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Vitamin B12 deficiency
Please suggest good supplement and dose for vitamin b12 deficient ...test value is 160. Please suggest.
Answers (28)
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B12 level 160 is LOW (Normal: 200-900). Needs treatment.
Treatment Plan:
1. Loading Dose (First 2 weeks):
- Methylcobalamin 1500 mcg daily
- Take after breakfast
2. Maintenance (After 2 weeks):
- 1000 mcg daily for 3 months
- Then 500 mcg daily ongoing
Best Brands:
- Neurobion Forte
- Nervijen-D
- Mecobalamin tablets
- HealthKart Methylcobalamin
Why Low B12:
- Vegetarian diet
- Poor absorption
- Age-related
- Medications (antacids, Metformin)
Symptoms:
- Fatigue
- Tingling/numbness
- Memory issues
â
Good News:
- B12 deficiency is easily treatable
- Most symptoms reverse with treatment
- Improvement expected in 4-6 weeks
- Safe to take long-term
â ï¸ Important:
- Take Methylcobalamin (not Cyanocobalamin)
- Must take daily - don't skip
- Takes 4-6 weeks to feel better
- Recheck blood test at 3 months
ð« Avoid:
- Don't stop supplements when feeling better
- Don't take on empty stomach (may cause nausea)
- Alcohol reduces B12 absorption
- PPIs/antacids lower B12 - inform doctor
ð¡ Tips:
- Take with food to avoid stomach upset
- Set daily reminder on phone
- Combine with B-complex for better results
- Vegetarians need lifelong supplementation
Recheck after 3 months - should be 400+
Next Steps
1. Buy Supplement Today: - Get Methylcobalamin 1500 mcg tablets - Available at any pharmacy - Brands: Neurobion Forte, Nervijen-D, Mecobalamin 2. Dosing Schedule: - Week 1-2: 1500 mcg daily after breakfast - Week 3-12: 1000 mcg daily - After 3 months: 500 mcg daily ongoing 3. Improve Diet: - Eat eggs, dairy, fish, chicken - Fortified cereals - If vegetarian: dairy products, fortified foods 4. Recheck Blood Test: - Test B12 again after 3 months - Target level: 400-500 pg/mL minimum 5. Monitor Symptoms: - Note if fatigue improves - Check if tingling/numbness reduces - Better memory and energy expected in 4-6 weeks 6. Doctor Visit if: - No improvement after 2 months - Symptoms worsen - New symptoms develop
Health Tips
Your B12 level of 160 pg/mL is LOW (Normal: 200-900). You need supplementation. Recommended Treatment: 1. Initial Loading Phase (First 2 weeks): - Methylcobalamin 1500 mcg tablets - Take 1 tablet daily after breakfast - OR Injectable B12: 1000 mcg IM once weekly for 4 weeks 2. Maintenance Phase (After 2 weeks): - Methylcobalamin 1000 mcg daily for 3 months - Then reduce to 500 mcg daily ongoing Best Supplement Brands: - HealthKart Methylcobalamin - Neurobion Forte - Nervijen-D - Mecobalamin tablets Why Methylcobalamin? - Better absorbed than Cyanocobalamin - More effective for nerve health - Longer lasting in body Causes of B12 Deficiency: - Vegetarian/vegan diet - Poor absorption (gastritis, low stomach acid) - Certain medications (Metformin, antacids) - Age-related decreased absorption Symptoms You May Have: - Fatigue, weakness - Tingling/numbness in hands/feet - Memory problems - Mood changes - Pale skin Recheck B12 After 3 Months: - Should reach 400-500 pg/mL minimum - Continue supplements if still low
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T. NUROKIND once daily
Next Steps
Repeat serum B12 investigation after 2 months of treatment.
Health Tips
Try to add :
1 glass milk + 1 boiled egg daily
Curd with lunch
Fish curry / chicken/ paneer twice a week
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Avoid fired and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. A vitamin B12 level of 160 pg/mL is on the lower side and indicates moderate deficiency, which can cause fatigue, tingling, mood changes, and weakness if not corrected. The good part is that it responds very well to supplementation.
â
Advices
Include eggs, milk, curd, paneer, fish, or chicken in the diet if non-vegetarian; if vegetarian, continue with fortified cereals and milk.
Avoid alcohol and smoking as they reduce absorption of vitamin B12.
Combine supplementation with a balanced diet rich in iron and folate for better response.
Management
You can start one of the following options:
Tablet Methylcobalamin 1500 mcg once daily after breakfast for 8â12 weeks, or
Neurobion Forte tablet once daily after breakfast for 3 months (contains B12 + B6 + B1).
If symptoms like numbness, fatigue, or tingling are marked, your doctor may advise B12 injections â Methylcobalamin 1000 mcg intramuscular once weekly for 4 weeks, then once monthly for maintenance.
What to Monitor
Improvement in energy levels and appetite within 2â3 weeks.
Repeat vitamin B12 levels after 3 months.
When to Consult a Doctor Immediately
If numbness or tingling worsens.
If fatigue or mood issues persist despite supplementation.
Every patientâs requirement differs based on diet and absorption capacity. For optimal dosing and follow-up, itâs best to discuss your history and any concurrent medications in detail.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive:
A personalized supplement plan
Safe dose adjustments
Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Take a glass of milk daily.
Thanks.
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First you can consume animal foods like animal products like meat, fish, eggs, and dairy,
Take supplement of neurobion forte once daily
If any doubt consult me on practo or wattsap nine zero seven two two zero seven zero nine three
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Need some more details kindly consult
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Take tab nuerobion forte once daily for 3 months
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Oral supplement options includes:
Methylcobalamin 1500 mcg or Cyanocobalamin 1000 mcg
Once daily after breakfast for 3 months followed by 500 mcg daily if u r vegetarian or having absorption issues
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Dr. Dongari Swetha
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Hyderabad
Medication along with diet is important to treat deficiency
Take Tab.NUROIIND KC once daily after food for 2-3months
Diet-If vegetarian take leafy vegetables,fruits
If Non vegetarian take fish,meat,eggs,dairy products
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inj b12 5 dose
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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For better guidance, kindly consult with me on 94 two six 86 seven eight 96.
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Tab neurobion forte one daily for 8 to 10 weeks. Take more of fortified cereals, whole grains, curd, cheese, berries, almonds.
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Cap Becasules once daily for 2 months
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Cap ploybion od for 1 month
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There are about 300 preparations available. Use anyone which provides 1500 mcg Vit B 12.
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Inj Nurokind 1mg daily for 7 days followed by once weekly for 4 weeks then once every month.
If preferring oral then
Tab Nurokind 1-2 mg daily for 1-2 month then on alternate day.
Do combine with Folic acid for better result.
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Neurokind od after dinner for two months
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You can take meganeuron od plus once a day for a month
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Renerve
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Meconerv 1500 mcg once a days for 30 days
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Take tab neurobion plus daily
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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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