Download FREE Practo app
Get ₹200 HealthCash
Vitamin b12 and D medications
* Vitamin B12: below 148 pg/mL
* Vitamin D: 16.6 ng/mL
* Haemoglobin: 15.8 g/dL
* HbA1c: 5.7%
* ALT: 57 U/L
* ALP: 159 U/L
Consulted a doctor and I preferred taking injections
He prescribed the following
1. Rejunuron forte - alternate days 5 dose
2. Arachitol 6L - weekly once for 4 week
Is this correct medication ? I am worried more about vitamin D medication as cumulative is very high
Answers (24)
Arachitol 6L to be taken once a month
Neurobion schedule depends on symptomatic improvement
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+156
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your vitamin B12 level is quite low, and treatment is important. Your vitamin D level is also low, so supplementation may help. However, please confirm the exact dose of your vitamin D injection with your treating doctor, as the correct dose depends on the formulation and your individual needs. Your liver enzyme levels (ALT and ALP) are also elevated and should be evaluated further. Your HbA1c of 5.7% is at the lower threshold for prediabetes, so regular monitoring and healthy lifestyle habits are advisable. Please follow up with your doctor to review these results, confirm your treatment plan, and decide whether further tests are needed. Do not change your prescribed medication without discussing it with your doctor.
Next Steps
1. Follow the prescribed B12 treatment and discuss the possible cause of the deficiency.
2. Confirm your vitamin D dose and treatment duration with your doctor.
3. Follow up on your elevated liver enzymes (ALT and ALP); your doctor may recommend further tests.
4. Your HbA1c of 5.7% is in the prediabetes range. Maintain a balanced diet, exercise regularly, and limit sugary foods.
5. Schedule a follow-up visit to review your results and decide when to repeat blood tests.
Do not change your prescribed medication without consulting your doctor.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your vitamin b 12 level is significantly low,you may benefit from the injection.However arachitol 6 l units once a week may cause adverse effects, discuss it with the doctor who has prescribed.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your Vitamin B12 and Vitamin D levels are low, and supplementation may be appropriate.
However, Arachitol 6L is a high-dose Vitamin D preparation, and the prescribed cumulative dose should be verified based on your medical history and calcium levels.
Please avoid additional Vitamin D supplements without medical advice. Your ALT and ALP are also elevated and warrant evaluation.
For an individualized assessment of the dosage, injection schedule, and follow-up investigations, please book a private consultation.
Seven three eight nine seven two two one six two
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
It is o.k, follow the prescription.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
the correct dose depends on your history
Please book a consultation to review the prescriptions and decide , mildly elevated ALT and HbA1c also need a follow up
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Do not go to a doctor if you do not trust him. And this is a public platform, so do not question a doctor here openly and also doctors should not support such questions.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Just get your consultation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
B12
Neurokind od after dinner for two months.
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Khhyati Jain
Pain Management Specialist
8 yrs exp
Jaipur
Yes go for it . At these levels of vitamin D and B 12 you need to take the injections .
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Divyansh Jain
General Physician
1 yrs exp
Ghaziabad
Hello,
I have reviewed your reported results:
Vitamin B12: below 148 pg/mL â Significant deficiency.
Vitamin D: 16.6 ng/mL â Deficient.
HbA1c: 5.7% â At the prediabetes threshold.
ALT 57 and ALP 159 U/L â Mildly elevated, requiring clinical correlation.
Vitamin B12 replacement injections are appropriate for significant deficiency, and an alternate-day loading schedule is commonly used.
However, I am concerned about the prescribed Arachitol 6L injection schedule.
If Arachitol 6L contains 600,000 IU of vitamin D3 per injection, taking it weekly for four weeks would total 2.4 million IU, which is substantially higher than usual vitamin D replacement regimens and may increase the risk of vitamin D toxicity and hypercalcaemia.
Next Steps
Confirm the exact strength and schedule of Arachitol 6L with your prescribing doctor before receiving the injections. For uncomplicated vitamin D deficiency, commonly used regimens include 50,000â60,000 IU orally once weekly for 6â8 weeks, followed by maintenance therapy. Continue B12 replacement as prescribed, but discuss the underlying cause and whether maintenance doses are required. Consider checking serum calcium, creatinine, and repeat vitamin D levels after treatment, as clinically indicated. Repeat liver function tests and assess possible causes of mildly elevated ALT and ALP.
Health Tips
My recommendation: Your vitamin deficiencies require treatment, but four weekly injections of 600,000 IU vitamin D should be clarified before proceeding. This is not a routine replacement schedule for a vitamin D level of 16.6 ng/mL. Avoid combining vitamin D injections with additional high-dose supplements without medical supervision. Excessive vitamin D can cause high blood calcium, leading to nausea, vomiting, constipation, excessive thirst, frequent urination, and kidney complications. If you have already received high-dose injections, inform your doctor and arrange calcium and kidney function assessment. With appropriate dosing and monitoring, both deficiencies are generally treatable. Wishing you good health!
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Kunal Damor
General Physician
3 yrs exp
Udaipur
Yes, the treatment your doctor prescribed aligns with clinical protocols for addressing your severe deficiencies, but your concern regarding the cumulative dose of Vitamin D is completely valid and warrants a precise discussion.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shriya Sathe
General Practitioner
3 yrs exp
Raigad
Have a proper diet.
Go for a walk in morning so that there will be good vit D absorption.
Take the medications properly on time.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Hello,
Take Balanced diet.
For diet details and ePrescription consult by practo app.
Thanks.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ankit Dhankar
General Physician
2 yrs exp
Delhi
Your Vitamin B12 level is significantly low (<148 pg/mL), and your Vitamin D level is also low (16.6 ng/mL). Injectable vitamin B12 replacement is reasonable, and the prescribed regimen may be appropriate depending on the exact formulation and dosage.
However, before starting Arachitol 6L weekly for 4 weeks, please confirm the exact strength and formulation with your treating doctor. High-dose vitamin D is commonly used for deficiency, but the cumulative dose alone does not establish safety. Calcium and renal function should also be considered, and vitamin D levels can be reassessed after treatment.
Your haemoglobin is normal, which does not exclude vitamin B12 deficiency. If you have tingling, numbness, difficulty walking or other neurological symptoms, ensure prompt treatment and follow-up.
Your ALT (57 U/L) and ALP (159 U/L) are mildly elevated and warrant further evaluation, including GGT, bilirubin and repeat liver function tests as appropriate.
My advice: Do not change the prescribed regimen independently. Confirm the exact vitamin D dose before the next injection and arrange follow-up to assess treatment response and the cause of both deficiencies.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal .walk
Do connect and consult
Will help you
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A B12 of 148 and vitamin D of 16.6 are both genuinely low. Injections plus a weekly high dose is a standard way to correct them, not unusual treatment. The total vitamin D dose planned over four weeks is within the usual range used for a deficiency this low, so it isn't excessive on its own.
Next Steps
Your ALT and ALP are mildly raised. Recheck your liver function once this course ends, along with repeat B12 and vitamin D levels. Also flag your HbA1c of 5.7 to your doctor, since it sits at the borderline of prediabetes.
Health Tips
Follow the schedule your doctor gave rather than changing doses yourself, and mention any nausea or ongoing fatigue right away. Please consult your physician once this course ends.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.