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Vitamin B12 Deficiency
Dear sir/madam,
I was having symptoms like dizziness, low mood and shortness of breath. I did blood check up. T3,T4 and TSH are 136,12.3 and 3.0 respectively and Haemoglobin is 15. But the vitamin B12 is 180 which is below the minimum count. The doctor has given me multivitamin tablet called M-Fol D3. So is this tabelt effective? Is the B12 count very low and how to increase the counts since i am vegetarian. And also i have started taking "supply 360 Multivitamin sachet" regularly to increase vitamins. Is it safe to have this? Kindly advise on this.
Thanks.
Answers (11)
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Yes.
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All your test reports are fine. Just vit B12 is a bit low. You can take tablets but i suggest you do multivitamin injection for speedy recovery. Do it once a week for 5 weeks and you will feel better.
Keep a track of your Vit B12 as it is only found exogenously in animal foods.
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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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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Thank you for sharing your problem ..Based on your symptoms of dizziness, drowsiness, and low mood, you may also experience loss of interest in work, poor concentration, and easy fatigability. You may also notice a reduced interest in other daily activities.
I recommend that you first take Neurobion Forte (methylcobalamin) by intramuscular injection on alternate days for 5 doses.
After completing the injections, take MBSON-SL one tablet sublingually every morning for 2–3 months. Repeat the prescribed course after one year if advised.
If you have any questions or if your symptoms do not improve or worsen, please consult your doctor. If you have any doubts, feel free to ask me.
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Hello. Based on your lab reports, your Thyroid Profile (TSH: 3.0) and Hemoglobin (15 g/dL) are completely normal. However, your Vitamin B12 level of 180 pg/mL is borderline low (optimal levels should ideally be above 300 pg/mL). Low B12 levels can directly contribute to neurological and psychological symptoms such as dizziness, fatigue, and low mood.
Regarding Your Questions:
Is M-Fol D3 Effective? Yes, absolutely. M-Fol D3 contains Methylcobalamin (active Vitamin B12) along with L-Methylfolate and Vitamin D3. It is specifically formulated to replenish B12 and folate levels effectively.
Is "Supply 360 Multivitamin" Safe to Combine? While multivitamin sachets are generally safe, it is NOT recommended to combine multiple vitamin supplements on your own, as this can lead to unnecessary overlapping of high-dose vitamins (like Vitamin D3 or Folic Acid). Stick to M-Fol D3 prescribed by your doctor.
Next Steps
1)Follow the Prescribed Course: Take Tab. M-Fol D3 once daily for 2 to 3 months as advised by your physician, while pausing additional self-prescribed multivitamin sachets.
2)Re-evaluate Symptoms: If shortness of breath or dizziness persists despite normal hemoglobin and B12 correction, consider getting a basic ECG or consulting a general physician in person to rule out anxiety-related hyperventilation or positional vertigo.
3)Repeat Blood Test: Get a repeat Vitamin B12 test done after 3 months to ensure your levels have returned to an optimal range (>300–400 pg/mL).
Health Tips
Vegetarian B12 Dietary Sources: Vitamin B12 is primarily found in animal products, making vegetarians more prone to deficiency. To boost B12 naturally:
Consistently consume dairy products like milk, paneer, yogurt (curd), and cheese.
Include fortified foods (such as B12-fortified plant milk, fortified breakfast cereals, and nutritional yeast).
Take Supplements Post-Meal: Take your M-Fol D3 tablet daily after a main meal for optimal absorption.
Hydration & Sleep: Maintain proper hydration (2.5–3 liters of water daily) and ensure 7–8 hours of sound sleep to help reduce dizziness and mood changes.
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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. 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
Will help you
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes, safe
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