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Health Q&A
B12, Vitamin D Deficiency & Fatigue

I am a 30-year-old male with persistent fatigue and low energy. My recent blood tests show Vitamin B12 <148 pg/mL and Vitamin D 11.8 ng/mL. Hb is 15.1 g/dL and CBC is otherwise normal. Thyroid, HbA1c, kidney function and most liver parameters are normal. I am vegetarian. Please advise on the appropriate treatment for these deficiencies, including whether oral B12 or injections are preferable, dosage and duration. Also, should I get any further tests to identify the cause of the severe B12 deficiency or investigate my fatigue? I can share the complete blood report.

Frequent urination, increased thirst

Hi Doctor, I’m a 20-year-old male and would like some guidance regarding a few symptoms. For the past 7 days, I’ve been urinating quite frequently, around 8–9 times within 12 hours. Sometimes, even after urinating, I feel the urge to urinate again shortly afterward. I’ve also noticed that I’m more thirsty than usual and have been drinking water more frequently. For the past 2 months, I’ve also been experiencing persistent fatigue/tiredness. My sleep doesn’t feel completely refreshing, even when I get what seems like enough sleep, and I often feel the need to take a ~1-hour nap during the day. I initially thought this was due to sleeping late,but the tiredness has continued even after I started going to bed earlier. I’m also currently being treated for acne.My dermatologist prescribed Doxt-SL, which I’m taking as directed:Twice daily after food for 2 weeks Then once daily 4 weeks.

Low Vitamin D B12 IRON

Today i got my report and my VITAMIN D 8.9 ng/mL B12 348 pg/mL Iron 48.16 ug/dL Transferrin saturation 14.3 % Ferritin 100.8 (though i have currently cold) Esr also high 15 Suggest something

Burning urine

I m having burning and pain while urination and also urge to go everytime with lower abdomen pain .please guide me how do I get relief I have some problems that i can't swallow tablets .I consulted many doctors but they gave tablets that too extended release type . Ultrasound is normal... In urine culture ,few pus cells seen but no growth .m Why it's happening ..pls help to overcome

Spicy food

I have taken spicy food in a get together. Now belly is burning. Can you suggest anything to get relief. Should I take antacid like Rantac ? Will that help

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