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
This is a premium question & answer published on Jul 16, 2019 and last reviewed on: Jul 19, 2019

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.

Dr. Parth R Goswami

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.


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Thank you doctor,

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

Dr. Parth R Goswami

Hematology Pathology
#

Hi,

Welcome back to icliniq.com.

You are welcome. Take care.


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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

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

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