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Concerns About Low Ferritin and Vitamin Levels with Dizziness and Fatigue
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General Health
Question #28661
29 days ago
82

Concerns About Low Ferritin and Vitamin Levels with Dizziness and Fatigue - #28661

Client_abce8d

Dear doctors, I was wondering if you could consult on such matter I have blood tests results have quite low Ferritin, HmG is 136 fine, B12 186, D3 10.4 I have dizziness all the time, fatigue even if have slept 8 hours, can't even go for a walk only for 15 mins, feeling dizzy after. I suppose I lack B12 or B complex, last year took B9 had headache.

How long have you been experiencing dizziness and fatigue?:

- Less than 1 week

Have you made any recent changes to your diet or lifestyle?:

- Yes, minor changes

Have you experienced any other symptoms besides dizziness and fatigue?:

- No, just dizziness and fatigue
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
29 days ago
5

Your symptoms of persistent dizziness, fatigue despite adequate sleep, and reduced exercise tolerance are likely related to a combination of low ferritin (iron deficiency), borderline low vitamin B12 levels, and significant vitamin D deficiency, even though your hemoglobin is currently within normal range, suggesting early or “non-anemic” deficiencies that can still cause substantial symptoms; these deficiencies can affect energy production, nerve function, and muscle strength, explaining your daily discomfort, and you would benefit from a structured correction plan including iron supplementation (if confirmed by your doctor), vitamin B12 replacement (often better tolerated as methylcobalamin or injections if sensitive), and vitamin D therapy, while also evaluating possible causes such as poor absorption or dietary insufficiency, and if symptoms persist or worsen, further assessment should be done to rule out other contributing conditions like thyroid imbalance or chronic fatigue-related disorders.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
28 days ago
5

Hello

Your symptoms are most likely due to low iron, low Vitamin B12, and very low Vitamin D, which can cause dizziness and fatigue even if hemoglobin is normal.

This fits with: • Iron Deficiency • Vitamin B12 Deficiency • Vitamin D Deficiency

You will likely need iron, B12, and Vitamin D supplements for a few months—diet alone is usually not enough at these levels. Most people start feeling better within 2–6 weeks after treatment starts.

Thank you Take care

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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.
28 days ago
5

Hello dear See as per history it seems Low iron Low d3 Low b12 The symptoms include dizziness, weakness,low blood circulation and excessive blood loss. Iam suggesting some medication for improvement Please follow them for atleast two months Ferrous sulphate tablet 200 mg once daily for 2 months Vitamin d sachet once a week for 2 month Zincovit multivitamin therapy onca a day for 1 month In case of no improvement consult general physician medicine for better clarity Regards

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The combination of low ferritin, low vitamin B12, and especially severely low vitamin D3 can indeed explain many of the symptoms you’re experiencing, such as dizziness and fatigue. Ferritin is a marker for your body’s iron stores, and low levels indicate that iron deficiency might be causing some of your symptoms. Although your hemoglobin is within the normal range, it doesn’t rule out iron deficiency completely. Vitamin D3 is crucial for many bodily functions, including bone health and immune function, and your level is notably low, which can lead to fatigue and muscle weakness.

Regarding vitamin B12, while your level isn’t critically low, it’s on the lower side of normal. Since B12 is involved in nerve function and the production of DNA and red blood cells, low levels can lead to fatigue and dizziness. It’s worth addressing this, but your symptoms may also be significantly driven by the very low level of vitamin D3.

Here are some steps to take: Consider an iron supplement to improve your ferritin levels. However, it’s crucial to consult with your healthcare provider first because they may want to determine the underlying cause of iron deficiency. Increase your vitamin D3 intake; typically, high-dose supplements might be needed, but your doctor can recommend the exact dosage. For vitamin B12, dietary sources and possibly oral supplements could boost your level, but you should also review this with your healthcare provider, especially if there’s a suspicion of absorption issues.

Make sure all your supplement intake is supervised by healthcare professionals to prevent overdose or interactions with existing medications. It might also help to have follow-up blood tests to monitor the progress. Given the severity of the vitamin D3 deficiency, and considering how debilitating these symptoms can be, reach out to your healthcare provider soon to address these deficiencies. If symptoms worsen or you’re unable to function daily, contact them urgently as they can offer specific treatments or referrals, such as to a dietician, or investigate other potential causes.

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