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Suggest Treatment For Vitamin D Deficiency
Question: Hi , was diagnosed with vitamin D deficiency and b12 deficiency in August and I was on treatment. However the doc prescribed me medicines only for 3 months .. Which ended in November . However after November . After that I stopped taking vitamin d tablets(shelcal 500mg) .. Now at times I get severe fatigue that I can't do anything but jus lie down my hands and legs become weak .. I feel that m collapsed. And I took Arachitol 6l injection and within few days I felt better and I thot was okay and after one month again few days back again I went thru the same episode. Now m feeling weak and I asked my wife to give me Arachitol 6l injection.. How long it will take for Vit D to get cured? Daily m standing in the sun for half an hr from August ..today I gave blood test to check my vitamin d and b12. I don think my b12 is low as I take sublingual tabs every other day. Please advise
Brief Answer:
vit d, vit b12 deficiency is very much treatable
Detailed Answer:
Hey thanks for your faith in the health care Magic
I have gone through your question and I understood your problem.
Why dint you consult with your doctor as soon as you finished shelcal for three months.Its nice that you are feeling relieved with this injection but dont just use it on your own it can lead to following side effects aswell
1. Hypercalcaemia 2. Fatigue 3. Weakness 4. Diarrhoea 5. Vomiting 6. Sluggishness 7. Albuminuria 8. Polyuria 9. Calcification of soft tissues.
You said you dont have vit b12 deficiency and you are getting enough of its supplements. So I will explain you how to treat vit d deficiency.
The daily maintenance dose of vitamin D varies by age, but most children and adults generally require 600-2000 IU of vitamin D daily. For vitamin D-deficient children and adults, higher doses of vitamin D given either daily or weekly are recommended, followed by an increase in the daily dose of vitamin D. After correction of their vitamin D status with oral vitamin D, patients should have a repeat test of their 25(OH)D level to confirm that they are in the normal range. If the 25(OH)D concentration remains persistently low despite several attempts at correction with oral vitamin D, a trial of UVB light therapy (ie, by tanning lamps) may be considered to improve vitamin D status.
Sensible sun exposure, especially between the hours of 10:00 am and 3:00 pm produces vitamin D in the skin that may last twice as long in the blood compared with ingested vitamin D. If sun exposure produces slight pinkness, the amount of vitamin D produced in response to exposure of the full body is equivalent to ingesting 10,000-25,000 IU.
DIET-
The following foods contain the indicated amounts of vitamin D, as reported by the US Department of Agriculture's (USDA's) Nutrient Data Laboratory:
Fortified milk (8 oz) - 100 IU
Fortified orange juice (8 oz)[7] - 100 IU
Fortified cereal (1 serving) - 40-80 IU
Pickled herring (100 g) - 680 IU
Canned salmon with bones (100 g) - 624 IU
Mackerel (100 g) - 360 IU
Canned sardines (100 g) - 272 IU
Codfish (100 g) - 44 IU
Swiss cheese (100 g) - 44 IU
Raw shiitake mushrooms (100 g) - 76 IU
Most multivitamins (1 tab) - 400 IU
You already are having good sun exposure you said.So keep doing that . Just focus a bit more on diet.
There are no such guidelines as in how much time deficiency gets cured we have to monitor their levels.You said you already have given blood sample for estimation so if possible discuss those reports with your treating doctor.
I hope my answer was helpful for you . Thank you.
DR . XXXXXXX HASABE
vit d, vit b12 deficiency is very much treatable
Detailed Answer:
Hey thanks for your faith in the health care Magic
I have gone through your question and I understood your problem.
Why dint you consult with your doctor as soon as you finished shelcal for three months.Its nice that you are feeling relieved with this injection but dont just use it on your own it can lead to following side effects aswell
1. Hypercalcaemia 2. Fatigue 3. Weakness 4. Diarrhoea 5. Vomiting 6. Sluggishness 7. Albuminuria 8. Polyuria 9. Calcification of soft tissues.
You said you dont have vit b12 deficiency and you are getting enough of its supplements. So I will explain you how to treat vit d deficiency.
The daily maintenance dose of vitamin D varies by age, but most children and adults generally require 600-2000 IU of vitamin D daily. For vitamin D-deficient children and adults, higher doses of vitamin D given either daily or weekly are recommended, followed by an increase in the daily dose of vitamin D. After correction of their vitamin D status with oral vitamin D, patients should have a repeat test of their 25(OH)D level to confirm that they are in the normal range. If the 25(OH)D concentration remains persistently low despite several attempts at correction with oral vitamin D, a trial of UVB light therapy (ie, by tanning lamps) may be considered to improve vitamin D status.
Sensible sun exposure, especially between the hours of 10:00 am and 3:00 pm produces vitamin D in the skin that may last twice as long in the blood compared with ingested vitamin D. If sun exposure produces slight pinkness, the amount of vitamin D produced in response to exposure of the full body is equivalent to ingesting 10,000-25,000 IU.
