Are you vegetarian? Vitamin b12 deficiency needs to be evaluated,  as these levels are very low for your age Complete hemogram Rbc indices Peripheral smear with retic count Iron profile Please get these done and review You can have serious neuropsychiatric symptoms like numbness , tingling,  giddiness,etc , therefore vit b12 injection needs to be started after running these tests

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Your Vitamin B12 level of **139 pg/mL** is below the normal range (typically **200-900 pg/mL**), indicating a deficiency. Let me explain what this means and how to address it:  Implications of Low B12:**  - **Symptoms:** Fatigue, weakness, tingling/numbness (hands/feet), memory issues, mood changes.  - **Risks:** Long-term deficiency can lead to anemia (megaloblastic) or nerve damage.  Recommended Action:**  1. **Supplementation:**     - **Oral tablets** (e.g., Methylcobalamin 1500 mcg daily) **OR**     - **Injections** (if severe deficiency or absorption issues).  2. **Dietary Sources:** Eggs, dairy, fish, fortified cereals.  3. **Follow-Up Test:** Recheck B12 after **2-3 months** of treatment.  Next Steps:**  - Rule out causes like poor diet, malabsorption (e.g., celiac disease), or pernicious anemia.  For a **personalized plan**, consult a doctor. You can reach me on WhatsApp at **eight zero zero nine eight two one three three two**. 

It's low. Tab neurokind od one at night after dinner for 3 months. Weakness, lethargic  lazy feel

Severe B12 deficiency.

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.

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

You have a deficiency of vitamin B 12 as per the value.ideally you should take injection cyanocobalamin weekly once for a month followed by oral tablets or you have to take oral cyanocobalamin daily for a few months.

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Low, use renerve

Need few more details Kindly consult

Please consult for further management

Less.

Please consult available now

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Take meganeuron injection once weekly for three months Tab neurobion once daily for three months

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

Neurobion forte once a day for 30 days.

Need supplements.however,any gastric issues may require further management.

-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life .

Kindly connect Need few more details.