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Vitamin b12 deficiency
Hello ,
I did the body check up in which vitamin b12 is 178 which is very low however hemoglobin is normal
I did the test cause i am feeling weakness and body pain ,low energy .
Please suggest.
Answers (19)
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Doctor will come your home tomorrow and give you B 12
I don’t know what happened with people
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Vitamin B12 deficiency is treated based on the severity of the deficiency and the underlying cause (e.g., poor diet, malabsorption, or conditions like pernicious anemia). Here's a complete overview:
1. Treatment Options
A. Oral Vitamin B12 Supplements
Form: Cyanocobalamin or methylcobalamin
Dose:
Mild to moderate deficiency: 1000–2000 mcg daily
Maintenance (after correction): 500–1000 mcg daily
Effective if: The gut can absorb B12 (i.e., not due to malabsorption)
B. Injectable Vitamin B12
Form: Usually cyanocobalamin
Dose (standard regimen):
1000 mcg intramuscularly (IM):
Daily or every other day for 1–2 weeks (until symptoms improve)
Then weekly for 1 month
Then monthly for maintenance, often lifelong if cause is permanent (e.g., pernicious anemia)
C. Sublingual (under the tongue) B12
As effective as oral in many cases
Dose: 1000–2000 mcg daily
2. Identify and Treat the Cause
Dietary (e.g., vegan/vegetarian): Add B12-rich foods or continue oral supplements
Pernicious anemia: Lifelong IM or high-dose oral therapy
Gastrointestinal issues (e.g., Crohn’s, gastric surgery, metformin use): May need injections
3. Dietary Sources of Vitamin B12
Animal products only:
Liver, meat, fish, eggs, dairy
Fortified foods: Cereals, soy milk (check label)
4. Monitoring
Recheck B12 levels after 4–8 weeks of treatment
Monitor symptoms (fatigue, neuropathy, memory, etc.)
Long-term: Check every 6–12 months if on maintenance
5. Symptoms of B12 Deficiency
Fatigue, weakness
Tingling or numbness in hands/feet
Memory issues, mood changes
Pale skin or glossitis
Anemia (macrocytic)
If untreated: irreversible nerve damage
If you'd like, I can suggest a treatment plan tailored to your current B12 level, symptoms, or medical history.
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Please consult ASAP
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B12 deficiency is common in Indian subcontinent.
One can have tablet forms or intravenous/ intramuscular b12 supplementation as per their convenience.
Next Steps
Kindly get in touch for further management
Health Tips
Dietary modifications
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Take tab neurobion one morning and one evening for 6 to 8 weeks.
Take sprouted grains, yeast fermented foods, curd, cheese, fortified plant based milks, eggs.
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Better to take medicine for deficiency
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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B12 suppliments needed even if HB is normal, as it's important for other body functions also
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Connect
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Need more details for better understanding on case kindly connect
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Dear patient,
Your Vitamin B12 level of 178 pg/mL is indeed low (normal range: 200–900 pg/mL), which can explain your symptoms of weakness, body pain, and low energy. Even though your hemoglobin is normal, B12 deficiency can still affect your nervous system and overall vitality.
Next Steps
1. Vitamin B12 Supplementation
• Option 1: Oral tablets (e.g., Methylcobalamin 1500 mcg daily for 2–3 months).
• Option 2: If deficiency is severe or symptoms worsen – Intramuscular B12 injections (1000 mcg once a week × 4 weeks, then monthly).
2. Dietary Tips
• Include B12-rich foods like milk, curd, paneer, eggs, chicken, and fish (if non-vegetarian).
• Vegans may need long-term supplements.
3. Recheck Levels
• Re-test your Vitamin B12 after 6–8 weeks of treatment to assess improvement.
4. Lifestyle
• Get adequate sleep, hydration, and physical activity to help restore energy levels.
Health Tips
Please consult your physician before starting treatment for proper evaluation and prescription.
Wishing you a speedy recovery.
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Need few more details
Kindly connect.
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine.
Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS .
Jai hind. 🇮🇳
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Rajwinder
General Physician
5 yrs exp
Delhi
Consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Tab Meconerv 1500 mcg once a day for 30 days
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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