Question 1

My recent blood test shows that my Vitamin B12 level is 204 pg per ml, while the normal reference range is 211 to 911 pg per ml. Should I be concerned about this mild deficiency? Would you recommend taking Vitamin B12 supplements, or should I try to improve it through natural dietary sources first? Also, what would be an ideal or healthy Vitamin B12 level for someone of my age (27 years) and height (5.11)?

Question 2

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?

Question 3

My report shows Vitamin B12 level at 169 and Vitamin D3 level at 14. I have been experiencing symptoms like inflammation around the anus and general body discomfort. I started treatment with five doses of Eldervit 12 injection and two doses of Arachitol 6L. Although the symptoms improved, some of them have returned. I am also taking Caldikind Plus one tablet daily, Neurobion two tablets daily, and Uprise D3 once a week. I would like to know how many more doses I should take and when I can expect complete relief from all symptoms.

High MCV may indicate B12/folate deficiency. Low platelets and lymphocytes may be due to viral infection, medications, or bone marrow issue. Consult a doctor for further workup.

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