**Dear Patient,**
Chronic iron and
vitamin B12 deficiency can significantly impact your energy levels, cognitive function, and overall health. While Dekorange (iron polymaltose complex) is a reasonable treatment for iron deficiency, its effectiveness depends on several factors that require professional monitoring.
Key Considerations for Your Treatment:**
1. **Dekorange (Iron Therapy):**
- **Dosage & Duration:** Taking it for **3 months** is standard, but the dose (once or twice daily) should be adjusted based on your hemoglobin/
ferritin levels.
- **Effectiveness:** Improvement in weakness/dizziness may take **4–6 weeks**.
- **Side Effects:** Constipation, nausea, or dark stools are common.
2. **Vitamin B12 Deficiency:**
- If B12 levels are critically low, **injections (methylcobalamin)** may be needed initially, followed by oral supplements.
- Sublingual B12 tablets (e.g., Methylcobalamin 1500 mcg/day) can also be effective.
3. **Root Cause Investigation:**
- Deficiencies this chronic suggest an underlying issue (e.g., poor absorption, celiac disease, dietary insufficiency).
- Tests needed: **CBC, serum ferritin, B12, folate, and possibly endoscopy/colonoscopy if malabsorption is suspected.**
*Lifestyle & Dietary Support:**
- **Iron-rich foods:** Spinach, lentils, red meat, jaggery.
- **B12 sources:** Eggs, dairy, fortified cereals (if vegetarian, supplements are essential).
- **Vitamin C:** Enhances iron absorption (take with orange juice/lemon water).
Consultation Recommended:**
- To **monitor progress** (repeat blood tests after 6–8 weeks).
- To **adjust treatment** if no improvement (e.g., switch to IV iron or B12 injections).
**For a personalized plan, contact me on WhatsApp at "Eight Zero Zero Nine Eight Two One Three Three Two".**