B12 174 pg/mL borderline low hai, isse injection ki zarurat nahi â oral 1500 mcg methylcobalamin daily 2-3 mahine bilkul kaafi hai, absorption oral se bhi achha hota hai. Injection mainly tab lagate hain jab numbness/tingling ho, severe anaemia ho ya malabsorption/pernicious anaemia ho. Neurobion Forte me B12 sirf 15 mcg hai, wo is level ke liye kamzor dose hai.
Next Steps
Methylcobalamin 1500 mcg roz subah khaali pet 3 mahine lijiye, saath me CBC aur
vitamin D bhi karwa lijiye. 3 mahine baad
B12 repeat karaiye. Haath-pair me sunnapan ya jhunjhuni ho to phir injection wala course start karna padega.