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Vitamin B12 Deficiency
Hello Doctors, I got to know from my blood test report that my Vitamin B12 is 174 pg/mL (Lab reference: 211-912 pg/mL). Should I take injections for this deficiency or would 2 tablets of Neurobion Forte in a day for a month be sufficient to cure this deficiency?
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174 pg/mL is mild deficiency, not the severe range - so oral is enough for you. Injections are needed only when levels are very low, or there is numbness/tingling, anaemia, or a gut absorption problem. Two Neurobion Forte a day for one month will barely move the needle though; the effective dose is methylcobalamin 1500 mcg daily for 8-12 weeks, then recheck. Also worth checking why it dropped - vegetarian diet, long-term antacids/metformin, or B12 loss from the gut.
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Start oral methylcobalamin 1500 mcg once daily and repeat B12 with CBC after 3 months. Ping me on Practo with your CBC and symptoms if you want the dose and duration fixed for your case.
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Depends on severity of symptoms if any
If symptoms present, severe, then injection needed, otherwise tablets are fine.
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Injections are not always necessary the right oral dose depends on symptoms and the cause, so a consultation can help choose and monitor the safest replacement.
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Hi, that shld be enough for now. Other than tablets, Diet supplements is more important to vitB12
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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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Sir Tablet will be enough 1 tablet preferably after food at afternoon .
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kindly Consult online for further evaluation
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Tablet form is enough .
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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. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A B12 level of 174 does need treatment. Whether tablets or an injection work best depends on your symptoms and how well you're absorbing it, not a fixed rule.
Next Steps
Please have your prescribing doctor confirm the right strength and duration for you, since a fixed one-month course may not be enough.
Health Tips
Please don't lock in a dose on your own. It's also worth checking your diet and any long-term medicines that can lower B12.
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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. 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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