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Body Aches & Tingling Check

Updated 9 September 2026
Tests + consultation2 testsGeneral Physician included

Aching legs and lower back that no painkiller quite fixes. Tingling or numbness in the hands and feet. Getting tired by mid afternoon, low mood, and bones that hurt when you press them. These are the everyday signs of two deficiencies that are extremely common in Pakistan and are easy to confirm with one blood sample: vitamin D and vitamin B12. The Body Aches & Tingling Check measures both, at your home in Lahore, and puts a doctor on the other side of the result.

The scale is genuinely large. The National Nutrition Survey found 79.7% of women of reproductive age deficient in vitamin D, more than half of them moderately and a quarter severely (NNS 2018, UNICEF). The same survey put B12 deficiency at about one in five. The two feel similar from the inside, which is the problem: both cause tiredness and aches, but low vitamin D shows up as bone and muscle pain while low B12 more often causes tingling, numbness and a sore tongue, and they are corrected with completely different things. Guessing between them, or dosing for both, wastes money and can delay the one that is actually low.

Your report is usually ready the same day. A PMC verified General Physician then reads it with you, online or at a clinic, whichever suits you, and prescribes the right strength and form for your actual level rather than a standard packet. That matters most with vitamin D, where treatment ranges from a weekly sachet to an injection depending on how low you are. If your results are normal, the doctor looks elsewhere for the aches instead of leaving you on supplements you do not need.

ٹانگوں اور کمر میں مسلسل درد، ہاتھ پاؤں کا سن ہونا یا سوئیاں چبھنا، دن میں جلد تھک جانا اور طبیعت کا بجھا بجھا رہنا۔ پاکستان میں ان کی سب سے عام وجہ وٹامن ڈی اور وٹامن بی 12 کی کمی ہے۔ دونوں کی علامات ملتی جلتی ہیں مگر علاج الگ الگ ہے، اس لیے اندازے سے سپلیمنٹ لینے کے بجائے ٹیسٹ کروانا بہتر ہے۔ نمونہ لاہور میں گھر بیٹھے لیا جاتا ہے، رپورٹ زیادہ تر اسی دن مل جاتی ہے، اور مرہم کا ڈاکٹر آن لائن یا کلینک پر آپ کی رپورٹ کے مطابق صحیح خوراک تجویز کرتا ہے۔

Tests included

25-OH Vitamin - D3

Vitamin B-12 (Serum)

What's included

Two tests from one blood sample, no fasting needed, plus the doctor who decides the treatment.

  • 25-OH Vitamin D3: the correct way to measure vitamin D. It tells you not just whether you are low but how low, which is what decides whether you need a weekly sachet, a monthly dose or an injection. Low vitamin D typically shows as bone and muscle pain, aching legs and back, and tiredness.
  • Vitamin B-12 (Serum): low B12 causes tingling and numbness in the hands and feet, a sore tongue, poor memory and low mood, and it is easy to miss because a blood count can still look normal early on. It is more common with a mostly vegetarian diet, after 50, and on long term acid reflux or diabetes medicines.
  • General Physician consultation, included: a Marham doctor reads both levels and prescribes the right strength and form for your result, tells you how long to take it and when to retest. Take it online or at a clinic, whichever suits you. It is part of the package, not an add on.

If a result needs following up, your doctor orders only what is needed, charged separately: calcium and phosphate, parathyroid hormone for a very low vitamin D, or a CBC and ferritin if the tiredness looks like more than a vitamin problem.

Before your test

  • Stop vitamin supplements 24 hours before the sample. Multivitamins, vitamin D sachets and B12 tablets all raise the reading and can make a real deficiency look like a normal result. Prescription medicines carry on as usual unless your doctor says otherwise.
  • If you have had a vitamin D injection recently, say so, and consider waiting. A single injection keeps the level raised for weeks to months, so a test taken too soon shows a good number that has nothing to do with your baseline. Your doctor can tell you the right gap.
  • The same applies to B12 injections, which raise serum B12 immediately and for a long time afterwards.
  • No fasting needed. Eat and drink as normal. A morning sample is easiest.
  • Mention pregnancy or breastfeeding, since both change what a normal level means and what dose is safe.
  • Mention long term medicines, especially acid reflux tablets such as omeprazole, metformin for diabetes, steroids and anti epileptic drugs. All of them affect these two vitamins.
  • Not for children under 12.
  • Have the patient's name and age ready, plus the name of any supplement you are already taking and how long you have been on it. Have a phone in a quiet place for an online consultation, or your preferred clinic if you would rather be seen in person.
  • One low reading is a starting point, not a diagnosis on its own. Your doctor reads both results together with your symptoms before deciding anything.

