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Please suggest meds and diet
My blood report shows this and I have severe
Deficiency of Vit d and B12. What to do?
Vitamin D (25-OH): 6.89 ng/mm
Vitamin B12: <100 pg/mL
Magnesium: 1.8 mg/dL
Answers (26)
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Your report shows severe deficiencies of Vitamin D and B12, with magnesium at the lower end of normal.
Next Steps
It’s important to consult your doctor for proper evaluation and supplementation, as dietary changes alone may not be enough to correct such low levels.
Health Tips
Include B12-rich foods like dairy, eggs, fish, and fortified cereals.
Include Vitamin D-rich foods such as fortified milk, mushrooms, egg yolk, and fish.
Maintain adequate sunlight exposure.
Avoid excess alcohol and unnecessary antacids, as they can reduce nutrient absorption.
Maintain a balanced diet and follow up regularly for monitoring.
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Treatment Plan
1. Vitamin D Deficiency (Severe)
Tab. Cholecalciferol (Vitamin D3) 60,000 IU
→ 1 tab once weekly × 8 weeks
Then maintenance: 60,000 IU once monthly or 1000–2000 IU daily
Add Calcium: Tab. Calcium carbonate 500 mg + Vit D3 250 IU, OD after meals × 3 months
---
2. Vitamin B12 Deficiency (Severe <100 pg/mL)
Injection Methylcobalamin 1000 mcg IM
→ Alternate day × 5 doses, then weekly × 4 weeks, then monthly × 6 months
OR, if oral: Tab. Methylcobalamin 1500 mcg OD × 3 months (less effective if malabsorption)
---
3. Magnesium (borderline)
Tab. Magnesium oxide 400 mg OD × 4 weeks
Hydration + diet rich in magnesium (nuts, seeds, whole grains, spinach, banana)
---
🍽️ Diet Advice
For Vitamin D: Sunlight 20 mins daily (morning/evening), fortified milk, egg yolk, fatty fish
For Vitamin B12: Milk, curd, paneer, cheese, eggs, fish, chicken
For Magnesium: Nuts (almonds, cashews), seeds (pumpkin, sunflower), spinach, banana
---
🔔 Follow-up
Repeat Vit D & B12 levels after 3 months
Watch for: persistent fatigue, tingling/numbness (B12 neuropathy), bone/muscle pain (Vit D)
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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Hello,
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Take a glass of milk daily.
Thanks.
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Dr Praful Mahamuni,
Family Doctor,
MBBS , DM .
Jai hind. 🇮🇳
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Vit d 60000 IU once a week
Vit b12 injection
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Consult a general physician at the nearest n take a proper treatment upon ur symptoms and physical examination.
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1. Vitamin D (6.89 ng/ml – severe)
• Cholecalciferol 60,000 IU once weekly × 8 weeks
• Then 60,000 IU once monthly (maintenance).
2. Vitamin B12 (
Health Tips
Kindly take injections under the supervision of Doctor/Nursing sister/brother
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You have deficiencies of vitamin d and b 12.take injection cholecalciferol 600000 iu or drise 60000 iu Cap once a week for atleast 15 weeks.
Injection cyanocobalamin 1000 mg daily for a week, followed by a weekly once injection for a month.
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Next Steps
Since both are severely low, I strongly recommend you consult a physician to start injections first (especially for B12) before relying on tablets.
Health Tips
High B12 foods: Milk, curd, paneer, eggs, fish, fortified cereals (if vegetarian).
High Vit D foods: Fortified milk, mushrooms, egg yolk, fish.
Avoid excess alcohol & antacids (they worsen absorption).
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Please seek a proper consultation with a General Physician in your area. You should also have a physical examination. Let's treat the patient rather than the Lab reports.
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Hi.
It is normal to be concerned about your reports when they are not in the reference range.
Vit D deficiency is very common in today's population due to limited sun exposure, especially in your age group. It has symptoms like bone pain and pain on weight bearing.
Vit B-12 deficiency is usually caused by alcohol consumption in your age group. Symptoms of vit b12 deficiency are electric shock like pain in the limbs and loss of sensation or numbness or tingling in the limbs.
Next Steps
Exposure to sunlight.
CBC
Thyroid function test
Consume a high protein diet
Consult a doctor with above reports.
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As per your report suggestive of severe Vit B12 and Vit D deficiency:
You need to immediately visit a Clinic and Consult a Physician to take a complete course Vitamin B12 Injections because - delay can cause Neurological Complications(Spinal Cord Issues)(If you have difficulty in balancing during walking,Numbness of feet,hands you should definitely visit a Clinic)
For Diet, If you're a Vegetarian,
Include Curd, Milk and dairy products in Plenty in your everyday diet. Small amount of milk or curd doesn't suffice or meet the daily recommended amount of Vitamin B12
Get into outdoors for sufficient Sunlight for Vitamin D
Next Steps
If you can't Visit a Physician or don't have any numbness or weakness currently, You can take
Rx,
Tab.VIB-12 (1000mcg daily) after food
Tab.Vit D- 60000 IU once a week after food
For 2 months
Get both checked after you complete your 2 month course.
Health Tips
If you have Neurological Symptoms,you should consult a Physician
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Tab calcium d3 in morning
B 12 injection can take
Next Steps
sit in sunlight for half and hour in every morning
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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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It would be helpful if you can describe the symptoms and since when is it bothering you...
Next Steps
You can consult with me for the treatment and dietary advices
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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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Well answered before in the chat
Take healthy diet and avoid junk food.
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Take tab vit. D 60,000units once a week for 6 to 8 weeks.
Tab shelcal m one morning and one evening for 30 days.
Tab neurobion forte one daily for 6 to 8 weeks.
Take sprouts, soya, almonds, mushrooms, eggs, berries, raisins, curd, cheese.
Repeat test after 6 weeks.
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Aeman Gazdhar
General Practitioner
1 yrs exp
Indore
Vit d - tab. Vit d3 60,000 IU weekly tablet for 8 weeks along with calcium 500mg daily for 2 months
Vit b12 - go for b12 injection 1000mcg alternate day (3 doses) then shift to oral supplements tab. Methylcobalamine 1500 mcg daily for 3 months.
Magnesium -400 mg for 3 months
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Your Vitamin D and B12 levels are very low and need treatment (not just diet). A typical plan is:
Vitamin D deficiency (6.89 ng/mL):
Tab/Cap Cholecalciferol 60,000 IU once weekly for 8 weeks,
then once every 2â4 weeks as maintenance.
Adequate sunlight exposure + calcium-rich diet.
Vitamin B12 deficiency (
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
If you have symptoms of vit b12 deficiency need to take injection
Next Steps
consultation
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ashutosh M
General Physician
Solapur
As ur Vit D levels are low — Take VitD3 tablets 60000 IU for 6 weeks after that also take same tablets for once a month for 3-6 months
For Vit b12 if u eat non veg food
Eat fish,red meat with b12 supplements
For veg u have very limited options so I suggest u take vit b12 tablets daily
Next Steps
I will suggest u the tablets based on ur budget
For more consult me
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Tablet SUNNY D3 ONE TABLET WEEKLY for 2 months
TABLET BIO D3 MAX once daily for 2 months
Next Steps
Check vitamin b12 and d levels after 2 months.
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