DIET-
The following foods contain the indicated amounts of vitamin D, as reported by the US Department of Agriculture's (USDA's) Nutrient Data Laboratory:
Fortified milk (8 oz) - 100 IU
Fortified orange juice (8 oz)[7] - 100 IU
Fortified cereal (1 serving) - 40-80 IU
Pickled herring (100 g) - 680 IU
Canned salmon with bones (100 g) - 624 IU
Mackerel (100 g) - 360 IU
Canned sardines (100 g) - 272 IU
Codfish (100 g) - 44 IU
Swiss cheese (100 g) - 44 IU
Raw shiitake mushrooms (100 g) - 76 IU
Most multivitamins (1 tab) - 400 IU
You already are having good sun exposure you said.So keep doing that . Just focus a bit more on diet.
There are no such guidelines as in how much time deficiency gets cured we have to monitor their levels.You said you already have given blood sample for estimation so if possible discuss those reports with your treating doctor.
I hope my answer was helpful for you . Thank you.
DR . XXXXXXX HASABE
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hi thanks for your detailed reply.. Well I don think the doc with who I was treated is good enough to treat.. As he jus gave the tablets and left and never asked to repeat the test.. Now,on my own personal interest I've given the blood test.. In august my vitamin D was jus 14 and my b12 was 219.. M really frustrated now on the weakness m facing ... Daily I stand in the sun around at 11 am or 12 noon for half an hr.. Only thing happened was I've gone dark and no improvement in the symptoms.. I feel some problem with my body in absorbing vitD..I just can't be a normal man. Can I take amway supplements for Vit D? There is a supplement called CALMAG D which has calcium magnesium and D
Brief Answer:
Cal mag d can be used effectively
Detailed Answer:
Thanks for the appreciation.
Continue standing in sunlight it will indeed help you.
Yes cal mag d can be used effectively. Cal Mag is a great supplement and helps us maintain and strengthen our bones. However when the requirement of calcium goes really high e.g.: post menopausal women, People above 30, people with weak bones, & when the ability of body to absorb calcium is low, this combination might help to increase bone-mineral density and decrease bone resorption of Calcium.
Its sad to hear that your doctor isnt taking you seriously and is not efficient enough to help you.So why dont you try changing one???
Let me know your todays blood sample reports aswell.
I hope my answer was helpful for you . Thank you.
DR . XXXXXXX HASABE
Cal mag d can be used effectively
Detailed Answer:
Thanks for the appreciation.
Continue standing in sunlight it will indeed help you.
Yes cal mag d can be used effectively. Cal Mag is a great supplement and helps us maintain and strengthen our bones. However when the requirement of calcium goes really high e.g.: post menopausal women, People above 30, people with weak bones, & when the ability of body to absorb calcium is low, this combination might help to increase bone-mineral density and decrease bone resorption of Calcium.
Its sad to hear that your doctor isnt taking you seriously and is not efficient enough to help you.So why dont you try changing one???
Let me know your todays blood sample reports aswell.
I hope my answer was helpful for you . Thank you.
DR . XXXXXXX HASABE
Above answer was peer-reviewed by :
Dr. Prasad
Hi another question regarding b12 deficiency.. My b12 value on the month of August was 219
Doc prescribed me rejuneuron 500mcg injection for 6 weeks weekly once and becosules Z capsules for 3 months.. Since I started the treatment on August 23rd .. 3 months are done.. Though the symptoms what I had subsided .. Still m not 100% cured . The main symptoms which worries me is fatigue ,tingling, and unsteadiness .. Especially unsteadiness it tossed me upside down but I can say m 70%okay my question is
01) can I take rejuneuron injection monthly once
02) and can I continue to take becosules z capsule again
03) can becosules z capsule be taken for a longer duration like 6 months or one year without gap
04) since the unsteadiness and tingling comes and goes how long it will take to get the complete cure of b12 deficiency?
What other things that I should take care to get rid of b12 deficiency completely.
FYI - m a non veg and went thru lots of stress in my life. Could stress deplete b12?pls reply
Doc prescribed me rejuneuron 500mcg injection for 6 weeks weekly once and becosules Z capsules for 3 months.. Since I started the treatment on August 23rd .. 3 months are done.. Though the symptoms what I had subsided .. Still m not 100% cured . The main symptoms which worries me is fatigue ,tingling, and unsteadiness .. Especially unsteadiness it tossed me upside down but I can say m 70%okay my question is
01) can I take rejuneuron injection monthly once
02) and can I continue to take becosules z capsule again
03) can becosules z capsule be taken for a longer duration like 6 months or one year without gap
04) since the unsteadiness and tingling comes and goes how long it will take to get the complete cure of b12 deficiency?
What other things that I should take care to get rid of b12 deficiency completely.
FYI - m a non veg and went thru lots of stress in my life. Could stress deplete b12?pls reply
Brief Answer:
please explain me your diet
Detailed Answer:
Thanks for the revert
Please let me know your daily diet staring from breakfast till dinner.So that it can give me a rough idea about how much vit b12 you receive through your diet.
