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Vit deficiency
I having vit b12 and d deficiency i took supplements but b12 is 86 and did 4.5 how should I increase what are the things I need to do for vit d daily half an hour stand in sunlight between 9 to 2 pam afternoon but some are saying it may damage sna and skin so what cani do andy calcium levels is 10 what can I do to decrease this people are saying it may affect heart and kidney if it is true wht can I do to decrease my calcium levels and keep it kn check
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If the units are pg/mL for B12 and ng/mL for vitamin D, values of 86 and 4.5 are very low and need prompt clinician-led review, especially since you have already used supplements. Calcium reported simply as 10 cannot be interpreted without its units and laboratory range, so do not try to lower it yourself.
Next Steps
Bring the complete reports and every supplement packet to your physician. They should review the treatment already taken, possible absorption or dietary issues, and a follow-up plan. Prolonged midday sun exposure is not a reliable substitute for a supervised correction plan; avoid sunburn.
Health Tips
New numbness, weakness or difficulty walking needs prompt assessment. Do not increase high-dose vitamin D or add calcium products on your own, and do not restrict calcium solely because of the number quoted.
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Kindly consult and give proper detailed history along with symptoms for evaluation and take proper timely treatment with relevant investigations if required.
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Take proper consultation .
Next Steps
Take proper consultation .
Health Tips
You need to stay in sunlight before 10Am . Early morning will be best .
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Your Vitamin B12 (86) and Vitamin D (4.5 ng/mL) are significantly low and need proper treatment, not just diet.
For B12 this low, please consult your doctor about a therapeutic course, often injections initially, especially if you have tingling, weakness or fatigue. (ODs)
For Vitamin D 4.5, a supervised high-dose replacement course is usually required, followed by maintenance therapy. (ODs)
You do not need to deliberately stand in strong afternoon sunlight for 30 minutes; UV exposure can damage skin.
Prefer safer, limited sun exposure and use dietary/supplemental Vitamin D as advised by your doctor.
Take Vitamin D with a meal containing some fat for better absorption. (ODs)
A calcium level of 10 mg/dL is generally within the normal range and does not need to be lowered by itself. (ODs)
Do not stop necessary Vitamin D treatment solely because calcium is 10, but avoid unnecessary calcium supplements unless prescribed.
Your doctor can repeat calcium with albumin (or ionized calcium), kidney function and PTH if calcium remains high or increases.
Please repeat B12 and Vitamin D after treatment and review the results with your physician before continuing long-term high-dose supplements.
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Take vit b12 injection 1500 mcg once weekly for 6 weeks along with tablet folic acid 5 mg once daily empty stomach.
Take vit d3 sachet 60000 U once weekly for 8 weeks.
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You have significant vitamin d and b deficiencies.You may benefit from injection vitamin b12 weekly once for 4 weeks,and injection vitamin d 3 lakhs units once, followed by oral form of vitamin b 12 daily for 2 months, vitamin d 60000 iu weekly once for 10 weeks
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History written is not enough. I need to enquire more. Pls opt for CONSULTATION
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8 to 9
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Neurobion forte one ample intramuscular in gluteal reason every alternate day for five injection.
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Contact on WhatsApp triple nine double eight nine eight zero eight one !
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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please book a consultation with me for proper evaluation.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Both B12 &Vt D are in deficit ,sun exposure between 10 to 3 gives best Vt D but prolonged period can cause skin pigmentation especially in Indian skin,heat risk
Next Steps
Health Tips
Include B12 rich foods,Avoid 12 to 2 pm peek sun exposure
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Consult
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Well first of all send your reports.
After that i can advise you for your betterment.
You don't need to stand outside in sunlight from 9 am to 2 pm,it will damage your skin but this is not the way to increase your vit d3 level,this is a very slow process.
Consult please
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Hello,
Your Vitamin B12 (86) and Vitamin D (4.5) levels are significantly low and require proper supplementation. Please don’t rely only on sunlight or diet; the appropriate dose and route of supplementation should be decided based on your reports and symptoms.
For Vitamin D, prolonged direct sun exposure is not necessary—brief, sensible exposure while avoiding sunburn is sufficient, and supplementation is usually required at this level.
Your calcium level of 10 mg/dL is generally within the normal range and does not need to be lowered on its own. Avoid taking calcium supplements unnecessarily unless advised by your doctor.
You can consult me personally on Practo for a detailed review of your reports and a personalised treatment plan.
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Hello,
Take Balanced diet.
