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Vit d and b12 deficiency
Two months ago, my blood tests showed severe deficiencies: Vitamin D was 5 ng/mL and Vitamin B12 was 101 pg/mL. I was treated with an Arachitol 6L vitamin D injection, followed by a 60,000 IU vitamin D capsule three days later. After taking the capsule, I experienced sudden dizziness and unsteadiness, which caused me to fall, although I did not lose consciousness.
Since then, I have been taking 1,000 IU of vitamin D daily. My recent blood tests show that my Vitamin D has improved to 20 ng/mL and my Vitamin B12 is now 946 pg/mL. Most of my deficiency-related symptoms have resolved, but the dizziness and feeling of unsteadiness that started after that episode have persisted and have not completely gone away.
I would like to know what could be causing these ongoing symptoms and what further evaluation or treatment might be needed. Thank you
Answers (17)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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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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Persistent dizziness and unsteadiness even after vitamin levels have improved can sometimes be due to inner ear issues, residual neurological effects of the deficiency, or other causes that need proper evaluation. The fall episode should also be investigated to rule out any related cause.
Next Steps
A neurology or ENT consultation would be helpful along with a detailed clinical examination. Please consult me directly on Practo for a detailed evaluation.
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Get your b.p. checked in sitting and standing position. What is your Haemoglobin?
Get c.t. of brain done and share results. Then I can help you further.
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Consult neurologist or ent doctor
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Continue Vitamin D replacement to achieve levels >30 ng/mL and maintain adequate B12 supplementation. Further workup should focus on vestibular, autonomic, or neurological causes rather than attributing symptoms solely to vitamin deficiency or supplementation.
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Get your blood workup done for calcium. Consuming vit d for long can cause increase calcium levels leading to instability, dizziness
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Kindly do connect and consult with me for better treatment plan and advice on your case
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Your Vitamin D and B12 levels have improved well. Persistent dizziness is unlikely to be due to the vitamin supplements alone, especially after 2 months.
Other causes such as inner ear problems, low blood pressure, anemia, anxiety, or neurological issues should be considered.
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Feel free to consult for further evaluation and treatment plan.
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Need more medical reports details. What's your BP ? Kindly consult with me on 94 two six eight six 78 nine six.
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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. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Orthostatic hypotension
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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