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.

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 free detailed discussion

1. Your B12 level of 59 is very low A normal B12 level is usually above 200–250 pg/mL. A level of 59 means severe deficiency. This can explain your symptoms: • Weakness • Fatigue • Lightheadedness • Reduced appetite • Mild anemia 2. Your Hemoglobin 12.1 is slightly low For a male, normal Hb is above 13.0. Your level is mildly low, which often happens with B12 deficiency. 3. Transferrin saturation 17.8% This suggests borderline low iron stores, not severe but combined with B12 deficiency, it contributes to tiredness. 4. About Neurokind Gold RF (500 mcg B12) Your doctor gave a correct and appropriate medicine. This dosage will help, but with your level being so low, you will need more than 1 month of treatment. A 500 mcg tablet daily is safe and will gradually correct the deficiency. However, in severe B12 deficiency, many doctors prefer one of the following: Option A: Oral B12 high-dose therapy • Methylcobalamin 1500 mcg daily for 6–8 weeks or • Neurokind Gold RF (500 mcg) twice daily for 4 weeks, then once daily for 2 months Option B: Injection therapy (if fast response needed) • Methylcobalamin injections 1500 mcg • 2–3 times a week for 2 weeks • Then weekly for 4–6 weeks Both methods are effective. Tablets work well for most people if absorbed properly. 5. GERD medicines (Fexuclue and Motinorm) are the main reason your B12 is low Acid-reducing medications like: • Fexuclue (Fexuprazan) • PPIs (Pantoprazole, Omeprazole) • H2 blockers can reduce B12 absorption if used for 2–3 months or more. This is exactly what happened in your case. You should continue GERD medicines if needed, but long-term therapy should be reviewed. Try to reduce the dose or taper slowly after symptoms improve.

Stop medicines for GERD. they cause b12 deficiency. Kindly consult with me on 94 two six 86 seven eight 96.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Your B12 level of 59 is quite low, so it’s expected to feel weak. The 500 mcg dose helps, but you’ll likely need a stronger initial correction first. Also, taking PPIs for months can reduce B12 absorption, so that might be adding to the problem. If you can, let’s do a quick consult so I can guide you on the right dosage and how to manage this safely.

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

The dose of 500 mcg Vit B 12 is not sufficient. You should take Vit B 12 1500 mcg per day. In addition you have to take foods rich in Vit B 12. The prolonged treatment for GERD is one cause for Vit B 12 deficiency. It should be discontinued.

Yes it is sufficient

Need few more details Kindly consult

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

Avoid fried and spicy food Water intake more Do connect and consult