Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Vitamin B12 deficiency is treated based on the severity of the deficiency and the underlying cause (e.g., poor diet, malabsorption, or conditions like pernicious anemia). Here's a complete overview: 1. Treatment Options A. Oral Vitamin B12 Supplements Form: Cyanocobalamin or methylcobalamin Dose: Mild to moderate deficiency: 1000–2000 mcg daily Maintenance (after correction): 500–1000 mcg daily Effective if: The gut can absorb B12 (i.e., not due to malabsorption) B. Injectable Vitamin B12 Form: Usually cyanocobalamin Dose (standard regimen): 1000 mcg intramuscularly (IM): Daily or every other day for 1–2 weeks (until symptoms improve) Then weekly for 1 month Then monthly for maintenance, often lifelong if cause is permanent (e.g., pernicious anemia) C. Sublingual (under the tongue) B12 As effective as oral in many cases Dose: 1000–2000 mcg daily 2. Identify and Treat the Cause Dietary (e.g., vegan/vegetarian): Add B12-rich foods or continue oral supplements Pernicious anemia: Lifelong IM or high-dose oral therapy Gastrointestinal issues (e.g., Crohn’s, gastric surgery, metformin use): May need injections 3. Dietary Sources of Vitamin B12 Animal products only: Liver, meat, fish, eggs, dairy Fortified foods: Cereals, soy milk (check label) 4. Monitoring Recheck B12 levels after 4–8 weeks of treatment Monitor symptoms (fatigue, neuropathy, memory, etc.) Long-term: Check every 6–12 months if on maintenance 5. Symptoms of B12 Deficiency Fatigue, weakness Tingling or numbness in hands/feet Memory issues, mood changes Pale skin or glossitis Anemia (macrocytic) If untreated: irreversible nerve damage If you'd like, I can suggest a treatment plan tailored to your current B12 level, symptoms, or medical history.

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B12 deficiency is common in Indian subcontinent. One can have tablet forms or intravenous/ intramuscular b12 supplementation as per their convenience.

Take tab neurobion one morning and one evening for 6 to 8 weeks. Take sprouted grains, yeast fermented foods, curd, cheese, fortified plant based milks, eggs.

Better to take medicine for deficiency

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Hello, For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp. My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine. Take a glass of milk daily. Thanks. Dr☆MPB  , Dr Praful Mahamuni, Family Doctor, MBBS . Jai hind. 🇮🇳

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Doctor will come your home tomorrow and give you B 12 I don’t know what happened with people

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Tab Meconerv 1500 mcg once a day for 30 days

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

need more information kindly consult

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

B12 suppliments needed even if HB is normal, as it's important for other body functions also

Dear patient, Your Vitamin B12 level of 178 pg/mL is indeed low (normal range: 200–900 pg/mL), which can explain your symptoms of weakness, body pain, and low energy. Even though your hemoglobin is normal, B12 deficiency can still affect your nervous system and overall vitality.