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Deficiency of vitamin B12
My Vitamin B12 level is 78.31 pg/ml .. please suggest me what should I do . I have to take injection?
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Yes u need Injectable to correct B12
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Your problem needs proper treatment and management so you may consult with me through this channel and solve your problem.
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Consult for a better understanding of the condition and will give you the course of treatment planned for you
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Yes as per your report u should have IM hydroxocobalamin
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if any neurological symptoms please consult
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If you’re a non vegetarian include more non vegetarian items in your diet.you can talke vit b12 tablets . If highly symptomatic injections would be better
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You can take tablet also.
You don't need to worry....consult your healthcare.
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Take balanced diet. Take fish, meat, egg, cheese. Take a glass of milk daily. For prescription contact me at WhatsApp at +91959508739nine.
In future if consultations are required than contact me at WhatsApp at +91959508739nine.
Thanks.
Thanks.
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Yes it is the only resort as your b12 is very low
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B12 deficiency = replace B12;
IM if neuro/malabsorption, oral if uncomplicated; permanent malabsorption → lifelong replacement.
Need proper evaluation and management accordingly.
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Yes,go for it.because level is too low.
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You can take oral and for more detailed history of your symptoms you can consult
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Hello dear, I have reviewed your report. Your Vitamin B12 level is low. You may need a course of Vitamin B12 injections initially, followed by Vitamin B12 tablets as advised.
We should also do a detailed evaluation to identify the possible reason for the low B12 level, such as dietary deficiency, absorption problems, or other causes. Once we complete the evaluation, we can plan the appropriate treatment and follow-up.
Please don’t worry—Vitamin B12 deficiency is treatable. We can discuss the treatment in detail during your consultation.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices
9 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
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Kindly consult and give proper detailed history along with symptoms for evaluation and take proper timely treatment with relevant investigations if required.
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If you don't prefer injections and you don't have any symptoms per se. You can take oral vitamin B12 replacement in the form of tablets like tab methylcobalamine 1500 MCG once a day for atleast 3 months and continued further on the basis of your repeat reports.
But if you have any symptoms and if there is requirement of rapid correction of vitamin B12 levels then injectable forms can be used.
You need to get a "CBC with peripheral blood film with reticulocyte count" report to check for your hemoglobin, and wether B12 deficiency has started affecting your bone marrow.
Also take a deworming tablet of tab albendazole 400 mg single tablet.
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consult for further guidance
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Its your choice
Oral
Neurokind od after dinner for 3 months
Or
INJ NEUROBION FORTE ONE AMPLE INTRAMUSCULAR IN GLUTEAL REASON ALTERNATE DAY FOR FIVE INJECTION IN TEN DAYS.
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Consult
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U need injection consult me for further opinion
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Do take 7 injections, followed by oral supplements.
Inj. B12 100mcg alternate day for 7 injections, then tab neurobion one morning and one evening for 6 weeks, repeat test to decide further duration of treatment.
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Your vitamin b 12 level is significantly low.You may benefit from injection .The typical dose is 1000 mcg ,.The duration and frequency depends on the CBC ,hgb level,mcv and your symptoms.Oral form is given 1500 mcg daily for a few months
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Do consult
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Yes u should get it
For further evaluation u can consult me
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Need proper evaluation please consult for assessment and treatment
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First of all it's a Must go sign to have injections
Other than that it's important to know about your clinical symptoms, your habits and many more things, it will fix the dose and time period of the medication, it's also important to fix your diet and related complications should be managed accordingly
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if you're expecting the permanent solution for this issue do consult because it's comman in women of your age.
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it's comman in India so don't get panic about it but still you should be careful about it and related complications
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Yes you should get it.
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Given that your vitamin B12 levels are well below the normal cut off range, you definitely need to take Methylcobalamine supplementation either via injectable or oral, injection preferred.
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inj. Hydroxocobalamine 1g IM once daily x 7 days then 1g IM once a week for 3 weeks then once a month for 3 months then, depending on the cause/or repeat b12 levels and some additional factors,may be given once every 3-6 months.
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Cause for b12 deficiency needs to be investigated which would decide the accurate dose and form of management...all depends on your symptoms and on your diet
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Your vitamin B12 level of 78.31 pg/mL is significantly low and should be treated, but the need for injections depends on your symptoms, CBC and the cause (diet, absorption problems or medicines). I would review CBC, MCV and folate and ask about numbness, weakness or balance problems. Please do not self-start injections without an assessment; seek prompt care if you have neurological symptoms.
