Vitamin b12 reduces further

2025-07-11 09:39:56
Hello doctors I checked my vitamin b12 on 7 june it was 298 then I started B29 DAILY but after 1 month it goes 220 please suggest what should I do now..I feel difficulty in my shoulders
112 Views
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.

Answered2025-08-01 03:20:12

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Didn't find the answer you are looking for?

Talk to experienced doctor online and get your health questions answered in just 5 minutes.

+187
Consult with a doctor
Online now
Hello, For ePrescription please pay and consult or contact me at WhatsApp at +91959508739nine . Take a glass of milk daily. Thanks. Dr Praful Mahamuni, Family Doctor , MBBS . Health is wealth. Jai hind . 🇹🇯

Answered2025-07-12 09:47:35

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

To do CBC , VITAMIN D 3 LEVEL , SERUM MINERALS . to review with reports . Hope it helped

Answered2025-07-12 03:38:30

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Please share a detailed history of your symptoms. Do you take some medicine like pantaprazole/rabeprazole, metformin regularly? Do you have gastritis? Do you have  anemia? With answer to above questions,  I can help you cure vit b12 deficiency. For now take tab neurobion forte one daily for 6 to 8 weeks. For shoulder pain, take tab voveran 50mg one every 8hours for 3 to 4 days. Tab shelcal 300mg one morning and one evening for 15 days. Get serum vit d3 and calcium estimated, share results online.

Answered2025-07-12 03:01:48

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Hello Don't worry Ideally you should share the reports of all other tests as well. Not just B12. The reason for B12 not rising can be lack of absorption. For now you can take Inj Neurobion forte IM Once daily for 2 weeks Then Once a week till all your blood parameters are normal
Next Steps
Difficulty in shoulders : Check your D3 levels as well - Consult a local GP who can examine you (take any on going medications and disease diagnosis with you when you go for the consultation)

Answered2025-07-12 02:15:15

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Don't take B 29 . Take B12. You have B12 deficiency, not B 29.

Answered2025-07-12 01:52:46

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Repeat the test to compare.If levels are getting less, take injection cyanocobalamin weekly for a few weeks.

Answered2025-07-12 00:01:08

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Inj neurobion forte one in alternate day for five injection in 10 days.

Answered2025-07-11 23:30:36

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Please connect

Answered2025-07-11 19:42:26

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Connect

Answered2025-07-11 18:44:04

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Need few more details Kindly connect

Answered2025-07-11 17:42:36

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Need few more details Kindly consult

Answered2025-08-02 06:20:19

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Need few more details.. kindly consult for further evaluation

Answered2025-07-17 07:11:38

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Take injections

Answered2025-07-16 07:48:20

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

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

Answered2025-07-16 07:24:48

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Start renerve plus

Answered2025-07-12 05:45:28

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Please consult

Answered2025-07-12 04:23:34

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Share your complete reports.

Answered2025-07-12 04:23:01

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Hello it can be due to less absorption of vit b12 You can take Injection vit b12 IM once weekly For shoulder Take tablet nucoxia 90 mg once at night after dinner for 5 days

Answered2025-07-12 03:44:12

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

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

Answered2025-07-11 17:40:33

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.