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High Vitamin B12 and low hemoglobin
My son is 7 years old and his vitamin b12 levels are higher than the normal range(1174pg/ml). His hemoglobin is 10.4... ESR is high(31)... Serum iron was low (40) but ferritin came out normal. I already know how to help his hemoglobin levels as my mother in law faces the same issues and we've dealt with it by monitoring her diet. But I don't know how I can help my son's vitamin b12 levels. His lipid profile is normal. The only test we are planning to do is his KFR/eGFR. Please suggest what can I do to help him. I am willing to do any additional tests if needed.
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Nothing can be done for high levels.  They would reduce on their own. Do not give multivitamin routinely without checking with your paediatrician.
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target low hb ,treat.
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Consult to Pediatrician physically for further evaluation and treatment
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Visit physically to nearby pediatrician.
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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.