Your results show severe
vitamin-D deficiency (value <3 ng/mL) and low
B12 (177 pg/mL) plus low haemoglobin and platelets. These findings can explain your symptoms (weakness, cramps, joint pain, tingling, mood changes). This needs prompt evaluation and treatment.
What to do now (urgent → soon)
1. If you have any bleeding, bruising, high fever, black stools, fainting or breathlessness — go to emergency now.
2. Start vitamin-D replacement under a doctor’s plan — typical regimen is cholecalciferol 60,000 IU weekly for 6–8 weeks then maintenance, but severe deficiency may need supervised loading and monitoring of
calcium. Do not self-prescribe very high doses without follow up.
3. Treat
vitamin B12 deficiency promptly — either intramuscular cyanocobalamin injections (eg. 1000 µg IM daily for 1 week then weekly for 4 weeks then monthly) or high-dose oral B12 (1000–2000 µg daily) depending on cause; neuropathic symptoms are an indication to start urgently.
4. Investigate the low haemoglobin & platelets — get a repeat CBC with peripheral smear, serum
ferritin, iron/TIBC, reticulocyte count,
LFT, renal function,
thyroid tests, and relevant infection/autoimmune screens (
HIV, Hep B/C, ANA) as advised by your doctor. Management depends on cause (iron deficiency, hemolysis, bone-marrow problem, etc.).
5. Symptom relief: simple analgesics for pain (paracetamol), adequate hydration, avoid heavy physical exertion until platelet cause is known.
6. Follow-up monitoring: repeat CBC,
vitamin D and calcium, and B12 levels after treatment starts; monitor for improvement in energy, mood and neuropathy.
Why this matters
Severe vitamin-D and B12 deficiencies can cause weakness, cramps, bone/joint pain, mood changes and neuropathy. Low platelets/anemia need diagnosis — some causes require urgent treatment.
I can make a personalized plan (exact replacement doses, investigations and follow-up) after reviewing your full reports and medical history. Reach me on whatsapp at nine three two six zero two zero five nine six