How it works

1

Book the package

Confirm the patient’s details and pick a home-collection slot, then pay online or have our team call to confirm.

2

Home sample collection

A Marham Lab phlebotomist collects the sample from your home in Lahore.

3

Get your reports

Your reports are delivered through Marham once the lab has processed them.

4

Doctor consultation

Our team calls to arrange your included consultation once your reports are ready.

Frequently asked questions

سب سے عام علامات یہ ہیں: ٹانگوں، کمر اور جوڑوں میں مسلسل درد، پٹھوں کی کمزوری، سیڑھیاں چڑھنے میں دشواری، جلد تھک جانا، طبیعت کا بجھا رہنا اور بار بار بیمار پڑنا۔ بچوں میں یہ ہڈیوں کے ٹیڑھے پن کی وجہ بھی بن سکتی ہے۔ پاکستان میں یہ کمی بہت عام ہے، قومی غذائی سروے کے مطابق تولیدی عمر کی 79.7 فیصد خواتین میں وٹامن ڈی کی کمی پائی گئی (NNS 2018)۔ مسئلہ یہ ہے کہ یہی علامات وٹامن بی 12 کی کمی، خون کی کمی اور تھائیرائیڈ میں بھی ہوتی ہیں، اس لیے ٹیسٹ کے بغیر یقین سے کچھ نہیں کہا جا سکتا۔ مزید پڑھیں: وٹامن ڈی کی کمی

It is very common here to go straight to an injection, and it is worth pausing. The dose and the form depend on how low you actually are: a mild deficiency is usually corrected with an oral weekly sachet, while a severe one may need an injection and a follow up test afterwards. Without a level, you cannot tell which case you are, and vitamin D is stored in the body, so repeated high doses taken on a hunch can push you too far the other way. There is also the question of whether vitamin D is the problem at all, since low B12 causes very similar symptoms and an injection of vitamin D will do nothing for it. Test first, then let the doctor choose the dose.

دونوں سے تھکن اور کمزوری ہوتی ہے، اسی لیے لوگ اکثر ان کو ایک ہی سمجھ لیتے ہیں۔ فرق یہ ہے کہ وٹامن ڈی کی کمی زیادہ تر ہڈیوں اور پٹھوں کے درد کی صورت میں سامنے آتی ہے، خاص طور پر ٹانگوں اور کمر میں۔ وٹامن بی 12 کی کمی میں ہاتھ پاؤں سن ہونا، سوئیاں چبھنا، زبان کا سرخ اور دکھنا، یادداشت کی کمزوری اور مزاج کا بگاڑ زیادہ نمایاں ہوتا ہے۔ علاج بھی الگ ہے: وٹامن ڈی کے لیے سیشے یا انجکشن، اور بی 12 کے لیے گولیاں یا الگ انجکشن۔ اسی لیے دونوں ٹیسٹ ایک ساتھ کروانا سمجھداری ہے، تاکہ صحیح کمی کا صحیح علاج ہو۔

جی ہاں، اور اس کی ایک اہم وجہ ہے۔ کیلشیم جسم میں اسی وقت جذب ہوتا ہے جب وٹامن ڈی کافی مقدار میں موجود ہو۔ اگر وٹامن ڈی کم ہے تو کیلشیم کی گولیاں مہینوں کھانے کے باوجود ہڈیوں کا درد ٹھیک نہیں ہوتا، اور لوگ سمجھتے ہیں کہ دوا اثر نہیں کر رہی۔ اس لیے پہلے وٹامن ڈی کی سطح معلوم کرنا ضروری ہے۔ اسی طرح اگر درد کے ساتھ ہاتھ پاؤں سن ہو رہے ہوں تو وجہ کیلشیم نہیں بلکہ وٹامن بی 12 کی کمی ہو سکتی ہے۔ رپورٹ آنے کے بعد ڈاکٹر بتا دے گا کہ آپ کو واقعی کس چیز کی ضرورت ہے اور کون سی گولی بند کی جا سکتی ہے۔

You can, and for aching legs alone it is a reasonable start. The reason both are in one check is that vitamin D and B12 deficiency overlap heavily in symptoms, and treating the wrong one is the usual way people spend months without improving. Booked separately at list price the two come to Rs. 6,100. This check prices them below that and adds a General Physician consultation, included rather than charged on top, so someone matches the dose to your actual level instead of handing you a standard packet. Home sample collection in Lahore is free, and you can take the consultation online or at a clinic.

Book this package

Rs. 4,930

Rs. 7,10031% off

Tests

2

General Physician

Online or In Clinic Consultation

Sample collection

At home · Lahore

Book this packageHome sample collection — Lahore only