Iron & vitamin deficiency guide

Iron, vitamin D, and B12 deficiency treatment online in Virginia and West Virginia

This guide is for treating iron, vitamin D, or B12 deficiency confirmed by your own lab result. Iron deficiency in an adult man or a postmenopausal woman always requires a referral for a GI-bleed workup alongside treatment, since it's rarely explained by diet alone in these groups.

Start online

Start a $59 online review for Iron, vitamin D & B12 deficiency.

If a recent lab test shows you're low in iron, vitamin D, or B12, online review can often start the right supplement quickly, using dosing strategies (like every-other-day iron, or high-dose oral B12) that work as well as older approaches with fewer side effects. Iron deficiency deserves a closer look in certain patients: in an adult man or a woman past menopause, it's often a sign of slow blood loss somewhere in the digestive tract, so a referral for a GI-bleed workup is always part of the plan.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Fatigue, weakness, or feeling unusually tired
A lab result showing low iron/ferritin, low vitamin D, or low B12
Hair loss or brittle nails (sometimes associated with iron deficiency)
Numbness, tingling, or balance problems (sometimes associated with B12 deficiency)

May fit online care

Adults & children 4+ (with a parent or legal guardian)
A photo of a lab result showing iron, vitamin D, or B12 deficiency
No chest pain, shortness of breath, fainting, or a hemoglobin under 8
Willingness to complete a GI-bleed workup referral if you're an adult man or postmenopausal woman with iron deficiency

Look for another care setting

No lab result showing the deficiency
Chest pain, shortness of breath, fainting, or a very low hemoglobin (these need urgent/ER care)
Severe neurologic symptoms needing immediate in-person evaluation rather than online treatment

What to have ready

A clear photo of your lab report showing the specific deficiency and value(s)
Whether you are an adult man or a woman who has gone through menopause (for iron deficiency)
Any numbness, tingling, balance problems, or memory changes (for B12 deficiency)
A history of celiac disease or bariatric/weight-loss surgery, if applicable

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

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Why do men and postmenopausal women with iron deficiency need a GI-bleed workup?

In adult men and in women after menopause, low iron is much less often explained by diet or by blood loss from periods. It is often a sign of slow, sometimes hidden bleeding in the digestive tract, which can have a range of causes that need to be identified with a colonoscopy and/or an upper endoscopy (scope tests that look inside the colon or the stomach). We can treat the low iron while that workup is arranged, and we always give the referral.

Why every-other-day iron instead of daily?

Studies show that taking iron every other day helps your body absorb more of it and causes fewer stomach problems, like constipation and nausea. It is now considered the preferred approach for most people with low iron.

Is oral B12 as good as a B12 shot?

For most people, a high enough dose of B12 by mouth (1,000 mcg a day) is absorbed well enough to work as well as a shot, because the body has a backup absorption pathway (a second way to absorb it) that works even without the normal absorption in the intestine. Some situations, such as significant nerve symptoms or certain absorption problems, may still call for closer follow-up or injectable therapy (shots).

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

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