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Vitamin Profile & Supplements
Hello Doctor,
I recently had my blood tests and my Hemoglobin is 10.2 g/dL (reference range 12-15) and Serum Iron is 37 µg/dL (reference range 50-170), which appear to be low. My Vitamin D is also low at 23.6 ng/mL. Vitamin B12 is normal at 442 pg/mL.
Could you please advise whether I should take an iron supplement? If yes, which type/dose would be appropriate for me, and for how long?
I take meganeuron od plus occasionally and vitamin d supplement (60k) twice a month.
I have sensitive stomach and suffer from IBS D. So which iron supplement will suit me?
Please also let me know the best time to take iron and whether there are any foods/medicines I should avoid taking it with.
Thank you
Answers (31)
Dont take ferrous sulphate. Ferrous biglycinate ascorbate can be taken
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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
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Iron supplements orally would detoriate gastric issues. Consult physician for iv iron supplements.
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Weekly IFA tablets provided in your nearby PHCs would suffice. Avoid any milk and milk products / tea, with the tablet. Keep a 30 min window between food and the tab. Try combining the tab with something citrus which will increase its absorption.
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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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You can take ferrous biglycinate once a day,30 minutes before the breakfast.Its gentle on gi tract.As you have vitamin d insufficiency continue with vitamin d weekly once for 8 weeks
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Mild anemia with low serum iron, along with vitamin D insufficiency. The low Hb/iron warrants evaluation for the underlying cause, particularly in the setting of IBS-D and a sensitive stomach.
For a detailed assessment and personalized advice, you may consult me through Practo.
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Hello, thank you for sharing your test parameters.
Based on you values , you appear to have mild iron deficiency anemia along with insufficient vit D levels. Please make sure to double check the physical label of all your current supplements to verify their exact active ingredient and strengths .
Best time to take iron - usually 1/2 hours before or after a meal.
Next Steps
for individuals with IBS, taking a gentle iron formulations directly with a low -FODMAP meal is often advised to cushion the stomach.
Health Tips
avoid calcium rich food and supplements at the time of iron intake.
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please book a consultation with me for proper evaluation.
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Yes, Hb 10.2 with low serum iron looks like iron deficiency anaemia, so you do need iron. With IBS-D, ferrous bisglycinate or iron polymaltose suits better than ferrous sulphate. Take one tablet daily or on alternate days, empty stomach or with light breakfast, with lemon water or amla. Keep tea, coffee, milk and calcium 2 hours away. Usually 3 months after Hb normalises to refill stores.
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Get ferritin and CBC indices done; continue vitamin D 60k weekly for 8 weeks. Book a Practo consult with your reports and I will set the exact dose for you.
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You can take iron, combined with folic acid supplements, ,morning and evening, after meals, for 4 weeks..
Tab uprise 60,000 units once a week for 8 weeks.
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Your Hb is low and the low serum iron may suggest iron deficiency, but ferritin and iron studies (TIBC/TSAT) are needed for confirmation.
If iron deficiency is confirmed, ferrous bisglycinate is often better tolerated in people with sensitive stomach/IBS-D. Take it once daily or on alternate days as advised, and continue until Hb normalizes and iron stores are replenished.
Avoid taking iron with tea/coffee, calcium/dairy, or antacids; separate these by 2–3 hours. Your vitamin D is also mildly low and can be supplemented
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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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Yes u need ro take iron and vitamins supplements.
Since u have ibs d problem, its better to take iron injection
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consult me on nine nine seven eight one zero six four three one
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Already answered with treatment
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Do consult
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Aapki reports dekhne par Hb 10.2 g/dL aur serum iron 37 µg/dL hai, jo iron deficiency ki possibility ko strongly suggest karta hai. Vitamin B12 normal hai. Vitamin D 23.6 ng/mL mildly low/insufficient range mein hai.
Meri advice hogi ki iron treatment start karne se pehle serum ferritin, TIBC/transferrin saturation aur CBC indices (MCV, MCH, RDW) ko bhi consider kiya jaye, kyunki sirf serum iron se iron deficiency confirm nahi hoti.
Aapka stomach sensitive hai aur IBS-D bhi hai, isliye main unnecessarily high-dose iron se start nahi karunga. Aapke liye low-dose, better-tolerated iron preparation such as ferrous bisglycinate consider ki ja sakti hai, generally around 40–65 mg elemental iron, often alternate days se start karna GI tolerance ke liye useful hota hai. Exact preparation/dose aapki complete reports aur history dekhkar decide karna better rahega.
Next Steps
aap mere se direct counsult kr skte h
Health Tips
Aapka B12 442 pg/mL normal hai, isliye B12 deficiency anemia ka obvious cause nahi lag raha. Aap jo Meganeuron OD Plus occasionally le rahe hain, usko iron ke saath same time lene ki zarurat nahi hai.
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Kindly consult for proper evaluation and treatment
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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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Consult
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule once a week for 12 weeks
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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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
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
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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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
Take Any IFA supplements , if you have sensitive stomach take on alternative days
And take Vit D3 60k capsule for 8 weeks
Repeat the test after 3 months
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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. Praful Mahamuni
General Practitioner
20 yrs exp
Nagpur
Hello,
Take Balanced diet which is mentioned below,
1/3 of food plate should contain bread ( or 4 roti ), pasta, potato and rice.
1/3 of food plate should contain fruits and vegetables.
1/9 of food plate should contain fish, meat, egg, beans and other non dairy sources of protein.
1/9 of food plate should contain milk and dairy foods.
1/9 of food plate should contain food and drink high in fat and/ or sugar.
plus a glass of milk daily.
For prescription contact me at WhatsApp at +91959508739nine or consult by practo app.
In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app.
Thanks.
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Dr. Mitra Milon
General Physician
44 yrs exp
Bhubaneswar
Firstly I want to appreciate your clear way of expressing your problem.
Secondly, you divide your MCV with RBC count. If it is less than 13 then you have a problem.
Thirdly considering your anemia is due to iron deficiency and your having IBS D, the best iron supplement would be iron bisglycinate (chelated iron) or polysaccharide iron complex which are best tolerated. Take any good brand.
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your report shows haemoglobin and serum iron below the reference ranges printed on it. Whether you need an iron supplement, and which type, dose and duration would suit your IBS, is a decision for your doctor after looking at the full report. It also helps to find out why your iron is low, since heavy periods are a common reason in women your age. Iron from food and supplements is absorbed better alongside a vitamin C source like lemon or amla. Keep tea, coffee, milk and calcium tablets a couple of hours away from it.
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