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Pain in legs
“I have severe pain in my legs, from hips to feet, and I am suffering from Vitamin D deficiency. I also feel very cold, even when the fan is on.”
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Take a glass of milk daily.
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Dr Praful Mahamuni,
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Jai hind. 🇮🇳
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Possible Causes
1. Vitamin D deficiency – can cause diffuse musculoskeletal pain, proximal muscle weakness, bone pain.
2. Iron deficiency anemia / Hypothyroidism – common in young females; both can cause cold intolerance and generalized body pain/fatigue.
3. Peripheral vascular issues / neuropathy – less likely at her age, unless comorbidities.
4. Other deficiencies – calcium, vitamin B12, magnesium.
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🧪 Recommended Basic Workup
Serum Vitamin D (25-OH) (already known low)
Serum Calcium, Phosphate, ALP
CBC (to rule out anemia)
TSH, Free T4 (to check hypothyroidism)
Serum Vitamin B12
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💊 Management (General)
Rx (example, to be tailored after labs):
Tab. Cholecalciferol (Vitamin D3) 60,000 IU once weekly for 8 weeks, then monthly × 6 months
Tab. Calcium carbonate + Vitamin D3 (500 mg elemental calcium + 250 IU Vit D3) once or twice daily with meals
Analgesic (SOS): Tab. Paracetamol 650 mg TDS after meals if pain is severe
Encourage sunlight exposure (20–30 min/day)
Nutrient-rich diet: milk, curd, eggs, fish, nuts
If anemia → add iron
If hypothyroidism → levothyroxine (after confirmation)
---
👉 Since she also has cold intolerance, hypothyroidism must be ruled out (very important, not only Vit D issue).
Next Steps
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.
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1. Tab. Cholecalciferol 60,000 IU – 1 tab once weekly × 8 weeks, then 1 tab monthly.
2. Tab. Calcium carbonate 500 mg + Vitamin D3 – 1 tab twice daily after meals.
3. Tab. Paracetamol 500 mg – SOS for pain (max 3/day).
4. Sunlight exposure – 20–30 min daily (morning/evening).
5. Diet – Milk, curd, cheese, eggs, fish, nuts, green vegetables.
6. Investigations – CBC, TSH, Vit B12, Serum Calcium, Vit D (repeat after 8–12 weeks).
Advice: Regular exercise, adequate hydration, follow-up after 2 months.
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Trinergic I one after dinner for 3 weeks.
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Till than use tramadol two times.
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Need few more details
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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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