For diet details and prescription contact me at WhatsApp at +91959508739nine or consult by practo app.
In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app.
Thanks.
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Your vitamin B12 (86) and vitamin D (4.5) are significantly low if reported in the usual units. Your calcium level of 10 is within the normal range, so there is no need to try to lower it unless there's a specific reason.
Recheck vitamin D, B12 and calcium after the recommended treatment period. If calcium becomes elevated on repeat testing, doctor can evaluate the cause.
Next Steps
Consult a physician for appropriate vitamin D and B12 supplementation and follow-up testing. Avoid taking high-dose supplements on your own.
Health Tips
Do not deliberately expose yourself to strong midday sunlight for long periods. Normal, safe sun exposure along with prescribed vitamin D supplementation is preferable. Maintain a calcium-balanced diet and adequate hydration.
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You are deficient in B12 and vitamin D and your calcium is normal.For personalised treatment and prescription book a direct consultation.
Next Steps
It is not advisable to stand under the sun as your vitamin D levels are extremely low and will not improve by standing under the sun.It can cause more harm than benefit.You can take a trial of CHOLECALCIFEROL granules 1sachet mixed in 200 ml of water /milk once a week for 6 weeks followed by once a month for 6 months.
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Your vitamin D level is significantly low and B12 86 is also deficient; these usually need a proper replacement regimen, not sunlight alone. A calcium of 10 is generally within the usual range, but supplements should be reviewed rather than stopped or increased on your own. Excess supplementation can affect the kidneys in some people.
Next Steps
Please consult for a tailored B12 and vitamin D prescription and repeat calcium, vitamin D, B12 and kidney tests after treatment. You can book a consultation with me on Practo to review the reports safely.
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Vitamin B12 and D deficiencies usually take a few months of steady supplementation to correct, so staying low for now isn't unusual, especially if the dose needs adjusting. Your calcium of 10 sits at the upper end of the normal range rather than clearly high, so it isn't something to actively bring down on your own.
Next Steps
Ask whoever prescribed your supplements to review the dose and repeat the calcium test alongside the next B12 and D check, to see if it's a one-off or a trend. For sun exposure, a shorter stretch with your arms and legs uncovered is usually enough; avoid the peak midday hours if your skin tends to burn easily.
Health Tips
Please see your general physician or endocrinologist about these three results together, since vitamin D supplementation can sometimes nudge calcium up and the two are best read side by side.
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Mr. Vaibhav Vaijnath Deshmukh
General Physician
1 yrs exp
Pune
Your Vitamin B12 (86) and Vitamin D (4.5) levels are significantly low, so supplementation is appropriate. The exact treatment and duration depend on your symptoms, CBC and the cause of the deficiency.
For Vitamin B12, please share your CBC/Hb/MCV report and let me know whether you have symptoms such as tingling/numbness, weakness, balance problems or marked fatigue. If you have neurological symptoms or significant anaemia, injections may be preferable; otherwise, adequate-dose oral B12 can often be used.
For Vitamin D, sunlight can help, but it is difficult to prescribe an exact amount of sun exposure because vitamin-D production varies with skin type, season, time of day and location. UV exposure can also increase skin-cancer risk, so prolonged unprotected sun exposure is not recommended. Vitamin D supplementation is generally more reliable for treating a level as low as 4.5
Regarding your calcium of 10 mg/dL, this is generally within or around the normal range in many laboratories and does not by itself mean that you have hypercalcaemia. Please do not try to lower your calcium on your own or stop calcium-containing foods without medical advice.
I would first confirm the calcium with the laboratory reference range and, if necessary, check albumin (for corrected calcium) or ionized calcium. If calcium is genuinely elevated, further evaluation may include PTH, creatinine/eGFR, phosphate and urinary calcium, depending on the clinical situation.
Also, because vitamin D treatment can affect calcium levels, I would review your calcium level and any current calcium/vitamin-D supplements before deciding the vitamin-D dose.
Please send me:
1. Vitamin B12 report
2. Vitamin D (25-OH vitamin D) report
3. CBC with Hb and MCV
4. Calcium + albumin
5. Your age and symptoms
6. Current B12/Vitamin D/calcium supplements and their doses
Then the treatment can be tailored appropriately.
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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. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Stand outside in morning sunlight for an hour.pl share details of your symptoms, then I can guide you better to heal.
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Start tab neurobion daily
Tab d rise once a week for next three months
Consult online will guide you further
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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