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Severe vitamin b12 deficiency
My blood report of Vit B12 is only 63 which is very low from normal. The only symptom is dry lips and seldom thigh and back pain . And occasional gas problems Hemoglobin also casts 11.2 mg with normal MCV .i started neuroday 1500 mcg tablet My query is Is it dangerous with such vitamin levels or What steps should I take?
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Answers (9)

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Vitamin B12 level of 63.6 pg/mL is severely low While this is a significant deficiency that requires attention, it is manageable with proper medical care. Severely low B12 levels can contribute to nerve discomfort (such as thigh or back pain), mild anemia (hemoglobin 11.2 g/dL), and gastrointestinal symptoms like gas or dry lips. Continuing self-medication alone without medical supervision is not recommended, as the root cause of the deficiency needs evaluation.
Next Steps
Consult a general physician or hematologist in person for a complete clinical evaluation to identify the cause of the deficiency (such as dietary intake issues, absorption problems, or pernicious anemia). Discuss treatment modalities with your doctor; severe B12 deficiencies often require an initial course of intramuscular B12 injections to rapidly restore body stores before transitioning to oral supplements like Neuroday. Repeat blood tests (Vitamin B12, complete blood count, and liver function) after 4–8 weeks of prescribed treatment to monitor recovery.
Health Tips
Do not discontinue or alter supplement dosages without consulting your doctor. If you experience worsening neurological symptoms—such as severe numbness, tingling, balance difficulty, or extreme fatigue—seek immediate medical evaluation.
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Needs proper replacement and evaluation of the cause, so please consult rather than self treating.
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Kindly connect and consult for better treatment
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VitaminB 12 level is 63 pg/ml is extremely low indicating  VitaminB 12 deficiency... Typically required Medical treatment with injection and Supplements... TREATMENT... INJ VITAMINB 12  1MG Intramuscular  injection 1 injection/ week     for 6 weeks Oral Supplements... VitaminB 12  1000--2000 mcg orally once a day  10 weeks Dietary  Adjustments... Ealing more VitaminB 12 rich food Like  Meat,Fish,Egg, dairy products
Next Steps
Repeat the investigation of VitaminB 12 After 10 weeks
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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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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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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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.