Sir I am bypass patient since last 1 and half year. I am regularly doing pranaiyam for 45 minutes and 45 minutes walk daily. Right now I have both side leg pain near foot. I have also recently got lab report lipid profile is normal, B12 was some what 140 and Vitamin D 10. So doctor has advised me take Vitamin D spray for 3 time in a week for 1st time and then after once a week for 2 months. And for Vitamin B12 FDSON-MP tablet for 2 months. I have started those medicine since last week and still I feel some easiness. I am regularly taking heart medicine of Met xl-25 and Ecosprin gold 10. Daily once a day. So please suggest if the above is ok or I have to change some medicine or provide me some good food supplements to energize myself.

Dr. Neelam NathGeneral Physician42yrs exp

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B 12 is present in non veg items and yellow of egg is a good source, if you eat. For vegetarians they do need supplements and there are plenty of them available. Vit d is a sunlight vitamin generated in liver with the help of sunlight, uninterrupted exposure to sunlight for half an hour at least helps keep bones strong with the help of vitamin d made by sunlight. Good to know that you are walking for 45 minutes everyday, but it looks like your legs are not able to take the strain of a simple walk. Remember our ancestors are monkeys who use 4 limbs but we humans use only 2, this type of strain is seen in lots of women with a standing kitchen, something our grannies never complained, cooking for entire family while sitting. Take low dose vitamin d every day instead of taking a high dose once or twice a week up to 60, 000 iu, we need about 500-1000 iu / day. Remember vitamin d is a fat soluble vitamin and it does not get out of body by drinking more water like an extra capsule of becosule would come out, fat soluble vitamins a, d, e & k if taken extra get deposited within the body, specially in liver, we do not have fortified milk with vitamin d in our country yet. You need to take calcium for bones also. Take a capsule of shelcal 500 mg everyday, this is for calcium & d, continue with b 12 & heart protective medicines like before and put less strain on legs only, involve entire body in exercise, do rowing exercises for arms, yoga & meditation, continue with pranayam. 

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