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What supplements should I take
Border line deficiency In vit b12 and vit 3. Can it be corrected by food or any supplement is required. If yes then what?
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Hello. Your laboratory reports indicate that both your Vitamin B12 and Vitamin D levels are below the optimal range. While these are 'borderline' deficiencies, they can still cause symptoms like fatigue, low mood, and body aches.
Here is a breakdown of your results and how to address them:
1. Vitamin B12 (209 pg/mL)
Your level is just below the reference range (211–946 pg/mL).
Supplementation: Since it is difficult to significantly raise B12 through diet alone if you are already borderline (especially on a vegetarian diet), a methylcobalamin supplement (1500 mcg) once daily for a month is usually recommended to replenish stores.
Food Sources: Increase your intake of dairy products (milk, yogurt, cheese) and eggs.
2. Vitamin D (61.8 nmol/L)
Your level falls into the 'Insufficient' category (50–74 nmol/L). For maximal health benefits, your level should ideally be above 75 nmol/L.
Supplementation: Food alone is generally insufficient to correct Vitamin D levels. A common clinical approach is Vitamin D3 (60,000 IU) once a week for 8 weeks, followed by a maintenance dose.
Natural Source: Ensure you get 15–20 minutes of midday sunlight exposure daily.
Summary of Advice
While the previous suggestion of a 'B-Complex' is helpful, it may not contain a high enough dose of Vitamin D3 to correct an insufficiency.
Recommendation: I suggest taking a dedicated Vitamin D3 (60k) supplement weekly and a B12 supplement daily for two months, then re-testing. If you are experiencing persistent numbness, tingling in your hands/feet, or extreme exhaustion, please consult your doctor for a more personalized dosage.
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Just take some vitbcomplex tab 1od for 1mnth
T ca 400mg od for 2 week and vitd3 tab oral according to the deficency
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I can summarise in short
1.Eat green leafy vegetables
2.Exposure to sune for 20-30 minutes preferably in the morning
Follow this and you ll see results soon
For further queries do consult
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It can corrected by dietary and lifestyel modification.adding green leafy vegetables to diet and curd will help in vit b12 level maintainence and early sunrise light exposure for 1 hour will help you in vit d3 level maintainence.
Eating protein rich diet will help you with calcium and muscle conditioning
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It depends on whether you have any symptoms or not. If no symptoms, you can correct it with diet, but if there are, then you need supplements.
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Green leafy vegetables ,milk , paneer , seasonal fruits and early morning sun shine exposure to body for 20 min daily .
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-Your reports show borderline low Vitamin B12 and Vitamin D insufficiency
-Mild deficiencies can often cause fatigue, body pain, low energy, tingling, or hair/skin changes
Next Steps
-Syp vit D3 60000 units one sachet once weekly after food for 8 weeks, then once monthly for 3 months
-Tab methylcobalamine 1500 mcg once daily after dinner for 2 months
-Recheck Vitamin D and B12 levels after 2–3 months
Health Tips
-Increase intake of milk, curd, eggs, fish, mushrooms, nuts, and green leafy vegetables
-Get regular morning sunlight exposure for 15–20 minutes
-Maintain good sleep, hydration, and balanced diet
-Contact me anytime on Practo for further consultation
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Consult superspecialist like DIATICIAN.
BETTER TO GO WITH
UPRISE D60K ONCE A WEEK FOR EIGHT WEEKS FOLLOWED BY ONE PER MONTH FOR SIX MONTHS A COMPLETE THERAPY BY WHO FOR VIT D3.
NEUROKIND OD ONE AT NIGHT AFTER DINNER FOR 2 MONTHS.
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Your report shows vitamin d insufficiency and vitamin b 12 deficiency.Initially you can take d rise cap 60000 iu weekly once for 8 weeks,and meganeuron Cap once a day for 2 months
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Your reports show mild Vitamin B12 and Vitamin D insufficiency which is quite common and usually manageable, but the right supplementation and correction plan depends on your symptoms, diet, and lifestyle a proper consultation can help tailor this correctly and avoid unnecessary supplements 👍
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Vitamin B12 you can get from non vegetarian meal. Else you need B12 suppliments for first 10days of every month.
Also vitamin D we get from sunlight. But due to full clothes and office culture body don't get enough sunlight. So you can take Vitamin de 60,000 IU orally once a week for 8 weeks.
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A borderline deficiency in Vitamin B12 and Vitamin D3 means your body's stores are running low, even if you aren't in a severe deficiency state yet. While food is a great long-term source, borderline levels often require an initial 'boost' from supplements to bring them back to the optimal range quickly. Since these vitamins are crucial for nerve health, energy levels, and bone strength, addressing them now will prevent symptoms like chronic fatigue and muscle weakness."
Next Steps
For a specific prescription with the correct dosages based on your exact lab values, please book a full consultation session via my Practo profile."
Health Tips
Dietary Sources (B12): "If you are vegetarian, include more dairy products like milk, curd, and paneer. For non-vegetarians, eggs and lean meats are excellent sources."
Dietary Sources (D3): "Natural food sources for D3 are limited, but fortified cereals, orange juice, and fatty fish can help."
Absorption Tip: "Vitamin D is fat-soluble. Take your supplement with a meal that contains healthy fats (like a glass of milk or with lunch) for better absorption."
Caution: "Do not continue high-dose supplements indefinitely without medical supervision, as excessive Vitamin D can lead to toxicity (hypercalcemia)."
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Dr. Ajay Kumar
Internal Medicine
9 yrs exp
Ahmedabad
Your reports show:
• Vitamin B12: 209 pg/mL
(Reference: 211–946) → Borderline low / mildly deficient
• Vitamin D (25-OH): 61.8 nmol/L
(Reference: 75–250) → Vitamin D insufficiency
These deficiencies can contribute to:
• Hair fall
• Fatigue
• Body pain
• Weakness
• Tingling/numbness
• Dizziness in some people
Suggested treatment (general adult regimen):
• Vitamin B12: Methylcobalamin 1500 mcg orally daily for 2–3 months
or injections if symptoms are significant.
• Vitamin D: Cholecalciferol 60,000 IU once weekly for 8 weeks, then once monthly maintenance.
• Increase sunlight exposure preferebly during 11am to 3pm and protein-rich diet and diets including milk, curd, paneer.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Anuj Mothsra
General Physician
6 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. Utkarsh Mittal
General Physician
1 yrs exp
Delhi
Hello
Supplements will help you regain normal levels faster. Book a consult now to get your prescription and further details
Thank you
Dr Utkarsh Mittal
Next Steps
Take supplements and diet changes
Health Tips
Do not take supplements unauthorised by the government.
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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.