I have low levels of vitamin D and B12. Do I need any medicine?

Hi,

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I have gone through the attachment (attachment removed to protect patient identity). Please answer my questions. What is your BP (blood pressure) usually? What is your daily routine? Do you have the habit of smoking and alcohol? From the above reports, I can find out a few abnormalities like insufficient vitamin D, low vitamin B12, prediabetic status, mildly increased cholesterol, mild renal dysfunction, slight hypothyroidism, and BMI (body mass index) in obesity range. These come under a broad category of metabolic syndrome.

Now, it is not of immediate concern, and it will not cause an immediate problem. But if neglected, this can lead to a future cardiac and renal problem, diabetes and stroke. Most of these conditions are related to lifestyle. Lifestyle modification includes quitting the habit of smoking (if you are) and limiting the practice of alcohol intake. Do the daily exercise for half an hour. Follow a diet modification with low salt and high fiber with little fat. Have a high fruit intake. Also, take vitamin B12 and vitamin supplements.

Try to do anti-TPO (antithyroid peroxidase) levels to see whether there is a need for thyroid medication or not. Try to do 24-hour urine protein levels. Depending on the above reports and blood pressure readings, you may need antihypertensive preferably ACE (angiotensin-converting enzyme) inhibitors. I would advise you, follow the diet and exercise plan for three months and then repeat the above tests. Depending on the report, start taking medications.