Thanks for your question â itâs a very important one for maintaining long-term energy, cognitive health, and overall well-being. As a dietitian, Iâll guide you based on current evidence and clinical nutrition practice.
𧪠Your Lab Values: What They Mean
Hemoglobin (Hb): 13 g/dL â This is normal for most adults. No anemia based on Hb.
Vitamin B12: 162 pg/mL â This is low. Most labs consider:
300 pg/mL = Adequate
ð Even if your hemoglobin is normal, a B12 level this low can lead to fatigue, brain fog, numbness/tingling, and long-term nerve damage if not corrected.
ð How Much B12 Should You Take?
Because your B12 is deficient, a therapeutic dose is needed first, followed by a maintenance dose.
â
Recommended Plan:
ð¹ Correction Phase:
Dosage: 1,500 mcg of methylcobalamin (oral) daily
Duration: At least 4â6 weeks
This high oral dose is safe because excess B12 is water-soluble and excreted in urine.
Alternatively (if advised by your doctor):
Injections (e.g., 1,000 mcg intramuscular weekly for 4â6 weeks) are also effective, especially if there's poor gut absorption.
ð¹ Maintenance Phase (after levels normalize):
Once your B12 reaches a healthy level (usually >400â500 pg/mL):
Dosage: 500 mcg daily or 1,000 mcg 2â3 times per week
Monitor levels every 6â12 months to ensure stability
ð½ï¸ Nutrition Advice from a Dietitian:
In addition to supplements, increase intake of B12-rich foods, especially if you're vegetarian or vegan (as B12 is mostly found in animal products):
Eggs
Dairy (milk, yogurt, cheese)
Fish (sardines, tuna, salmon)
Chicken, beef,
liver
Fortified plant milks and cereals (check the label)
â
Summary (Your Personalized Plan):
Phase Dose Duration Form
Correction 1,500 mcg daily 4â6 weeks Methylcobalamin (oral)
Maintenance 500 mcg daily OR 1000 mcg 2â3x/week Ongoing Oral or continued food-based
Would you like help picking a good quality supplement or designing a B12-rich meal plan? Let me know â happy to help!
You said:
Which cooking oil & what type (refined or cold pressed) is advisable to use to make Indian thali meals for a liver cirhosis & diabetic patient?? Can extra virgin olive oil be used in making roti flour n veg curry? Thnks
ChatGPT said:
Great and thoughtful question â and you're absolutely right to consider oil quality carefully when cooking for someone with liver cirrhosis and
diabetes. As a dietitian, here's an evidence-based and practical approach for Indian cooking, tailored to both liver and blood
sugar health.
â
Best Oils for Liver Cirrhosis + Diabetes
ð¯ Goals:
Support liver function (reduce inflammation, avoid fatty buildup)
Manage blood sugar
Avoid liver stress from processed, oxidized, or inflammatory fats
ð¿ Recommended Oils & Types
Oil Best Type Why Itâs Good Best Use
Cold-Pressed Mustard Oil Cold-pressed, filtered Rich in monounsaturated fats, omega-3s, anti-inflammatory, traditional for Indian cooking Stir-frying, sabzis, tadkas
Cold-Pressed Groundnut (Peanut) Oil Cold-pressed Balanced fat profile, stable at high heat Frying, curries
Extra Virgin Olive Oil (EVOO) Extra virgin (unrefined) Excellent for liver & heart health, reduces insulin resistance Light sautéing, mixing in curries after cooking, or dough kneading
Virgin Coconut Oil (limited) Cold-pressed Antimicrobial, medium-chain fats (less liver strain) â use sparingly Occasional tempering or South Indian dishes
â Avoid refined oils, vanaspati (hydrogenated fats), or âblendedâ oils. These are highly processed and harmful for liver and metabolic health.
ð« Can You Use Extra Virgin Olive Oil in Indian Meals?
â
Yes â but with care:
Safe for low to moderate heat cooking (light sauté, curry base)
Excellent for kneading roti flour â adds moisture and helps lower glycemic impact slightly
Not ideal for high-heat deep frying (oxidizes at high temps)
For example: sauté onions and tomatoes in olive oil on medium flame, then add water/spices. Or knead 1 tsp into roti dough per 2â3 cups of flour.
ð Oils to Avoid for Liver + Diabetic Patients:
Refined vegetable oils (sunflower, soybean, safflower â unless cold-pressed)
Palm oil, vanaspati, margarine
Blended/âheart healthyâ oils with additives or high PUFA (prone to oxidation)
Excess ghee or butter (use minimally in liver-compromised patients)
ð¥ Daily Oil Use â How Much?
3â4 teaspoons/day total oil per person is reasonable for liver and diabetes management
Rotate oils weekly (e.g., mustard 1 week, olive oil next) for variety of fatty acids