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Vitamin D Deficiency, VitaminB-12 Deficiency ,Internal Inflammation any Solution?
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Nutrition & Diet
Question #11462
262 days ago
414

Vitamin D Deficiency, VitaminB-12 Deficiency ,Internal Inflammation any Solution? - #11462

Sai Haran

I am Sai Haran Age: 24 Height: 5'4 Weight: 90 Kgs I recently taken full blood test to analyse my body where I got to know that I have Vitamin D (4.32 ng/mL) , Vitamin B12 (< 100 pg/mL) Deficiency HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) 6.2 mg/L ( Which indicates inflammation inside body) Any Solution ??

Vitamin d
Vitamin b12
Inflammation
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Doctors' responses

Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
261 days ago
5

1. Your Vitamin D level (4.3) is very low supplements plus safe morning sunlight exposure are important.

2. Vitamin B12 is also deficient this can cause tiredness, nerve issues, and should be corrected with injections or tablets.

3. High CRP (6.2) suggests there is ongoing inflammation in the body could be due to weight, lifestyle, or other conditions.

4. At 90 kg, weight management through diet and exercise will also improve both vitamin levels and inflammation.

5. Please start supplements under doctor supervision and get a proper evaluation to rule out underlying causes of inflammation.

I’m Dr. Rohith Ayyadurai MBBS Diabetologist and General Physician. Please book a consultation with me here on AskDocDoc so I can guide you with safe doses and a personalised plan.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
261 days ago
5

Hello dear See on clinical evaluation,it seems you are having quite high BMR which may lead to atherosclerosis or rheumatoid arthritis. Iam suggesting some tests to be done for confirmation. Please get them done Serum cholesterol Serum ferritin CBC Serum tsh Serum troponin Serum LDH Kindly share the details with general physician or cardiologist for improvement In addition, Please follow below instructions for improvement Exercise regularly to reduce weight Bp evaluation Vitamin d sachets once a week or two months Reduce fat and protein intake to 50 percent Do meditation and yoga Avoid alcohol or smoking if taking Avoid fast food Engage in hobbies Take adequate fruits Take live 52 for immediate relief In case of no improvement consult cardiologist or general physician for further information Hopefully you recover soon Regards

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Given the results, it’s important to tackle the deficiencies and inflammation systematically. Starting with the Vitamin D deficiency, a level of 4.32 ng/mL is considered very low. It would be beneficial to start with vitamin D supplements at a higher dose, typically considered to be around 50,000 IU once weekly for 6-8 weeks, then recheck your levels. Consider discussing supplementation options with your healthcare provider to tailor it based on any specific needs or restrictions you might have and perhaps long-term maintenance at a lower dose following re-evaluation. Additionally, increasing exposure to sunlight, around 15-20 mins per day, if possible, can also contribute to natural production of vitamin D.

For Vitamin B12, where you’re under 100 pg/mL, you’ll likely need an initial course of B12 injections to rapidly correct the deficiency, followed by oral supplements. It’s critical to monitor your levels and symptoms regularly as B12 deficiency can impact neurological function. Discuss whether you should receive B12 shots weekly initially, moving to monthly as needed, based on how your levels respond. Including B12-rich foods like fish, meat, eggs, and dairy products might be beneficial as a daily dietary change.

Regarding the elevated HS-CRP level at 6.2 mg/L, which suggests an ongoing inflammatory process, it’s important to look into possible underlying causes. Factors like obesity, infections, or chronic conditions need to be considered. Weight management strategies are key here—aiming for gradual weight loss through a balanced diet and regular exercise not only reduces inflammation but also improves overall markers. Consulting with a dietitian may provide a specialized diet plan best suited to your needs. Ensure regular monitoring and perhaps further investigation depending on additional symptoms or risk factors that might be present, like family history of autoimmune conditions or cardiovascular disease.

These steps together focus on properly managing each result you’ve shared. Stay in contact with a healthcare provider to monitor your progress and make necessary adjustments in your treatment plan. It will be crucial to review any changes with routine follow-up apppointments to ensure the treatment is effective and to address any new symptoms that may arise during this time.

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