Hi I had vitamin d with 8.2 ng ml kindly suggest what are the next steps and Vitamin B12 145sp/ml . What should I need to do and help me with next steps
Answers (32)
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Your vitamin D & B12 is low so you would need injection then shift to tablet form.
Vit B12 found abundantly in non vegetarian foods than in vegetarian diet.In Non vegetarian Eggs, chicken especially (kajeli), mutton that's a rich source of vitamin B12. Vegetarian option like milk, curd, spinach. For vit D natural source is sunlight, but go early morning in sunlight. In food milk.
Next Steps
for further management feel free to connect with me on practo
Both vitamin D and B12 are severely deficient.
You would need IM injections for both initially followed by oral medicine as follow-up.
Dietary modification is also needed. Based on your diet, we can include them.
Next Steps
feel free to consult me on practo for further evaluation and management
Vitamin D level 8.2 ng/ ml is indicates Moderate to Severe vitamin D deficiency....
At this level your body's ability to absorb Calcium
Efficiency is compromised...
TREATMENT =
CALCIROL SACHET 60000 IU ( Cholecalciferol-D3)
1SACHET/ WEEK FOR 12 WEEKS WITH MILK
Diets = Eating vitamin D rich food.....
Fish
Egg yolk
Fortified milk and cereals
Calcium & Magnesium
Arachitil nano 60k - once weekly for 8 weeks then once monthly for life long
Inj b29 aq pfs - alternate days, Intremuscular on alternate buttocks, 5 doses.
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
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
Your D3&B12 levels are low and it is suggested that you start therapy to replenish the stores
For D3 - Oral Cholecalciferol tablets- Once a week for 8 weeks ( 60,000 IU)
Followed by once monthly dosing ( 60,000 IU)
For B12 - You could either go for Oral or Injection preparation
Ask your physician for exact dosing and mode of treatment suitable for you
You can consult me on Practo for further guidance
Next Steps
You should also get CBC report done to just check for Hb levels as well as Peripheral smear to rule out Megaloblastic anaemia
Health Tips
No need to worry it is very common to have B12& D3 deficiency and the stores will get replenished by the therapy
Hi sir
Since both of your vitamin B12 and vitamin D values are low you are supposed to consult with your physician without further delay as it might increase your on going symptoms if you are undergoing anything right now.
Next Steps
Kindly consult your physician ASAP
Health Tips
Right now increase your sunlight exposure and start taking meat, fish and dairy products along with the supplements that you’re physician prescribes you
Both vitamin D (8.2) and B12 (145) are clearly deficient and can explain fatigue, body aches or tingling. They need treatment, not just dietary changes. I would also review your CBC, calcium and kidney function before finalising the regimen.
Next Steps
Please see a physician soon for a supervised replacement plan and repeat levels after treatment. Book a Practo consult with me if you want a tailored plan based on your reports.
Health Tips
Avoid self-prescribing repeated high-dose supplements; the dose and duration should be supervised.
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.
Vitamin D level of 8.2 ng/mL indicates vitamin D deficiency, and a B12 level of 145 pg/mL is also low. Both generally require supplementation and evaluation for the underlying cause.
For vitamin D, treatment usually involves a therapeutic replacement dose followed by maintenance supplementation. For vitamin B12, oral or injectable replacement may be considered depending on the severity, symptoms and cause of deficiency.
It would be helpful to review your diet, medications and any symptoms such as fatigue, weakness, numbness or tingling. We May need to consider checking CBC, calcium and other relevant tests. consult for an individualized treatment plan and follow-up levels.
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.
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.
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