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What Do These Lab Test Reports Indicate?

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Posted on Sat, 18 Jun 2016
Question: HI DOCTOR
I HAVE RECENTLY DONE VITAMIN PROFILE FOR MY DAUGHTER AGED 9 AND 2 MONTHS .,
I HAVE ATTACHED THE BLOOD REPORTS ,, I NEED YOUR OPINION .,
SHE IS ON VITAMIN D 10000 IU EVERY 15 DAYS., CALCIUM CITRATE 125MG OD ., NEUROBION FORTE 1/2 TAB,S

HER B12 SEEMS TO HIGH AND IONISED CALCIUM WAS LOW .,
PLEASE ADVICE TO ADD ANY VITAMINS OR TO REDUCE THE SAME

THANKS
doctor
Answered by Dr. Pradeep Kumar Jain (24 hours later)
Brief Answer:
Vitamin's dose need to be reduced

Detailed Answer:
Hello

Thanks for asking the query

I have gone through the history and reports.
Report shows vitamin B12 level more than the normal limit and vitamin D level towards the upper range.
PTH and serum magnesium level are within normal limit.Serum ionised calcium is slightly less but that is not significant.
I wont get overly worried as Vitamin B12 is a water soluble vitamin so excess of vitamin B12 gets excreted in urine.Neurobion forte contains vitamin B12 so as it's level is more than required, I suggest you to stop this.
Similarly when vitamin D level crosses more than 50 ngm/ml, it's considered to be above normal.
The normal requirement is 400 iu/day.So as it's value is also towards upper limit,I would like to hold the supplementation.
Regarding calcium supplementation I would suggest you to consult your pediatrician to make a decision whether it is needed or not (the report shows almost normal values).
Give meals rich in vitamin like saag,daal,panner etc.
I hope this helps.p
please let me know if you have any more doubts.
Ragards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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What Do These Lab Test Reports Indicate?

Brief Answer: Vitamin's dose need to be reduced Detailed Answer: Hello Thanks for asking the query I have gone through the history and reports. Report shows vitamin B12 level more than the normal limit and vitamin D level towards the upper range. PTH and serum magnesium level are within normal limit.Serum ionised calcium is slightly less but that is not significant. I wont get overly worried as Vitamin B12 is a water soluble vitamin so excess of vitamin B12 gets excreted in urine.Neurobion forte contains vitamin B12 so as it's level is more than required, I suggest you to stop this. Similarly when vitamin D level crosses more than 50 ngm/ml, it's considered to be above normal. The normal requirement is 400 iu/day.So as it's value is also towards upper limit,I would like to hold the supplementation. Regarding calcium supplementation I would suggest you to consult your pediatrician to make a decision whether it is needed or not (the report shows almost normal values). Give meals rich in vitamin like saag,daal,panner etc. I hope this helps.p please let me know if you have any more doubts. Ragards