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Vitamin B12 level 163 and vitamin D 15
Having muscle pain tiredness mood changes frequent kidney stones and pcod. She in non veg frequently eats chicken and drinks twice to thrice tea.please suggest tteatement for deficency and kidney stones and pcod
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First of all don't stressed yourself.
I think you are asking for someone else who is suffering from recurrent kidney stones and also having PCOD.
Because of bad food habits like heavy meals,it doesn't matter that she is non vegetarian or vegetarian but frequently eating heavy meals is not a good thing.everthing in excess is bad for our body.
For recurrent renal stones you must have to consult the doctor,what was the history of previous stones.many more to know for giving any further treatment.
MUST CONSULT.
Next Steps
for PCOD it is mostly our metabolism related problem with a lot of hormonal problems.multiorgan affected by this.
a healthy lifestyle,food habit,most importantly EXERCISE will help you the most.
reduce sugar intake, refined flour,bread etc
Drinking tea thrice a day is not good for health.please change this habit.
it can cause multimineral,vitamin,iron deficiency.
Health Tips
it's difficult to make someone aware about their condition and trying to change their lifestyle until the patient doesn't want to change him/herself.
Change yourself because Health is the priority.Stay positive
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You need detailed evaluation so kindly consult we will discuss in detail
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Take supplements for this.
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B12 163 and Vitamin D 15 indicate deficiencies and can explain fatigue and muscle aches. Both need correction along with evaluation of recurrent kidney stones and PCOD.
Next Steps
Start appropriate B12 and Vitamin D supplementation after reviewing your reports and kidney stone history. Please share your previous stone reports and current medicines for personalised advice.
Health Tips
Stay well hydrated and avoid self-starting high-dose calcium or Vitamin D due to your history of kidney stones. A balanced diet and regular activity are helpful for PCOD.
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1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices
9 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
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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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I would advice you to get evaluated thoroughly, upuntil then you avoid Tea and spicy foods. You can directly consult me through practo app for kidney stone treatment and PCOD and mood swings.
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Health Tips
Drink plenty of water
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B12 deficiency should be confirmed with the actual B12 value and CBC. Check Vitamin D, calcium, PTH and renal function given muscle symptoms and recurrent kidney stones. Treat B12 deficiency appropriately and avoid unnecessary calcium/vitamin D supplementation until stone history and labs are reviewed.
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Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
Neurokind od after dinner for two months.
Plenty of water n liquid lemonade, citralka syr 15 ml with half glass of water three times after food for stone.
Gynac for pcos
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Comprehensive evaluation is needed to properly manage kidney stones and polycystic ovarian disease (PCOD) alongside dietary modifications.
Next Steps
Consult a general physician or urologist for kidney stone evaluation and blood work to check for deficiencies.
Consult a gynecologist for tailored PCOD management.
Health Tips
Increase daily water intake to help prevent kidney stones.
Moderate tea consumption and balance dietary intake.
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Book a consultation. proper work up needs to be done for such condition
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then only meds can be added
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Muscle pain and fatigue may be due to vitamin deficiencies. Please get Vitamin D3, B12, calcium, thyroid and renal function tests. For recurrent kidney stones, USG KUB and urologist consultation will be helpful . Maintain good hydration, reduce salt and excess animal protein, and avoid supplements without blood reports. For PCOD, consult a gynecologist for appropriate management.
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Please consult a physician physically for clinical evaluation.
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Kindly contact me I will treat
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Need proper evaluation please consult for assessment and treatment
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First of all a better Lifestyle and Happier Living will work so well in PCOS as it's manageable and reversible
At any age these levels of Vit D and B12 needs supplements but still age is important to evaluate her.
We're here to treat underlying cause and this needs proper history
Especially when it comes to Kidney stone it's important to know about location, size and detailed reports
PCOS is something what is related to her Lifestyle, associated clinical conditions, symptoms, food and dailylife stress, treatment is not based on medications only because it's more about to learn better way to live.
Next Steps
Start with IM Vitamin B12 and Oral Vit D supplements followed by maintenance oral supplements
focus on balanced diet
USG Pelvis and Abdomen, CBC, RBS, TSH, RFT, ESR should also be done
Health Tips
avoid junk, spend some time in morning sunlight, do exercise
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You need certain investigations please don't jump on diagnosis by yourself. Requires comprehensive evaluation of symptoms for correct diagnosis and treatment.
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Both values are genuinely low - B12 163 and vitamin D 15 easily explain her muscle pain, tiredness and mood swings. With a repeated kidney stone history I never start vitamin D blindly: serum calcium, urine calcium, uric acid and kidney function first, then correct D in supervised doses. B12 can be replaced safely and she should cut tea to twice a day and drink close to 3 litres water daily to keep stones away. PCOD needs its own treatment - weight, insulin resistance and cycles - supplements alone will not fix it.
Next Steps
Get CBC, B12, vitamin D, serum and urine calcium, creatinine and a kidney ultrasound, then book a consult with me on Practo or at Synergy Multispeciality Hospital, Miraj with the reports - I will start the correct doses and a PCOD plan together.
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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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Hello sir
Vitamin B12 is low (163 pg/mL) and may contribute to fatigue, muscle aches and mood changes. Treatment is advisable after assessing the cause. With recurrent kidney stones, maintain good hydration and avoid unnecessary calcium/vitamin D supplements without medical advice.
For further evaluation and personalized management, consult me through Practo
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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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All these are quiet deep issues needs consultation with all basic reports
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Dr. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Take balanced diet which is mentioned below,
- 1/3 of food plate should contain bread, pasta, potato and rice.
- 1/3 of food plate should contain fruits and vegetables.
- 1/6 of plate should contain fish, meat, egg and beans.
- 1/6 of food plate should contain milk products.
- 1/6 of food plate should contain food rich in fat and sugar.
- + a glass of milk daily.
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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. Lekha Rajeevan
General Physician
40 yrs exp
Ernakulam
Check calcium and parathormone levels..if ca normal take vit d3 60 k iu weekly once for 8 weeks and recheck levels
Next Steps
Avoid chicken fish red meat and dal pulses etc.Drink plenty of water .For B12 deficiency take Neurokind M tablets 1 twice daily for 2 weeks and then 1 daily d for 1 month and check level in blood
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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
Walk
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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your muscle pain, tiredness, and mood changes alongside PCOD and low B12 and vitamin D levels are often connected, since these deficiencies can make PCOD symptoms feel worse. Please see a gynaecologist for the PCOD and a physician for the B12, vitamin D, and kidney stone workup together.
Health Tips
Correcting these deficiencies usually needs supervised dosing given your kidney stone history. Please don't self-start any supplements on your own.
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