Connect me through the app

Good evening pls connect with general physician.

Are you vegetarian or non vegetarian? How often does she consume chicken /eggs. This will help me determine her maintenance dose. If the levels were that low you need to continue the supplement for at least 3 to 6 months. Optimal levels for B12 are around 600 to 700 Yes you should repeat the test to understand where the levels have reached and how to go about the maintenance dose. Vegetarians often need to rely on supplements even during maintenance period for B12

Focus on milk products in diet that will help in maintainance of this level

Since her B12 level was 276 pg/mL, which is on the lower side of the normal range, completing the 2-month course is a good step. However, the appropriate maintenance dose depends on her current B12 level, dietary intake, symptoms, and the reason for the low level. I would recommend repeating her Vitamin B12 test now/around 2–3 months before starting supplementation. Based on the updated level, a maintenance dose can be decided. If her levels have improved adequately, a lower maintenance dose may be sufficient, along with regular dietary sources of B12 such as milk/curd, eggs, fish, chicken or other fortified foods, depending on her diet. If she remains low or has an underlying absorption issue, longer-term supplementation may be required. Please avoid continuing a high-dose supplement indefinitely without reviewing her updated blood report.