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What causes fatigue with low WBC and vitamin D deficiency?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 50-year-old female, overall healthy but recently having issues with tiring easily when biking and doing stairs. EKG was fine. CBC showed low WBC, low anion gap, and vitamin D deficiency. I had a low (99.4°) temperature earlier today.

In light of Covid-19, and being that I work in public, should I be concerned?

I currently on Focalin and Triamcinolone acetonide.

Please help.

Thank you.

Answered by Dr. Gulati Ranjitsingh Awtarsingh

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

I have gone through your detailed history and studied the lab results. (attachment removed to protect patient identity).

As per your history, you feel feverish and tired. Your TLC (total leukocyte cont) is low. Record of temperature is 98 degrees. So firstly you have a viral fever, but there is no cough or difficulty in breathing so corona is not the main diagnosis, but do keep in mind.

If you have not been with any corona case, take rest, take tablet Tylenol (Acetaminophen)1 bd if you are not allergic to it. Keep isolated from a crowd. Then your symptoms are due to a bit of vitamin D3 deficiency. For this take Drise (Cholecalciferol) 60 k two times a week and you will be fine. Keep me informed.

Tell me in three to five days of any fresh symptoms.

I hope it helps.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At March 26, 2020
Reviewed At May 19, 2026

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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