and calcium
Health Tips
Methylcobalamin 1500mcg is likely to cause constipation.
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Yes it is possible to with oral medications .
Your both vitamins are low . You should start taking these under a qualified doctor.
Stay healthy
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Actually your vitamin d levels and vit B12 levels are far low from age recommended levels .
You need to consider symptoms especially for like anemia , if you are experiencing them better take capsule uprise for vit d and for b12 levels you can take injections if possible , as you said it is painful ., you can consider b12 rich foods like yogurt, cheese, along with Tab. Methylcobalamin 1500 mcg once per day
Next Steps
But get hemoglobin levels checked and further complete blood picture also
Health Tips
Better to get full workup done before self administering medications
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Take Tab D rise 60k weekly once for 6 weeks
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If you want to discuss your problems, pls text me on whatsapp on seven two seven eight nine two seven six three eight, i will guide you step by step.
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Take these medications
Cap uprise D3 60000 IU once weekly x 8 weeks
Cap vitcofol 1 cap daily
Next Steps
Ideally you should be taking injections
Get this test done antiparital cell antibody (it will tell whether b12 is adequately being absorbed by your body or not)
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Take tab uprise 60,000 units once a week for 6 to 8 weeks.
Tab neurobion forte one daily for 8 weeks.
Also take syp Haemophos 5m.l morning and evening for 4 weeks.
If pain is more, take tab paracetamol 500mg .
Get thyroid profile also done and share results. .
Take more of green, leafy vegetables, soya, milk, curd, cheese,eggs, nuts,mushrooms
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Your vitamin b12 and d3 level is low ,you need to consult me on practo for further management and evaluation.
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For Vitamin D deficiency:
Take capsule uprise D3 once per week for next 2 months and then once per month for next months
Tablet Calcium citrate 500 mg twice per day after lunch and dinner for next three months after having meal rich in fat eg milk.
Have milk,curd,fish,eggs in your diet
Sun exposure for 30 mins with arms and face exposed between 11 am to 1pm as per for India.
For Vitamin B12 deficiency:
Start Taking tablet B12 (Methycobalamin)1500 ug once per day after breakfast
Have fish, chicken in your food .
Next Steps
Go for blood investigation like Complete blood count (CBC ), folate level.
Health Tips
If you are non-vegetarian,have fish,chicken,eggs in your diet .
Repeat Vitamin D and Vitamin B12 levels and calcium level after 3 months.
As soon as ,you will have medications ,you will start feeling energetic .
So , don't worry dear ,start your medications .
And enjoy your meal.
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First co relate it with any symptoms you are having like fatigue, body aches, bone pain, tingling sensation. Kindly take cholecalciferol sachets 60,000 IU ONCE WEELKLY for 6-8 weeks and also add oral methylcobalamine 1500mcg daily for 6-8 weeks
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I wonder why you specifically tested for these two vitamins. Having such low values, I would suggest you get some other basic blood tests done as well. Like Complete Blood Counts, Peripheral Blood Smear examination, Fasting Lipid Profile, Liver function tests, Thyroid function tests, etc. to assess for other deficiencies, organ functions.
I would also like to know any symptoms of diffuculties you experience, to get a bigger picture and identify the cause of such deficiencies.
Next Steps
It would be prudent for you to consult a doctor for a thorough assessment and supplements or medications as and if needed .
Health Tips
Never resort to taking supplements of any kind without the guidance of a doctor.
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uprise d3 once weekly for 8 weeks and followed by maintenance dose
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Inj uprise d60k intramuscular in gluteal reason second dose one after later.as vitd3 is very very low
Tab neurokind od one at night for 2 months after dinner.
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You have severe vit B12 and vit D deficiency which need to be corrected and for oral supplementation the absorption is very difficult so i will recommend you to take iv correction rather than intramuscular so that pain wont be an issue. And then later can shift you to oral supplements
Next Steps
Please take a detail consult for the regime to follow
Health Tips
With iv correction your symptoms are going to improve rapidly on the other hand oral supplements may take months to improve
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Dr. Rohit Bakshi
General Physician
11 yrs exp
Jammu
Aapke reports mein severe vitamin D deficiency (5.5) aur low B12 (132) dikh raha hai — isi wajah se weakness, fatigue, hair fall, body pain, low mood jaise symptoms aate hain.
Good news: injections mandatory nahi hote, tablets se bhi correct ho sakta hai (bas duration thoda lamba hota hai).
Vitamin D:
Cholecalciferol 60,000 IU (Arachitol Nano)
weekly × 8 weeks, phir monthly maintenance
Sun exposure 15–20 min late morning helpful
Vitamin B12:
Methylcobalamin tablets ( Tab Neurobion) daily 6–8 weeks
Agar numbness/tingling ho to duration badhaya jata hai
Diet add karein: milk, curd, paneer, eggs (ya fortified foods if vegetarian)
8–10 weeks baad repeat test karein — usually levels normal ho jate hain.
Agar severe dizziness, palpitations, walking imbalance ya persistent vomiting ho to review karein.
Aap tablets se safely recover kar sakti hain
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Ramiz Raja
General Physician
4 yrs exp
Delhi
Reports indicate severe Vitamin D deficiency (5.58 ng/mL) and low Vitamin B12 levels (132 pg/mL).
These deficiencies can explain symptoms like weakness, fatigue, and low energy.
Oral supplementation is a suitable option for patients who are unable to take injections.
Regular follow-up and repeat testing after a few weeks is advised.
Health Tips
Helpful Tips
Take morning sunlight exposure for 15–20 minutes daily (hands, face, legs)
Include milk, curd, ghee, paneer, and other dairy products in diet
Eggs, mushrooms, sesame seeds (til) are good natural sources
Dry fruits (almonds, raisins) and banana with milk may help improve energy levels
Maintain adequate sleep and hydration
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Dr. Nehru Thangaraj T B
General Practitioner
2 yrs exp
Chennai
In india more than 90 percent people have this deficiency so don’t worry.since you are young age I prefer u to correct your deficiency by having a diet rich in vitamin D and B12(Fish oil,Egg yolk,Fish,cheese,Green vegetables and some natural sunlight etc…)
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Uprise D3 60000k once in a week
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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. Anmol Kudal
General Physician
5 yrs exp
Nashik
Hello kindly take capsule uprise d3 60k once a week for 12 weeks and take capsule nurokind plus rf once after dinner for 15 days
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Take vit D capsule 60k once a week for 8 weeks and take any multivitamins which contains b12 further that please cheack the levels once again
Next Steps
Diet enrich with vitb12
Health Tips
Consult if any advise needed
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule weekly once a week for 12 weeks
Meconerv forte once a day for 30 days
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Take cap d rise once a week for next three months
Tab neurobion daily for three months
Consult online will guide you further
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You can consult online or in person with a physician for further treatment
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