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Vitamin b12 & d
Hello Doctor, my previous blood tests showed Vitamin B12 = 167 pg/mL and Vitamin D = 13 ng/mL. I came across these results and, after checking online, I started taking Nurokind-OD and Uprise-D3 on my own for 2 months. However, due to irregularity, I ended up taking the 2-month course over a period of around 6 months.
Should I get my B12 and Vitamin D levels checked now, or should I restart and complete a regular 2-month course first and then get the tests done? Please advise me on what would be best.
Answers (32)
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B12 167 pg/mL aur Vitamin D 13 ng/mL dono low levels hain. Aapne supplements irregularly liye hain, isliye course ko simply repeat karne ke bajay ab levels recheck karna better rahega.
Abhi Vitamin B12, 25-OH Vitamin D aur CBC repeat karwa sakte hain. Reports ke basis par supplementation ka dose aur duration decide kiya ja sakta hai.
Next Steps
Agar weakness, tingling/numbness, excessive fatigue ya other symptoms hain to consultation delay na karein. B12 deficiency ke cause ko bhi assess karna important hai, especially agar diet adequate hone ke bawajood level low hai.
Vitamin D ke liye calcium level aur relevant clinical factors ko bhi consider kiya ja sakta hai. Supplements apne aap high-dose mein continue na karein.
Health Tips
Balanced diet rakhein aur prescribed supplements ko regular schedule ke according lein—irregular dosing se treatment ka expected benefit nahi mil pata.
Aap apni latest reports share karke mere saath consultation/connect kar sakte hain, jisse aapke B12 aur Vitamin D ke liye appropriate treatment plan aur follow-up testing discuss ki ja sake.
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Your B12 of 167 and vitamin D of 13 were both genuinely low, so supplementing was the right instinct. Taking the course irregularly over six months means you did get the total dose, but not steadily - so the levels have probably improved, though I cannot say by how much. There is no benefit in repeating another blind course first; that only delays clarity.
Next Steps
Get repeat B12 and vitamin D levels done now, but stop the supplements for about 1-2 weeks before the B12 test, otherwise the value will look falsely high. After that we can decide whether you need a maintenance dose or a proper loading course. Since low B12 at 25 is a bit unusual, also mention any tingling, numbness, mouth ulcers, vegetarian diet or long-term antacid use - and get a CBC done along with it.
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Yes. Recheck your serum B12 and vitamin D levels.. depending upon values it would be easier to decide whether u need to continue the course of B12 and D or not.
Next Steps
feel free to consult me on practo for further evaluation and management
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Repeat investigation
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Repeat tests
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Repeat test again first then take a opinion about medicine and other measures.take medicine regularly
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Hello! Please do not restart the supplements just yet.Since your previous course was spread irregularly over 6 months, we need to check where your levels stand today. Please get fresh Vitamin B12 and Vitamin D blood tests done.
Next Steps
Get you levels checked
Health Tips
Irregular dosing makes current levels unpredictable, and Vitamin D can accumulate.
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Get your vitamin d and b 12 levels repeated,as you have taken treatment.Restarting the same medicines Without checking the values may result in hypervitaminosis
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Hi, since you already completed the full 2-month dose (even though spread over 6 months), it's fine to get your B12 and Vitamin D levels checked now rather than restarting the course. Repeating the course again without checking levels first isn't necessary and may lead to unnecessarily high B12/D levels.
Next Steps
Please get a repeat blood test for Vitamin B12 and Vitamin D now. Based on the new reports, further treatment (continue, stop, or adjust dose) can be decided — ideally discuss the results with a physician so dosing can be personalised to your levels.
Health Tips
Going forward, please avoid taking these supplements on your own long-term without periodic testing — vitamin D especially can build up in the body if overdosed, so it's best taken under a doctor's guidance based on follow-up levels.
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You may get repeat blood investigations done.
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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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If u feel symptoms go for assessment
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Since you have taken medicines irregularly, the levels of Vit- B12 And D might still be low and might require to start the coarse of medicines again
Next Steps
Get your Vit-B12 and D levels checked
Health Tips
Do not ignore as it might lead to anaemia and bone becoming weak
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Most B12 & D3 Reports Are Humbug .
We Don't Need More Than 2-3ug Of B12 Per Day Animal Sources Including Milk Take Care Of It .
B12 Is Very Economically Managed By Our Body & Stored In Body .
D3 Requirement 800-1200 iu Per Day & Is Stored In Body .
Taking 5 Sachets Of Calcirol D3 Every Year Is Enough To Take Care Of D3 Requirement For A Year .
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Report Reviewed
Vitamin B-12 value is = 167 pg/ml
Normal B 12 Value is between( 200 to 900 pg/ml)
It is significant below the normal range..
Advice...
Oral supplement not going to improve.
Injection of Vitamin B12 ...
A dose of 1000 mcg of VitaminB 12
Intramuscular (IM) once a week for 4 week..
Vitamin-D range below the 20 ng/ ml is deficiency
Advice...
Calcirol Sachet 60000 IU (D3)
1 Sachet/ week with milk for 4 weeks.
Next Steps
Review the Blood test report after completion of treatment course.
contact if want any thing more
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Repeat investigations along with CBC and Sr. Calcium reports.
It will be helpful if u can also share your dietary habits along with any other addictions like tea, coffee or alcohol.
Kindly consult for further evaluation and treatment.
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Your vit d3 level is too low and vit b12 is also soo take first medication of vit b12 for 30 days and sachets of vit d3 once a week and teat after one month
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For more help connect me on practo or WhatsApp
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When was ua previous test done?
How long was the medications taken? Consistency?
Diet history needed
Kindly consult for detailed evaluation & further advice
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Get it checked again to assess current levels and approximate duration for which it should be taken.
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Mr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
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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Dr. Md Robiul Awal
General Physician
5 yrs exp
Behrampore
Before checking your blood reports first of all as A Doctor I want know the followings -
1.Do you have any abnormal symptoms(Like bodyache, weakness, tingling sensation, numbness or anything else)
2.Tell me about your diet from Breakfast to Dinner in details (What type of food you take,how much the amount,are you vegetarian or not,or anything else)
3.Do you take any daily medications(like Medications for Diabetes, Thyroid disorders, Dyslipidemia or anything else)
Next Steps
You can repeat your test but before that you have to clear me about the things mentioned above.
Health Tips
Don't rely upon the blood test Only
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Dr. Aadarsh M N
Internal Medicine
9 yrs exp
Bangalore
Please get it recheck once and take a video consultation
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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. Reesha Varshney
General Physician
1 yrs exp
Bareilly
You can continue the course and get your levels checked after 1 month
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
Now check the reports once again After that you can start the treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Repeat investigations
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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.