Hi doctor, in March 2021 I fell on my knee while playing sports. I waited for 3 months and still had some pain, so I visited an orthopedic in June. Without any lab test for vitamin D, the orthopedic prescribed 60000 IU syrup per day for 11 continuous days. This led to a vitamin D level of 120 ng/ml. It has been 5 months and I still have several symptoms from July until now. I have a feeling of my head shaking, headaches, hand tremors, eye twitching, knee and muscle pains, chest tightness, difficulty in breathing, twitching like tremor all over the body, weakness, and very hot urine. My serum calcium level has been between 10.5 and 11 mg/dl for the past 5 months, now 11 mg/dl. Vitamin D now is 46 ng/ml. Parathyroid hormone (PTH) is 75.67 pg/ml. Uric acid has been between 9.6 and 7 mg/dl, now 7 mg/dl. Creatinine is 0.9 mg/dl. Vitamin B12 is 196 pg/ml. Thyroid: T3 is 0.85 ng/ml, T4 is 6.88 ug/dl, TSH is 3.82 uIU/ml. Blood pH is 8.6. Magnesium is 1.6 mg/dl. What could be the cause of these ongoing symptoms and what should I do?

Answered by 1 Apollo Doctors

Dr Bhanu Prakash

General Practitioner

MBBS
AFIH
Advanced certificate in critical care medicine
Fellowship in critical care medicine
10+ Yrs

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Your symptoms may be linked to past high Vitamin D dosing causing high calcium levels, which can lead to tremors, muscle pain, and weakness. Your calcium is still on the higher side, and your Vitamin B12 is low, which can also cause tremors and weakness. Your magnesium is low, contributing to muscle issues. It is advisable to increase water intake, avoid extra calcium or Vitamin D, and take Vitamin B12 and Magnesium supplements. You can book a Serum Calcium, Magnesium, and B12 test after a month to monitor improvement.

Dr. Bhanu Suggests...

Take a Calcium Test Test or Take a Vitamin B12 Test Test

Book Calcium Test Test Book Vitamin B12 Test Test

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