What Does This Vitamin Profile Test Report Indicate?

Posted on Wed, 9 Nov 2016

Question: Hello Dr. XXXXXXX

As you suggested, I get the Vit-D & B12 test done for my wife. Please find attached her Vitamin Profile Test report.

Can you please analyse & share your advise for medications accordingly?

Regards
XXXX

Answered by Dr. Geeta Sundar (6 hours later)

Brief Answer:
Hi XXXXXXX She can take D-rise 60, one capsule a month with warm milk

Detailed Answer:
Hi XXXXXXX welcome to HCM. I have had a look at your wife's reports. Her serum calcium is normal, folic acid normal, TSH normal.

Vitamin D is 10.03 which is deficient and B-12 is 307 which is just above normal. Hi XXXXXXX welcome to HCM, She can take D-rise 60, one capsule a month with warm milk preferably in the morning on empty stomach once a month for 6 months.
And ME 12 OD, one alternate days after meals also for six months. Repeat both after six months.
Now coming to Diet--are you vegetarians or non vegetarians? If the former, are you taking enough Dairy products--milk, curd, paneer.
And does your wife go out in the sun? She should expose herself to sun between 10 am to 2 pm for half an hour daily to get vitamin D (sunlight converts inactive D in the skin to active D). If non-vegetarian, eggs and fatty fish are good sources for both. You can revert back if you have further doubts. Best wishes to you both. Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Geeta Sundar (2 hours later)

Thanks Dr XXXXXXX for clear reply!

We are vegetarian. My wife takes one bowl of curd almost daily, 1 glass of milk daily & paneer once a week. Her exposure to sun is very rare, normally over the weekend only for few minutes I guess.

I would like to confirm my understanding before we start medication. My understanding is as follows.

1) Vitmain-D capsule once a month for 6-months empty stomach with mils.
2) one Vitamin-B12 tablet on alternate days for 6-months after meal. It means 15 tablets in a month.
3) In your last message, you also mentioned about multivitamin capsule (Astymin M Forte). Can you please confirm if it also needs to be started? And the quantity & timing of dosage?

Thanks & Regards
XXXX

Answered by Dr. Geeta Sundar (10 hours later)

Brief Answer:
Hi XXXXXXX you have understood correctly.

Detailed Answer:
Hi XXXXXXX you have understood correctly.
She does need the D and B-12 supplements as advised by me. Astymin M forte is optional--you can give it alternate days too on the days B-12 is not given. And ensure sun exposure.

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee