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Vitamin B12 deficiency
Brain fog, heaviness in head, loss of interest, fatigue .. which supplements/mouth dissolve strips/ injection do i need to take.. I think my stomach absorption is not good that's why b12 deficiency is there..
Answers (20)
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Dr. Harichandana,
MBBS, MD (General medicine)
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Injection neurokind plus Im
Daily for 10 days
Weekly for 8 weeks
Monthly may be long term (follow up)
You can add vitD 60k po once a week if (vit d deficiency)
Regular monitor your BP ,spo2, RR,and pulse regularly
Iron supplements if anemic
Next Steps
CBC again aftar 6 weeks
vit b12 after 3 months
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Do the following,
1. Blood test: Coeliac antibodies, Intrinsic factor antibodies, TSH, Immunoglobulins
2. Hydroxycobalamin injection 1mg three times a week for two weeks followed by once every three months is the recommended dosage for symptomatic B12 deficiency
All the best.
J G S R clinic.
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Your symptoms may be related to vitamin deficiencies (especially B12) or other metabolic causes; stomach absorption issues can sometimes contribute, but this needs confirmation
Next Steps
Please consult for proper evaluation and guidance. Necessary tests and treatment will be planned accordingly.
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Your symptoms:
• Brain fog
• Head heaviness
• Loss of interest
• Fatigue
These are very commonly linked to Vitamin B12 deficiency, and sometimes also:
• Vitamin D deficiency
• Iron deficiency
• Poor sleep or stress
• Thyroid imbalance
If you suspect poor stomach absorption, common causes include:
• Chronic gastritis
• Low stomach acid
• Long-term antacid or PPI use
• H. pylori infection
• Vegetarian or low-protein diet
In such cases:
• Oral tablets may work slowly
• Mouth-dissolving B12 or injections can be more effective
So your thought about absorption issues is medically reasonable, especially if:
• B12 levels are very low
• Symptoms are significant
• You don’t improve on tablets
Next Steps
Step 1: Check actual deficiency
Do these basic tests:
• Serum Vitamin B12
• Vitamin D
• CBC
• TSH (thyroid)
⸻
Step 2: Choose treatment based on level
If B12 is mildly low (200–300 pg/ml)
• Methylcobalamin mouth-dissolving strips or tablets
• Dose: 1500–2000 mcg daily for 2–3 months
If B12 is very low (
Health Tips
To improve absorption naturally
1. Eat more B12-rich foods:
• Eggs
• Milk, curd, paneer
• Chicken or fish (if non-vegetarian)
2. Reduce long-term antacid use unless necessary.
3. Improve gut health:
• Probiotic curd
• Fiber-rich foods
• Adequate hydration
4. Sleep at least 7–8 hours
• Brain fog often worsens with sleep debt.
These symptoms are very common in B12 deficiency and are reversible with proper treatment. Most people start feeling better within 2–4 weeks of correct supplementation.
If you want, you can share your reports and I can help you choose the exact treatment plan suited to your levels.
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FIRST OF ALL DONT THINK TOO MUCH .
CONSULT IN PERSON FOR PROPER MANAGEMENT OF YOUR DISEASE WHICH WILL REQUIRE SOME BLOOD INVESTIGATION,HISTORY OF YOUR DISEASE,ANY COMORBIDITY,PSYSCHOLOGICAL COUNCELLING,LIFESTYLE MODIFICATION AND MEDICINE.
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