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B12 Deficiency treatment
Hello Doctors,
I have attached my blood test report. My recent Vitamin B12 level is 124.
Could you please advise the best treatment for my case?
Should I take Vitamin B12 injections or oral tablets?
If injections are recommended, how many injections will I need and over what duration?
If tablets are sufficient, what dose should I take and for how long?
When should I repeat the Vitamin B12 blood test after starting treatment?
Thank you.
Answers (23)
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You should take injections of hydroxocobalamin 1000mcg IM for alternate days for 2 weeks( commonly 6 injections over 2 weeks ) as loading dose
After that you can switch to oral pills
Next Steps
Get test of vitb12 after 2..3 months
Health Tips
Take dairy products as much as you can
Go for cbc after 4-6 weeks
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+144
Better go with inj methylcobalamin 1000ug alternate for week followed by 1000ug twice a week f/b once weekly for 2 month
B/w check a once a b12 report
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Its low
Do deworming first
Followed by vitb12 supplementation
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Take inj. Hydroxycobalamin 100mcg every alternate day I.m. daily for 6 days, then twice a week for 2 weeks, levels can be checked after 2 to 3 months, if mild deficiency persists, one can switch to oral pills.
Also take more of milk, milk products, nuts, berries, whole grains,eggs,soya, fortified cereals, mushrooms.
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A vitamin B12 level of 124 is significantly less. Standard regimen is to start with medications if you have symptoms
Next Steps
you need a consultation to know more about your symptoms
Health Tips
dietary changes are needed
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Its too low,
BETTER TO GO WITH INJECTION.
INJ RENERVE ONE AMPLE INTRAMUSCULAR IN GLUTEAL REASON EVERY ALTERNATE DAY FOR FIVE INJECTION IN 10 DAYS.
FOLLOWED ONE INJ BIWEEKLY FOR THREE INJ.
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A Vitamin B12 level of 124 pg/mL is significantly deficient and requires proper treatment. At this level, injections are strongly preferred over oral tablets as the initial approach â this ensures reliable absorption regardless of whether there is any gut or gastric issue limiting B12 uptake. The standard loading protocol is Methylcobalamin 1500 mcg injections given on alternate days for 2 weeks (6 injections total), followed by one injection per month for 6 months. After that, depending on the cause, you may be able to switch to high-dose oral Methylcobalamin 1500 mcg daily for long-term maintenance. If injections are not feasible, high-dose oral Methylcobalamin 1500â2000 mcg daily is an acceptable alternative â but it takes longer to correct the levels.
Next Steps
Get a CBC (complete blood count) done now to check for anemia. Repeat the B12 blood test after 3 months of consistent treatment to assess response. Also check your Vitamin D, iron, and folic acid levels as these deficiencies often coexist. Avoid self-treating with low-dose B12 supplements (500 mcg or less) â they are insufficient at this level. Please consult me directly on Practo for a detailed evaluation.
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Do consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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A Vitamin B12 level of 124 pg/mL is suggestive of Vitamin B12 deficiency and requires treatment. If you have symptoms such as numbness, tingling, difficulty walking, or severe anemia, injectable Vitamin B12 is generally preferred.A commonly used regimen is Vitamin B12 (1000 mcg) intramuscularly once weekly for 4–6 weeks, followed by monthly maintenance .
Next Steps
Consult me on practo.Please share your CBC report, MCV, symptoms, and dietary history for a more specific recommendation. Repeat CBC and Vitamin B12 levels after 2–3 months of treatment to assess response.
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Go for oral supplements.. if you need any help.. kindly consult
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As u are having low levels. It's better u take b12 injection once a week for atleast 4-5 weeks then u can start oral b12. Change ur diet.eat foods rich in vit B12
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Injectable is good if you prefer because its provide rapid recovery. One injection per week ,total 5 injection and then start oral supplements of b12 once weekly upto 3 months.and go for test after 3 months for adequate levels.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need 5 injection one every alternate day for 5 doses
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take injections
If no absorption after taking tablets
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Mr. Roomaan Hafeez M B
General Physician
2 yrs exp
Hosur
Yes you should take injection alternative days
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Renerve
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Dr. Sandeep Tuljanawar
General Physician
11 yrs exp
Pune
If you are not having any clinical features like weakness, anxiety, tingling sensation in limbs then just take oral vitamin b12 that's sufficient
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Dr. Sharath B S
General Physician
6 yrs exp
Bangalore
It is best to take injection since your B12 values are low
Next Steps
it is once in a week injection and you can take it for 4 weeks along with oral medication of b12 for 1 month
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Shamira Bhaiji
General Physician
1 yrs exp
Bharuch
You need to take vit B12 injections. if you eat non veg food start eating mutton.
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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.