Thanks for sending across your query. After consultation we will investigate your Vitamin B12 levels and thyroid function (TFT). Based on the results, we will decide your medication and also advise appropriate exercises and lifestyle measures το naturally improve Vitamin B12 levels and control thyroid function...

Need B12 replacement Mecobalamin tablets 1500mcg daily for life Consider having blood test for coeliac (IgA-TTG) All the best. Free Online Consultations for those aged 50 years and above WWW.JGSR-HEALTH-EDUCATION.IN

U can take neurobion fort od (hs )

Your Vitamin B12 level of 148 pg/mL confirms a deficiency that needs to be addressed to improve your energy levels and nerve health. Since you are already taking Thyronorm 50, it is important to time your supplements correctly to ensure all medications are absorbed properly. ​Recommended Management: ​Supplementation: A high-dose Methylcobalamin supplement (such as Tab. Neurokind OD 1500 mcg) is standard for this level of deficiency. ​Timing (Crucial): ​Thyronorm: Continue taking this on an empty stomach immediately upon waking. ​B12 Supplement: Take this at night before bed or at least 4-6 hours after your Thyronorm. Calcium and certain multivitamins can interfere with thyroid hormone absorption, so spacing them out is vital. ​Revital Women: You can continue this with breakfast, but note that the B12 content in standard multivitamins is usually too low to correct a documented deficiency. ​Clinical Advice: ​Duration: You should follow this regimen for 2 to 3 months, then re-test your B12 levels to see if they have reached the optimal range (>400 pg/mL). ​Dietary Sources: If you are vegetarian, consider increasing your intake of dairy products (milk, curd, paneer). If you are non-vegetarian, eggs and lean meats are excellent natural sources. ​Check for Fatigue: If you still feel exhausted after a month of B12, we may need to check your Ferritin (Iron) and Vitamin D levels, as these deficiencies often coexist with thyroid and B12 issues. ​Summary: Start the B12 supplement as a separate dose at night. This will help resolve the deficiency without affecting your thyroid treatment.

Tab neurokind od one at night for 2to 3 months.

You can maintain it through your diet as well if u r non vegetarian then have eggs and meat, if vegetarian then have pea, milk products, for medication 8 week neurobion 40 once a day

Take tab neurobion forte one daily for 8 weeks. Take more of fortified cereals,  nuts,sprouts, whole grains, berries,  mushrooms, dates, curd, cheese.

It is very common for people with thyroid issues to have low Vitamin B12, so do not worry this is easily manageable. The amount of B12 in multivitamins like Revital is low to correct an actual deficiency you likely need a separate, B12 supplement for a few months.

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion

Methylcobalamin 1500 mcg.once a week upto 8 weeks.also you need  Methylcobalamin injection alternate day in week two time for 2 week.its regain quickly.

Please consult

Tab neurobion forte OD for 6 week Dietary modifications

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need a few more details please consult for further evaluation and treatment