Brief Answer:
Continue with vitamin D but no need to take B12 tablets.

Detailed Answer:
Hi,
Welcome to health care magic,

I have read all the findings of your Vitamin D and B12 levels.

Here,608 vitamin B12 level has become completely normal now,so there is no need to take further B12 tablets. You can eat daily 1 egg with 1 glass of milk which would be sufficient for your daily intake of B12 as it is only available in the animal sources of food but no from the vegetarian diet.So no need to worry about B12.

32 vitamin D level is borderline normal,so you can continue vitamin 60 k sachets once in a week for at least 8 weeks to get your vitamin D level come to completely normal.

After that you can recheck your vitamin D level but do remember it is mostly acquired from proper sun exposure.So daily take sunbath for at least half an hour in the morning between 8 am to 9 am.

Hope this will help you.

Regards,

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Brief Answer:
High protein diet as explanied.

Detailed Answer:
Hi,
Thanks for the follow-up.

To gain weight you need to consume more calories every day from healthy foods and choose the right type of exercise.

You can have below mentioned diet.

1) Eat high calorie, high protein diet. Do not increase the intake of junk foods and greasy foods.

2) Eat healthy fats like omega-3 essential fatty acids sources like salmon, walnuts.

3) Eat good protein rich foods like lean meats, fish, poultry, egg white nuts, seeds, pulses and legumes.

4) Eat healthy carbohydrates like fruits, vegetables and whole grains.

5) Protein powder and nutritional supplement drinks can be added.

6) Drink a lot of fluids that supply nutrients and calories like milk, fresh fruit juice and energy drinks.

7) Drink at least 2 glasses of milk, replace tea with milk.

8) Have eggs for breakfast. Custard is good for putting on weight.Eat bananas and sapota milkshakes.

For acid reflux,

You will need drugs with some precautions and this combined effect will helpful to you.

You should take proton pump inhibitors (lansoprazole) with prokinetic drugs (levosulpride) which actually increases stomach emptying time along with effect on gasteoesophageal sphincter and it is available over the counter.

Apart from medications you need to follow certain listed things.

1) Avoid oily,spicy and high fiber diet.
2) Avoid eating with full stomach rather you eat small frequent meals.
3) Avoid taking rest for 2 hours after meal.
4) You can walk slowly up to first 2 hrs of meal but don't walk fast.
5) Make regular eating pattern.
6) Have your dinner before 8 pm so that at the time of sleeping, your stomach will be empty.

All this cumulative effect will be beneficial to you while treating for the acid reflux.

Hope this detailed information will be helpful to you.

Regards,

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Brief Answer:
No side effects.

Detailed Answer:
Hi,
Thanks for your quick follow-up.

Eno contains three active ingredients sodium bicarbonate, citric acid and anhydrous sodium carbonate which react in a glass of water to produce a formula that neutralises stomach acid.

It is not known to cause any side effects unless you have some known allergy to those ingredients.

Hope this will help you.

Regards,

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