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B12 increase and sudden decrease
My b12 level was 1486 in march and suddenly went down to 400 in April. i have always been b12 deficiant and taking b12 vitamin supplements that are water soluble. what could cause the elevation and sudden decrease?
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HELLO,As such no. So a b comp must be taken in reular basis. We can't take raw food, or cooked food degenerate bit B12. Ok.
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Dr. Asad Raza
General Physician
12 yrs exp
Hyderabad
Vitamin B12 Deficiency
Vitamin B12 (also called Cobalamin) is necessary for the formation of normal RBCs. Intrinsic factor, secreted by parietal cells in the gastric mucosa, binds with vitamin B12. Intrinsic factor is required for absorption of vitamin B12, which takes place in the terminal ileum.
SX - Various GI symptoms, including weight loss and poorly localized abdominal pain, may occur. Neurologic symptoms.
Next Steps
DX - ⢠CBC, MCV and vitamin B12 and folate levels. ⢠Sometimes methylmalonic acid levels or Schilling test. Schilling test: The Schilling test is useful only if diagnosing intrinsic factor deficiency is important, as in classic pernicious anemia. The Schilling test measures absorption of free radiolabeled vitamin B12. Radiolabeled vitamin B12 is given orally.
Health Tips
TX - ⢠Supplemental vitamin B12. ⢠Vitamin B12 1000 to 2000 μg po can be given once/day to patients who do not have severe deficiency or neurologic symptoms or signs. ⢠For more severe deficiency, vitamin B12 1 mg IM is usually given 1 to 4 times/wk for several weeks until hematologic abnormalities are corrected; then it is given once per month.
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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.