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

Answered by
Dr. Parth R Goswami
and medically reviewed by Dr. Divya Banu M

Hello doctor,

My mother got full body check up. Please check the report and guide us. Her vitamin D, B12, iron are less and it is showing alert in blood test. She has weakness, body swelling in summer, pain in leg, and tiredness.

Do you have a question on Vitamin D Deficiency or Vitamin B12 Deficiency?

Ask a Doctor Now

Dr. Parth R Goswami

M.B.B.S., M.D
Hematology Pathology

Hi,

Welcome to icliniq.com.

I have checked the attached reports (attachment removed to protect patient identity).

Her liver profile, kidney profiles, thyroid reports, iron profile reports and hemoglobin levels are absolutely normal. So liver disease, renal disease, thyroid problem, iron deficiency anemia can be excluded as a cause for weakness. The significant finding include very low vitamin D level and slight low vitamin B12. So low vitamin D level might be the cause for weakness.

Following is the treatment for that. She should be prescribed 60000 IU sachet of Cholecalciferol that should be taken once a week for eight weeks. Calci D tablet after completion of sachet can be continued for a few weeks. Advise her for taking sun exposure for 10 minutes at around 9 to 10 AM in morning. She can be prescribed Multivitamin tablet like Riconia Forte or Becosules.

Advise her to do light exercise in morning. Check her blood pressure also which has not been mentioned here. If bone pain and swelling are more than local part, X-ray can be done. Whenever she develops swelling, she can be prescribed diuretic medication like Chlorthalidone. At this age I suggest to investigate with 2D echocardiography as well. Hope I have answered your question. Let me know if I can assist you further. Best regards.

Thank you doctor,

My mother will follow this routine and take medicine according to your prescription.

Dr. Parth R Goswami

M.B.B.S., M.D
Hematology Pathology

Hi,

Welcome back to icliniq.com.

You are welcome. Take care.

sir aapne jo medicine batayi thi 60000 IU Sachet of Cholecalciferol - ye medicine powder form wala lena hai ya tablet and is medicine ko milk ke sath lena hai ya water ke sath?
and Calci D tablet me vitamins d ka kaun sa composition wala lena hoga , medicine shop wale puchh rahe
please sir guide me
thanks

Dr. Parth R Goswami

M.B.B.S., M.D
Hematology Pathology
Hello,

Welcome back.

The cholecalciferol sachet available as 50000 or 60000 IU sachet.

It has to be taken once a week after dissolving in milk.
So it should be taken after dissolving in milk.

The calci D tablet contain vitamin D3 and calcium combination. It's not necessary to take this brand name only. The any brand name which contain mentioned two drug can be purchased.

Hope I have answered your question.

Let me know if I can assist you further

Regards

Related Questions & Answers


Does vitamin deficiency cause twitching and tingling?
Query: Hi doctor, Before a week, I began having twitches and tingling in both legs from the knee down. For some time now, probably 6 months or more, I also began feeling that my legs were heavy and just general weakness all over, not really muscle weakness. I am also a gastric bypass patient and have a his...  Read Full »
Dr. J Mariano Anto Bruno Mascarenhas
Neuro Surgeon

Answer: Hi, Welcome to icliniq.com. Vitamin B12 deficiency can cause subacute combined degeneration of the cord. So, the treatment is daily Vitamin B12 or Vitamin B complex supplementation for 12 weeks. Your vitamin D levels are also low. The treatment is Vitamin D capsules 60000 IU every Sunday for 12 ...  Read Full »
 
From my blood reports, please tell me if I am anemic.
Query: Hi doctor, I have got a blood test done. Please find the attached reports. Please let me know if I need to take any specific medicine. When I searched on the internet, I found that I may be anemic. Please reply.  Read Full »
Dr. Atishay Bukharia
Cosmetologist, Dermatologist, Family Physician, General Practitioner, HIV AIDS Specialist, Plastic Surgeon, Venereologist

Answer: Hi, Welcome to icliniq.com. I have seen the reports attached here (attachment removed to protect patient identity). High TIBC (total iron binding capacity) indicates low iron in the body. Low transferrin saturation again indicates low iron and so does the low mean corpuscle volume. I suggest you tab...  Read Full »
 
How to treat iron deficiency anemia?
Query: Hi doctor, My daughter is 13 years old. She is having moderate to severe stomach pain for a year. We thought that it was related to constipation. After a few weeks, my daughter started to have a headache, feeling of dizziness, and shortness of breath. She had a habit of eating ice all the time. Her...  Read Full »
Dr. Smrita Singh
Hematologist

Answer: Hi, Welcome to icliniq.com. I have gone through the attached blood test results (attachment removed to protect patient identity). Your daughter's serum ferritin is low which reflects the low iron stores. Her hemoglobin is low. Her low ferritin levels support it. Her TIBC (total iron binding capaci...  Read Full »
 
Popular

Popular

Ask your health query to a doctor online?

Ask a Doctor Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee: