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Concerns About Low Ferritin and Vitamin Levels with Dizziness and Fatigue
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General Health
Question #28661
1 hour ago
7

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.
1 hour 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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