Vitamin B12 277.9 is borderline/low-normal depending on the laboratory range

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Your vit b12 level is not that much low that you have to worry for. If you are a vegetarian than you can take Tab vit b complex - 1 tab - once daily But if you are a nov vegetarian you can eat animal products which is a great source of vit b12. When taking medication must drink plenty of water.

please book a consultation with me for proper evaluation.

You have b12 levels on lower side of normal.Please share if you have any symptoms of b12 deficiency. Then  I can guide you further.

Hello, Vitamin B12 level of 277.9 may be on the lower side of the normal/borderline range depending on the laboratory reference range. However, the B12 value alone is not sufficient to decide whether you need supplementation or injections. Silent reflux (LPR) itself does not necessarily mean that you have Vitamin B12 deficiency. However, certain factors such as prolonged use of acid-suppressing medicines (for example, PPIs), dietary intake, absorption problems and other gastrointestinal conditions can contribute to low B12 levels. The appropriate treatment depends on your symptoms, diet, medications, duration of reflux, previous B12 levels and other blood investigations. Depending on the situation, oral B12 supplementation may be sufficient, while injections are required only in selected cases. I would recommend that you consult me for a detailed evaluation before starting any supplementation on your own. During the consultation, we can discuss your LPR symptoms, current medications, Vitamin B12 report and any associated symptoms, and decide whether you need supplementation or any further investigations. You can book an online consultation with me on Practo, and please keep your recent blood reports and current medication list available during the consultation. Dr. NRIPENDRA KUMAR TRIPATHI Online Consultation Available

Lower level of normal is not a problem unless you develop symptoms secondary to it. Like tingling sensation in your limbs, fatigue, weakness. But lower than that could lead to serious neurological effects. Increase your non vegetarian diet, green leafy vegetables if still it doesn't help then switch to meds. Worrying won't help. Get proper diet and you might feel the change there itself. For better and detailed solution do consult me on practo.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Your Vitamin B12 levels fall in the normal range if the unit is in pmol/litre.Silent reflux in itself is highly unlikely to cause vitamin B12 deficiency.

Neurokind od after dinner for two months

Kindly Get CBC done For now just take pantocid and antacid gels And kindly consult with the report then we can proceed ahead

You don't have a vitamin b 12 deficiency, rather at the lower limit of normal range.You can consult a physician in your area for appropriate for

Consult general physician. Or u can whatsapp me on nine nine seven eight one zero six four three one

Consult general physician

Consult a general physician for a personalised treatment regimen

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

Hello, Take Balanced diet. For diet details and prescription contact me at WhatsApp at +91959508739nine or consult by practo app. In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app. Thanks.

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Do consult

Your B12 level of 277.9 is not clearly deficient; please confirm the units and laboratory reference range. LPR does not usually cause B12 deficiency. Avoid high-dose supplements without checking your CBC, folate and, if needed, methylmalonic acid. If you have numbness, weakness or anemia, arrange a clinical review promptly.

Hello sir if your vit b12 is low but if you are vegetarian then you need to supply via injection of vitb12 course of 5 injections and also you have to eat curd, green leafy vegetables and also soya chunks but if you are prefer to egg then you have to eat every 4 egg eat daily then your all vitamins will be maintain also eat daily fruits vegetables don’t worry if you follow all this then all vitamins will be stable and maintain thank you be happy have a nice day☺️

Do consult

You should consult a Gastroenterologist and then a nutritionist if your daily life is getting affected. Otherwise just consume a balanced diet, fruits, fluids and do physical activity.

Avoid spicy and junk food Take T. Pan 40+ Domperidone 10 (Pan D) BD* 1month Take the last meal  1 hour before you go to sleep Try brisk walking within this period

Please visit general physician

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

Start with a general physician for your B12. They can look into the cause and plan replacement for you, while keeping your blood pressure treatment in view.