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B12 defeciency
Hello Sir/Madam
I had b12 defeciency it was 200 and from last three months have taken nurokindplusrf capsule the levels improved to 290 and week symptoms also have gone, very rare I eat nonveg ...shall I keep this capsule continue will this not have any side effects on long term use.
Have vit b complex tabs for 3 mnths after that check vit b12 level.consult a physician.
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Yes,
You should continue it as of now because we should get it from suppliment if we can't get it from diet.
Next Steps
you have to test vit b12 every 6 months for monitoring
Health Tips
Generally vit b12 is very safe but if you feel any side effect by chance then check vit b12 level.
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No issues
You can take tablets for 3 month
Next Steps
Check sugars - Hba1c
Health Tips
Eat more of panner / curd /soya /almond milk/omlet /fish
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If you are consuming alcohol then stop it bcos alcohols causes B12 deficiency.
So just be in oral medications it will be
Continue Tab Meganueron OD
Once daily for 30 days
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You continue taking b12 supplement till b12 level is 350-400 and then you can stop and get it checked every 3 to 4 months...and then take further dose as required...
You can connect me directly on nine nine three 48 three one six zero six for appointment
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Your vitamin B12 level has improved from 200 to 290 and the resolution of symptoms is a good sign.
Since you rarely consume non-vegetarian food, B12 deficiency can recur if supplementation is stopped completely.
Vitamin B12 and B-complex supplements are generally safe for long-term use and do not cause organ damage.
You may continue the capsule, or switch to a lower maintenance dose (for example, once daily or a few times per week).
It is reasonable to recheck B12 after 3–6 months and adjust the dose accordingly.
Next Steps
Include B12-rich foods (milk, curd, paneer, fortified cereals) if possible.
Health Tips
290 pg/mL = still low–normal, not optimal
Ideal target: >400 pg/mL, especially if neurological symptoms were present
Vegetarian / low non-veg intake → maintenance supplementation needed
Oral methylcobalamin is very safe; excess is excreted
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Your vitamin B12 level has improved and the disappearance of symptoms is a reassuring sign. Since you rarely consume non-vegetarian food, B12 deficiency can come back if supplementation is stopped completely. Supplements from the vitamin B12 and B-complex vitamin class are generally safe for long-term use. If you like, you can also opt for an online consultation with me to decide how long you may need to continue.
Next Steps
It would be good to repeat your B12 levels after some time and review the need for ongoing support. Based on your diet and symptoms, a maintenance plan can be decided. Any change should ideally be done after medical review.
Health Tips
Vitamin B12 is water-soluble, so serious long-term side effects are uncommon. Avoid taking multiple vitamin supplements together without advice. Even if you feel well, periodic monitoring helps prevent future deficiency
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Your Vitamin B12 level has improved from 200 to 290, and it is good that your symptoms have resolved. Since you rarely consume non-vegetarian food, continuing Nurokind Plus RF as a maintenance supplement is safe and commonly recommended. Long-term use does not usually cause side effects when taken in advised doses. You can continue it and recheck Vitamin B12 levels once in 6–12 months.
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It's better to have a vitamin b 12 levels around 350
You can continue to take 500 mcg daily for a few months
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Can take B12 capsules as daily routine no problem
Because in most of the vegetarian food has minute quantity of vit. B12
Next Steps
can continue if you want thereis no harm
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Since your vitamin B12 levels are in apt range , try tapering the intake of Tablets and take only for maintenance and try to add fermented foods which are good source of vit B 12 like cheese , kanji , steamed idli etc which can improve your gut health as well as B 12 levels
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Vitamin B12 deficiency is very common for pure vegetarians . But also possible in non vegetarians which indicates oral absorption of vitamin B12 is less . What u suggest is to go for Vitamin B12 injections once a month . Its more effective and also convinient because everyday taking tablet may be forgotten . If you are pure vegetarian go for vitamin B12 injections of 4 doses , each per week every year .
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✓290 is still borderline, not optimal.aim for 500 to 700 level
Next Steps
continue nurokind plus for another 3 month ..repeat vitamin B12 test level after 3 months
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Your B12 has improved and symptoms are gone — good response. Neurokind Plus RF is safe for long-term use, especially if you rarely eat non-veg.
Rx:
Continue 1 capsule alternate day
Recheck B12 after 3–6 months
For long-term dose planning, you may consult me on Practo.
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Normal values for vit B12 is around 250-300pg/ml
Your recent values are normal
If your symptoms are reduced then stop oral supplements or injections
Better change your diet if you are a vegetarian then consume more diary products like panner,curd,milk
If you are a nonvegetarian then mutton/chicken liver are good source
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Oral absorption of vitamin B12 is not good.
Can go for B12 injection.
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As such there is no big harm, but it can cause anxiety, dizziness, palpitations . Rarely it can cause nerve damage as well.
Better to stop supplements.
Take milk and milk products like curd, cheese, soya, raisins, dates, mushrooms, berries, sprouts fortified cereals, eggs, to provide bit. B12.
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Vitamin B12 deficiency is common, especially in people who rarely eat non-veg food. Your level has improved and symptoms have settled, which is a good sign.
Vitamin B12 supplements are generally safe, and long-term use does not usually cause side effects when taken in the right dose. However, once levels improve, many people do not need continuous daily capsules and can shift to a maintenance plan.
You can naturally support B12 by including:
• Milk, curd, paneer, cheese
• Fortified cereals
• Adequate protein intake
Whether to continue, reduce, or stop the capsule depends on your diet, symptoms, and repeat levels.
For correct long-term dosing and personalized advice, please contact me directly on Practo.
Dr. RS Pankaj
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B12deficiency is very common among vegetarian or occasionally taking non veg or those who are vegan and do not take milk and mill products
Oral B12 in take is not effective
It is advisable to take injectable B12 preferably intra vascular at least five injections twice weekly
As B12 is intrinsic vitamins and is a important neurological vitamins essential brain tonic
Next Steps
Take frequent non veg meals milk and milk products daily twice
Health Tips
Injectable neurobion at least injection every 6 -7 moths
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You can take and repeat after 3-4 months vitamin b12
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Hello, If you’ve taken it routinely for three months, you can now decease it to twice a week just to maintain the stores. Additionally, you can slightly increase the frequency of non vegetarian food in your diet, try increasing intake of eggs, curd, green leafy vegetables. All this should be good enough.
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If you eat non veg kindly add routine Eggs or Non Veg in your diet and also you can have paneer, curd as a b12 source
As your b12 levels are on low normal sides I suggest you to have diet rich sources as B12 tablets can cause gastric upset, dyspepsia.
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Stop it for now. As You rarely eat non veg , every three months take B12 supplements for 20 days. Repeat B12 level after 6 months
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Now you dont need taking b12 .but for prophylaxis you can take it.
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You should not continue taking this medicine for long time without monitoring the levels again. Now its in normal range. You can continue for 1month from now.
Next Steps
check your levels aftr 2months again.
Add Vit D3 60k one capsule once weekly for 4 weeks(total 4 caps).
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Take 6 monthly b12 injection
That would be better
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This combination is generally considered safe for long-term use when taken as prescribed, especially in cases of ongoing deficiency or poor dietary absorption. Vitamin B12 (methylcobalamin) is water-soluble, and excess amounts are typically excreted in urine, so toxicity is very rare even with prolonged supplementation.Common side effects are usually mild and temporary, such as:
Nausea or vomiting
Headache
Stomach upset or diarrhea
Skin rash
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