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Vitamin B12 deficiency
Hello Doctors,
I recently had my blood work done due to feeling weak, and the results showed a B12 level of 59.
Here are the other blood test results:
- Hemoglobin: 12.1
- Transferrin Saturation %: 17.87
My local doctor prescribed Neurokind Gold RF for a month. Neurokind Gold RF contains 500 Mcg , but I’m wondering if this dosage is sufficient for me.
I’ve been taking Fexuclue and Motinorm DT for GERD for the past two months.
Please let me know your suggestions.
Thanks so much for your advice in advance.
Answers (12)
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Stop medicines for GERD. they cause b12 deficiency. Kindly consult with me on 94 two six 86 seven eight 96.
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Need few more details for proper understanding of your issue.
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Your B12 level of 59 is quite low, so it’s expected to feel weak. The 500 mcg dose helps, but you’ll likely need a stronger initial correction first. Also, taking PPIs for months can reduce B12 absorption, so that might be adding to the problem.
If you can, let’s do a quick consult so I can guide you on the right dosage and how to manage this safely.
Next Steps
Please book a short consult so we can plan your treatment properly and feel free to clear all your doubts .
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The dose of 500 mcg Vit B 12 is not sufficient. You should take Vit B 12 1500 mcg per day. In addition you have to take foods rich in Vit B 12.
The prolonged treatment for GERD is one cause for Vit B 12 deficiency. It should be discontinued.
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Yes it is sufficient
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Abhishek Anand
General Physician
3 yrs exp
Kolkata
1. Your B12 level of 59 is very low
A normal B12 level is usually above 200–250 pg/mL.
A level of 59 means severe deficiency.
This can explain your symptoms:
• Weakness
• Fatigue
• Lightheadedness
• Reduced appetite
• Mild anemia
2. Your Hemoglobin 12.1 is slightly low
For a male, normal Hb is above 13.0.
Your level is mildly low, which often happens with B12 deficiency.
3. Transferrin saturation 17.8%
This suggests borderline low iron stores, not severe but combined with B12 deficiency, it contributes to tiredness.
4. About Neurokind Gold RF (500 mcg B12)
Your doctor gave a correct and appropriate medicine.
This dosage will help, but with your level being so low, you will need more than 1 month of treatment.
A 500 mcg tablet daily is safe and will gradually correct the deficiency.
However, in severe B12 deficiency, many doctors prefer one of the following:
Option A: Oral B12 high-dose therapy
• Methylcobalamin 1500 mcg daily for 6–8 weeks
or
• Neurokind Gold RF (500 mcg) twice daily for 4 weeks, then once daily for 2 months
Option B: Injection therapy (if fast response needed)
• Methylcobalamin injections 1500 mcg
• 2–3 times a week for 2 weeks
• Then weekly for 4–6 weeks
Both methods are effective.
Tablets work well for most people if absorbed properly.
5. GERD medicines (Fexuclue and Motinorm) are the main reason your B12 is low
Acid-reducing medications like:
• Fexuclue (Fexuprazan)
• PPIs (Pantoprazole, Omeprazole)
• H2 blockers
can reduce B12 absorption if used for 2–3 months or more.
This is exactly what happened in your case.
You should continue GERD medicines if needed, but long-term therapy should be reviewed.
Try to reduce the dose or taper slowly after symptoms improve.
Next Steps
1. Continue Neurokind Gold RF
Take it once daily after breakfast.
But you may need it for at least 8–12 weeks, not just 1 month.
2. Consider increasing the dose (optional but beneficial)
Instead of 500 mcg, you can safely take 1500 mcg per day for the first month.
No side effects.
3. Add an iron supplement
Because your transferrin saturation is low, a gentle iron supplement helps:
• Ferrous ascorbate
• Ferrous bisglycinate
Take it after lunch or dinner.
4. Recheck tests after 2–3 months
• B12
• Hemoglobin
• Iron profile
5. Limit GERD medicine overuse
If GERD is controlled, use them only when needed (under doctor’s advice).
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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