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Vitamin b12 level is low 178 pg/ml
Which medicine should I take for vitamin b12 deficiency and how much dose my vitamin b12 level is 178pg/ml
Answers (32)
This is Dr.Nikhil, Your online doctor
Vit B12 is borderline for your age
If your symptomatic - then it requires intravenous supplementation
if not dietary and oral supplementation is more than enough
Next Steps
Consult for evaluation of symptoms and further planning
Health Tips
eat green leafy vegetables and food rich in vit b12
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Tab methylcobalamine 1000mcg 1-0-0 for 3months
Consume B12-rich foods: meat, fish, eggs, dairy, fortified cereals.
Recheck with vit b12 level after 3months
For more queries connect with me on practo
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Please get a full cbc and peripheral smear test done. To rule out any anaemia. Take vitamin supplementation only as advised by doctor. Take meat, green leafy vegetables, eggs, milk in diet. Consult for further details.
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Your Vitamin B12 level (178 pg/ml) is low, indicating deficiency. You’ll need Vitamin B12 supplementation — either injections or oral tablets depending on your symptoms.
If you have fatigue, tingling, or numbness:
Take Methylcobalamin 1500 mcg injection IM every alternate day for 1 week, then once weekly for 4 weeks, followed by monthly maintenance.
If mild deficiency with no symptoms:
Take Methylcobalamin 1500 mcg tablet once daily after breakfast for 3 months, along with Folic acid 5 mg once daily.
Also include eggs, milk, curd, paneer, and non-veg food in your diet.
For personalized dosing and checking if injections are needed, you can message me directly on WhatsApp at nine three two six zero two zero five nine six for detailed guidance.
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Early Evidence of vit b12 def, Kindly connect to start the treatment for the deficiency.
Next Steps
Consult . Happy to help🩺😊
Health Tips
If you are a nonvegeterian try consuming meat, fish, dairy etc to replenish the deficiency.
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You have vitamin b12 def... Tab methylocobalamin 1500 mcg daily
Meat - Beef, liver, chicken, and other meats are excellent sources.
Fishes nd shelfish
Dairy Products: Milk, cheese, and yogurt provide vitamin B12.
Pls connect through wtsp nine zero seven two two zero seven zero nine three
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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
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For B 12 deficiency you should take tablets of Vitamin B 12.
1500 mcg tablet daily for a period of three months should be good enough.
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Vitamin B12 level of 178 pg/ml indicates deficiency. Start with Inj. Methylcobalamin 1000 mcg IM daily for 7 days, then once weekly for 4 weeks, followed by once monthly for 3–6 months.
If mild symptoms and good absorption, Tab. Methylcobalamin 1500 mcg daily for 3 months can be used after injection course or as maintenance.
Next Steps
Recheck vitamin B12 level after 3 months.
Evaluate for associated folate deficiency and thyroid or intrinsic factor issues if persistent low levels.
Take a balanced diet with milk, eggs, meat, and fortified cereals.
Health Tips
Prefer injection route if you have tingling, numbness, or weakness.
Avoid alcohol and smoking, which impair absorption.
If taking metformin or antacids, long-term B12 supplementation may be needed.
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Your B12 level is quite low. You can start Methylcobalamin 1500 mcg daily for 3 months with Folic acid 5 mg daily for 4 weeks. If symptoms like tingling or weakness are present, injectable B12 gives faster recovery. Please consult me online so I can choose the best form and dose for your condition.
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ChatGPT said:
Hello, I am Dr. Romain Rajan, General Physician.
I understand your concern. Your vitamin B12 level of 178 pg/ml indicates a clear deficiency. This can lead to fatigue, tingling, numbness, poor concentration, and low mood if not corrected properly.
â
Advices
⢠Start Methylcobalamin 1500 mcg tablet once daily after breakfast for at least 3 months.
⢠If you experience severe fatigue or tingling, you can take Methylcobalamin 1000 mcg injection intramuscularly daily for 5 days, then weekly for 4 weeks, followed by once monthly for 3 months.
⢠Include foods like eggs, fish, chicken, milk, paneer, and curd in your diet.
What to Monitor
⢠Watch for improvement in energy levels and reduction in tingling or numbness.
⢠Avoid alcohol and unnecessary antacids, as they reduce vitamin absorption.
Management
You may also take Folic acid 5 mg once daily for one month along with B12, as both work together for nerve health.
Continue the supplement for at least 3 months and then repeat your B12 test.
When to Consult a Doctor Immediately
⢠Persistent tingling or numbness in hands or feet
⢠Memory issues or mood changes
⢠Unexplained weakness or loss of appetite
Every patientâs situation is unique. For accurate diagnosis and lasting recovery, it is important to discuss your medical history and symptoms in detail.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646seven seven for a one-on-one consultation, where you will receive:
A personalized treatment plan
Safe medicine adjustments if required
Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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You have a Vitamin B12 deficiency (178 pg/mL).
Start tab. Methylcobalamin 1500 mcg once daily for 3 months along with tab. Folic acid 5 mg daily for 4 weeks.
(Alternative: Inj. Methylcobalamin 1000 mcg IM daily × 5 days → alternate days × 2 weeks → weekly × 1 month → then monthly)
After correction, start tab. Neurobion Forte once daily to maintain normal levels.
Include milk, eggs, and other B12-rich foods in your diet. Also limit alcohol intake.
Next Steps
Recheck serum Vitamin B12 after 8–12 weeks
Monitor for improvement in fatigue, paresthesia, or cognitive symptoms
Health Tips
Screen for neuropathy symptoms – tingling, numbness, burning sensations, imbalance while walking
Evaluate for associated macrocytic anemia (CBC, peripheral smear)
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First thing diet rich in vitamins specifically vit b12 plus Tab.neurobion for 3 months once daily after food
And repeat it after 3 months( sr.vit b12)
Health Tips
about muscle weakness, frequent neck pain, extreme fatigue.
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If experience any symptoms further information needed to treat the root cause, for now you need to take
T.Vit B12 1-0-0 for 30 days after food
Next Steps
kindly consult for further management
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Tab. MCB 1500 mcg once a day
Tab. Folic acid 5mg once a day
(Consider for 2-3 months)
Next Steps
Foods which are red / orange in colour are best for such deficiencies
Health Tips
It’s better to take these meds together instead of vitb12 alone.
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