Blood test shows low vitamin D, B12 and iron levels. Please help.

Hello,

Thank you for stopping by at icliniq.com.

I am here to provide expert opinions on your medical queries. I have reviewed the reports you have attached (attachment removed to protect patient's identity). Her liver profile, kidney profiles, thyroid reports, iron profile reports, and hemoglobin levels are within normal range. Therefore, liver disease, renal disease, thyroid problems, and iron deficiency anemia can be ruled out as causes for her weakness. The notable findings include a significantly low level of vitamin D and a slightly low level of vitamin B12. It is possible that the low vitamin D level may be the cause of her weakness. I suggest she take a sachet of 60,000 IU Cholecalciferol once a week for eight weeks. After completing the sachet, she can continue taking tablets containing Calcium carbonate and Cholecalciferol for a few more weeks. I also suggest her to get sun exposure for ten minutes around nine to ten o'clock in the morning. Additionally, I suggest her to take a multivitamin tablets. I also suggest her to engage in light exercises in the morning. It is also important to check her blood pressure, which has not been mentioned in the provided information. If she experiences severe bone pain and swelling that extends beyond a specific area, I suggest she get an X-ray done of that part. In cases when she develops swelling, I suggest her to take diuretic medication like Chlorthalidone. Considering her age, I suggest her to undergo a 2D echocardiography for further investigation. I suggest her to consult a specialist, talk with them and take the medications with their consent. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

Kindly follow up if you have more doubts.

Thank you.

Hello,Welcome back to icliniq.com.

I read your query and understood your concern. The cholecalciferol sachet is available in either 50,000 IU or 60,000 IU strengths. It needs to be taken once a week after dissolving it in milk. Therefore, it should be consumed after dissolving it in milk. And she should take a tablet containing the combination of Calcium Carbonate (500 mg) and Cholecalciferol (250 IU). I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. I have reviewed the reports you attached (attachment removed to protect patient's identity). She need not worry about the mild increase in SGOT (Serum Glutamic Oxaloacetic Transaminase), slight increase in globulin levels, and low cholesterol. SGOT elevation is considered significant only when it is raised two-fold higher than normal. An increase in globulin levels can be due to a mild infection. Your sister's neutrophil count is high, which could be a result of an infection in the upper respiratory tract or gastric region. For that, I suggest she undergo chest evaluation by auscultation. Her Vitamin D level is low. To address this, a Cholecalciferol Sachet containing Vitamin D can be prescribed. It should be taken once a week for eight weeks with milk. The iron level and transferrin saturation are slightly low, but as the hemoglobin is within the range, no further workup is needed. Thyroid values are within the normal range. To alleviate gas and digestion issues, I suggest her to take a tablet of an antacid Rabeprazole (proton pump inhibitor) for a week. I also suggest her to take a syrup containing Simethicone (25 mg), Aluminium Hydroxide (200 mg), and Magnesium Hydroxide (200 mg) to improve her digestion. I suggest her to consult a specialist, talk to them and take the medications with their consent. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.