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Please arrange a physician review soon with the full report; I can guide your treatment and follow-up through Practo or at Synergy Multispeciality Hospital, Miraj.
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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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Mr. Ashutosh
General Physician
5 yrs exp
Bhubaneswar
Take tablets methylcobalamine 1500 mcg along with folic acid 5 mg once daily empty stomach early morning atleast 30 mins before bedtea or morning coffee.
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Dr. Anshul Agrahari
General Physician
9 yrs exp
Ayodhya
Level is very low, you should start vitamin B12 tablets.
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Check your sugar level also.
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Mr. Arun R
General Physician
3 yrs exp
Chennai
Your Vitamin B12 level of 78.31 pg/ml indicates severe deficiency (normal range starts around 200 pg/ml). At this critically low level, body tissue stores are exhausted, placing you at high risk for megaloblastic anemia, persistent fatigue, brain fog, and peripheral nerve damage (such as numbness or tingling).
While high-dose oral tablets can work, injectable therapy is clinically preferred initially because it bypasses gut absorption limits to rapidly replenish depleted cellular reserves and prevent nerve complications.
Next Steps
Please book an online consultation with me so we can review any active symptoms and prescribe the exact dosage schedule suited for you.
Health Tips
Do not delay starting treatment, as prolonged, severe Vitamin B12 deficiency can lead to irreversible neurological complications.
Since natural B12 is primarily found in dairy, eggs, and meat, strict vegetarian diets require ongoing oral maintenance supplements to prevent levels from dropping again.
Seek immediate medical attention if you experience severe limb weakness, loss of balance while walking, extreme breathlessness, or chest palpitations.
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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
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Dr. Pirane Meghana Rajkumar
General Physician
1 yrs exp
Aurangabad
As your B12 levels much lower than normal(minimum-200)...i would suggest to take b12 intramuscular injections weekly for 6 weeks....
It will replenish your b12 needs...
Next Steps
there after take b12 daily for a month...that will fill your b12 stores in your body
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You will feel energetic when b12 got replenished.
Injections are much better for such a low level than tablets...
try to include noveg diet in your routine...if you are pure veg...take youghurt in daily meals..that's the only vegetarian source of B12...
Thank u
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Mr. Shujat Shamas
General Physician
1 yrs exp
Anantnag
Your B12 level is 78 which is quite low
Vitamin B12 is important for blood formation nerves and energy
You will need B12 supplementation and depending on your symptoms injections may be needed initially.
Next Steps
We should also check your blood count and iron and folate levels and find out why your B12 is low
Health Tips
If you have tiredness tingling or numbness in hands or feet weakness dizziness or balance problems please let me know.
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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. Abhinav Singh
General Physician
1 yrs exp
Kanpur
If you don't want to take injection for vitamin b12 which are generally bit painful you can out for high doses of oral vitamin b12 supplementation which will enable intrinsic factor independent absorption of the vitamin for more information you can have a consultation with me
Next Steps
star taking high doses of the oral b12 supplementation
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you can have a detailed consultation and planning with me on my contact 864 zero zero 205 6 zero
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Jitendra Tarasingh Rathod
General Physician
1 yrs exp
Akola
You should consult physician for evaluation and treatment. Vitamin B12 injections may be required, especially if you have symptoms such as tingling, numbness, weakness, anemia, or suspected malabsorption. In some cases, high-dose oral B12 supplements may be sufficient.
Please get a CBC and discuss the appropriate treatment regimen with your doctor. Avoid self-administering injections without medical advice.
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Dr. Amit Kumar Sharma
General Physician
4 yrs exp
Lucknow
Yes, injections are typically recommended for severe Vitamin B12 deficiency
Next Steps
Consult a physician for a proper clinical evaluation and prescription of intramuscular B12 supplementation (e.g., Cyanocobalamin or Methylcobalamin) followed by maintenance therapy.
Health Tips
Evaluate for potential underlying causes like pernicious anemia, dietary intake, or malabsorption issues.
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Dr. Arun Yadav
General Physician
2 yrs exp
Bareilly
I would like to know what symptoms you are having?
As of now you should take injection.
And should improve your diet adding food items which contain B12 . Like egg and chicken
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your B12 level of 78.31 is below the standard reference range on this report, so it does need correcting. Whether tablets or an injection are the right route depends on how low it is and why.
Next Steps
Please take this report to a physician who can decide the right form and course based on your full history.
Health Tips
Untreated B12 deficiency can affect nerves and blood cell health over time, so it is best not left unaddressed for long.
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