Question 1

Hi, I am a 20 year old female recently diagnosed with a very low vitamin D level, my 25(OH) Vitamin D (total) result was less than 8.0 ng per mL, based on a blood test done around 4 months ago. I was advised to take Vitamin D3 60,000 IU once a week for 2 months. However, since I also have vitiligo and am currently undergoing depigmentation treatment, I strictly avoid sun exposure. I have heard that in such cases, a longer term vitamin D supplement may be necessary. Could you please guide me on how much vitamin D I should be taking daily in my situation? Also, should I be taking magnesium supplements alongside, and if so, in what dosage?

Question 2

My PTH test report shows 22 pg per ml. Is this normal? I have high blood pressure and take 5 mg Amlokind. I also have spondylosis with C2, C3 bulge and C5, C6 degeneration. Additionally, I have a gallstone of 2.9 cm and antral gastritis for the last six months. I am feeling weak now. Kindly advise if my PTH level is normal?

Question 3

Hi Doctors, my 5 year old kid has been complaining of fibula pain for more than a year. Last January we did his blood test (CBC and Vitamin D3). We found vitamin D3 deficiency and CBC was ok except for a slightly elevated platelet count as he had cough at that time. We consulted a pediatrician and he told us that the kid will have pain due to vitamin D3 deficiency and nothing to worry. He gave some vitamin D3 medicine and it healed the pain, and he did not complain of pain until this month. He gets pain mostly at night after his outdoor activities like playing in the park. The pain lasts for 2 hours and he finds it difficult to walk, but the next morning he walks properly. Can you please suggest the treatment? Do we need to take him to the pediatrician again or to an orthopedic doctor? Please help.

Hello doctor, my mom is 55 years old. Her hemoglobin level and platelet count are normal, and she is not anemic, but she still has consistent body pains and feels very tired. Can you help me understand the reason for this?

Normal hemoglobin and platelets rule out anemia. Persistent body pain and fatigue may indicate vitamin deficiency. Common causes include low Vitamin D or B12. Thyroid imbalance can also lead to tiredness. Further tests can help pinpoint the cause.

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