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Vit b12 deficiency
My vitamin b12 level is 267. But doctor Is suggesting b12 injection for me for 4 weeks.should i take oral medicine or injection
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Yes u can take oral medicine
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Dr. Shaik Tasleem Banu
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
10 yrs exp
Bangalore
If you are compliant to oral meds u can try oral first .but if you are a busy scheduled person unable to remember the timing’s of tablet you can go ahead with injection
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You can take oral medicine
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Yes pls take injection
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Both are effective.
Your Doctor may have a reason to advise you Inj B12.
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Dear,
Your Vitamin B12 level is 267 pg/mL, which is on the lower side of the normal range (typically 200–900 pg/mL). The choice between oral supplements and injections depends on your clinical symptoms and underlying causes of deficiency.
Oral Supplements vs. Injections:
1. Oral Supplements (Tablets or Sublingual)
Indicated for mild deficiency or borderline levels without significant symptoms.
Suitable if absorption is intact (no malabsorption disorders like pernicious anemia, celiac disease, gastric surgery).
Requires long-term adherence for around 6-12 months (daily doses of 1000–2000 mcg).
Cost-effective and non-invasive.
2. Vitamin B12 Injections (Intramuscular)
Indicated for moderate to severe deficiency, neurological symptoms (e.g., tingling, numbness, memory issues), anemia( fatigue, tiredness,dizziness), or malabsorption conditions.
Given as initial intensive therapy (e.g., 1000 mcg twice a week for 4 weeks), then maintenance doses.
Ensures rapid correction and direct absorption.
Recommendation:
If you have symptoms like fatigue, tingling, memory issues, or digestive conditions affecting absorption, injections are justified.
If you have no significant symptoms, oral supplements may suffice with regular monitoring.
Discuss with your doctor about your specific symptoms and underlying risk factors before making a decision
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You should visit the treating physician again
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Follow your doctor advice for time being
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You can take oral Medicine.
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If you are symptomatic for Vit B12 deficiency kindly consider the supplements like T. Neurobion forte BD for 15 days. If you have no symptoms try considering diet modifications including vit B12 rich foods.
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Tablet vit 12 for 30 days, one tablet daily.. no need for injection. Is there any symptoms persists
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You can start with tablet
Injections neede only when levels are below 150
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TakeTab Nurokind forte OD for 1mth.
No need of injection.
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It depends on severity of symptoms. If mild, U can take a trial of Oral for 6 weeks.
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Tab neurokind Od one at night for two months.
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Avoid fried food and spicy
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Follow your treating doctor advice
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Initially you need to take IM injections for 2-4 weeks on weekly basis. Thereafter you should take oral 1000-1500 mcg cyanocobalamin for 1-2 months. In case of further symptoms, IM injections need to be repeated.
Next Steps
Kindly consult for further info.
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Kindly connect
Will help you.
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Connect
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Dr. Piyush Subhash Bhople
General Physician
16 yrs exp
Pune
Follow ur Doctors advice
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Dr. Valli Ponsing
General Physician
11 yrs exp
Chennai
Anything which is convenient for u
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Savita Thakur
General Physician
10 yrs exp
Delhi
Oral supplements are fine unless you have any symptoms like tingling sensation, numbness, memory issues. Also you will have to adhere to the oral supplement for minimal 3 to 6 months.
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Dr. Harshavardhana V Naik
General Physician
12 yrs exp
Bangalore
A Vitamin b12 of above 300 is considered normal. So your b12 levels are on the lower side. Kindly contact Carna Health Centre Nagarbhavi Bangalore for a consultation.
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Dr. Saurabh Tiwari
General Physician
7 yrs exp
Lucknow
Kindly connect
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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. Mohd Abrar
Sexologist
15 yrs exp
Srinagar
Oral supplement
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Dr. Vandana Sood
General Physician
35 yrs exp
Delhi
Unless there is some coexisting problem,tablets or nasal spray of B12 along with dietary management is enough to raise your B12 as long as you follow up regularly.
It's your choice along with your doctor.
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Dr. Shruti Goswami
General Physician
14 yrs exp
Pune
U may take tabs
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Paras Nahar
General Physician
3 yrs exp
Indore
If you are feeling weakness, tingling sensation or any other symptoms of b12 deficiency then go for injection ,
Otherwise for tablet you can go for nurokind plus
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Dr. Sachin Pariskar
Pediatrician
9 yrs exp
Pune
Take oral
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Dr. Anmol Kudal
General Physician
5 yrs exp
Nashik
It's personal choice , you can take capsule Nurokind plus rf once everyday for 2 weeks
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Oral medicine will do
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take injections initially.
Later on you can take oral supplements.
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Dr. Nirdesh Thakore
Critical Care Medicine
13 yrs exp
Udaipur
You can take neurobion fort twice daily.Include curd and yogurt ik your diet.Injections are only advised when there are symptoms of vitamin b12 deficiency like anaemia or neuropathy
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