Your vitamin D level of 18 ng/mL indicates deficiency, and vitamin B12 at 258 pg/mL is on the lower side of normal or mildly insufficient, so starting Shelcal HD (which contains calcium and vitamin D) and Neurobin Forte (a vitamin B12 supplement) could be appropriate.

🩺 Recommendation

• Shelcal HD (Calcium 500 mg + Cholecalciferol 500 IU) can help improve your vitamin D level and support bone health.
• Neurobin Forte can help raise your vitamin B12 levels.
• Both supplements should be started under your doctor’s guidance to determine the correct dosage and monitor response.

⚕️ Important Considerations

• Your vitamin D deficiency may need higher initial doses like weekly D-Rise 60K capsules (high-dose vitamin D) as prescribed by a specialist before maintenance with Shelcal HD.
• Vitamin B12 levels near deficiency often need supplementation, but the exact dose depends on symptoms and causes.
• Regular monitoring of vitamin levels is important to avoid overdosing or side effects.

🩺 When to See Doctor

• If you experience symptoms like persistent fatigue, numbness, or bone pain, consult a specialist such as an endocrinologist or internal medicine doctor promptly.
• Always inform your doctor before starting supplements, especially if you have kidney issues or other chronic conditions.

Starting these supplements with proper medical oversight is advised to ensure safe and effective correction of your vitamin deficiencies.