Thank you.
please explain me your diet
Detailed Answer:
Thanks for the revert
Please let me know your daily diet staring from breakfast till dinner.So that it can give me a rough idea about how much vit b12 you receive through your diet.
Thank you.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
My diet - morning I have breakfast at 11am I have cornflakes and milk with 20almonds
Afternoon - I have lunch at 2 or 3 usually I have plain rice with dhal or veg curry and in the evening I eat noodles and in the night I take 2 chapatis and rice. And weekly thrice I take meat mutton beef and I don eat chicken
Please reply to the above questions individually
Brief Answer:
thanx for providing your diet history
Detailed Answer:
Hey thanks for your faith in the health care Magic
I have gone through your question and I understood your problem.
Rejunuron Plus contains:
Thiamine Hydrochloride 100 mg
Pyridoxine Hydrochloride IP 100 mg
Methylcobalamin 1000 mg 2 ml
Nicotinamide IP 100 mg
D.Panthenol IP 50 mg
Benzyl Alcohol IP'85 2% v/v
so its a vitamin supplement you can take it monthly.
Yes you can stary taking becousule again and it can be taken for longer periods.its absolutely safe.
Preventing Deficiency Problems
Most people can prevent vitamin B12 deficiency by eating enough meat, poultry, seafood, dairy products, and eggs.
If you don't eat animal products, or you have a medical condition that limits how well your body absorbs nutrients, experts recommend taking a B12-containing multivitamin and eating breakfast cereal fortified with vitamin B12.
Vit b12 deficiency I have seen over the years to be recovered during a year or two. No such guidelines it depends on the cause of deficiency.
I hope my answer was helpful for you . Dont forget to close the discussion.Thank you.
DR . XXXXXXX HASABE
thanx for providing your diet history
Detailed Answer:
Hey thanks for your faith in the health care Magic
I have gone through your question and I understood your problem.
Rejunuron Plus contains:
Thiamine Hydrochloride 100 mg
Pyridoxine Hydrochloride IP 100 mg
Methylcobalamin 1000 mg 2 ml
Nicotinamide IP 100 mg
D.Panthenol IP 50 mg
Benzyl Alcohol IP'85 2% v/v
so its a vitamin supplement you can take it monthly.
Yes you can stary taking becousule again and it can be taken for longer periods.its absolutely safe.
Preventing Deficiency Problems
Most people can prevent vitamin B12 deficiency by eating enough meat, poultry, seafood, dairy products, and eggs.
If you don't eat animal products, or you have a medical condition that limits how well your body absorbs nutrients, experts recommend taking a B12-containing multivitamin and eating breakfast cereal fortified with vitamin B12.
Vit b12 deficiency I have seen over the years to be recovered during a year or two. No such guidelines it depends on the cause of deficiency.
I hope my answer was helpful for you . Dont forget to close the discussion.Thank you.
DR . XXXXXXX HASABE
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hi I jus got my blood test report of vitamin D and b12
My vitamin D shows - 123
And my b12 is >2000
I know it's too high what can I do to lower it
My vitamin D shows - 123
And my b12 is >2000
I know it's too high what can I do to lower it
Brief Answer:
Its time to take maintenance therapy
Detailed Answer:
Hey thanks for the revert.
Your reports seem to be very high but don't worry they will fall down to a normal level. What you have to do now is decrease the supplements you are taking for few days say a month and then repeat your blood tests. They will decrease and then just take maintenance therapy. What you were getting now were loading doses. Now its time to take only maintenance doses. All these have to be decided by serial blood level estimations.
I hope my answer was helpful for you. Don't forget to close the discussion. Thank you.
DR. XXXXXXX HASABE.
Its time to take maintenance therapy
Detailed Answer:
Hey thanks for the revert.
Your reports seem to be very high but don't worry they will fall down to a normal level. What you have to do now is decrease the supplements you are taking for few days say a month and then repeat your blood tests. They will decrease and then just take maintenance therapy. What you were getting now were loading doses. Now its time to take only maintenance doses. All these have to be decided by serial blood level estimations.
I hope my answer was helpful for you. Don't forget to close the discussion. Thank you.
DR. XXXXXXX HASABE.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Brief Answer:
no toxic symptoms have been reported
Detailed Answer:
Hey thanks for your revert.
No toxic or adverse effects associated with a large intake or overdose of vitamin B12 from food sources or supplements in healthy people have been documented.I will suggest you to consult with your doctor for the symptoms. .
I hope my answer was helpful for you . Dont forget to close the discussion.Thank you.
DR . XXXXXXX HASABE
no toxic symptoms have been reported
Detailed Answer:
Hey thanks for your revert.
No toxic or adverse effects associated with a large intake or overdose of vitamin B12 from food sources or supplements in healthy people have been documented.I will suggest you to consult with your doctor for the symptoms. .
I hope my answer was helpful for you . Dont forget to close the discussion.Thank you.
DR . XXXXXXX HASABE
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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