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Musle weak with vitamin parameters
What if someone vitb12 is 208 and vit d is 28.4
Person has weak muscle. Having vit d shots and what for vitb12 should he do.
Calcium is normal!
Answers (4)
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Have good Balanced diet
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A vitamin B12 level of 208 is borderline low, while vitamin D of 28.4 is mildly insufficient. Either can contribute to muscle aches or weakness, but other causes should also be considered, especially if the weakness is significant.
Next Steps
Please discuss B12 supplementation with your doctor. The appropriate dose and whether tablets or injections are needed depends on the cause of the low B12, symptoms and absorption. Continue the vitamin D treatment prescribed by your doctor and consider checking CBC and thyroid function if not already done.
Health Tips
Do not take high dose supplements or injections without medical guidance. If there is progressive weakness, numbness, tingling, difficulty walking or balance problems, please get evaluated promptly.
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Assuming the units are vitamin B12 208 pg/mL and vitamin D 28.4 ng/mL, the B12 level is borderline low. Many laboratories consider values below about 200–250 pg/mL subnormal, and when B12 is between 150–399 pg/mL, a methylmalonic acid (MMA) test can help confirm true deficiency.
A vitamin D level of 28.4 ng/mL is not severely deficient. Current NIH guidance considers ≥20 ng/mL adequate for most healthy adults, although individual laboratory ranges and clinical circumstances vary.
Next Steps
Please consult a physician regarding the muscle weakness. Consider CBC and confirmation of B12 deficiency with MMA, along with assessment for other causes of weakness. If B12 deficiency is confirmed, oral B12 treatment is effective for many people; high-dose oral B12 (1,000–2,000 mcg in studies) can normalize levels similarly to injections, while injections may be preferred when there is significant malabsorption or severe deficiency.
Health Tips
Continue vitamin D only as prescribed. Also discuss possible reasons for low B12, such as dietary deficiency, metformin or acid-suppressing medicines, or absorption problems. Muscle weakness should not automatically be attributed to vitamin D or B12 alone and deserves clinical evaluation.
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
7 yrs exp
Ahmedabad
Go for vitamin b12 injection
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.