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Vitamin B12
My mother had a routine checkup and her vitamin b 12 is 300 so is she required injections for increading vitamin b 12 level
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Merely using tablets doesn't help her for recovery suggesting vit b12 rich food diet supplementation needed
Next Steps
dietary maintenance :
Almond milk
boiled egg daily
oat meal with fortified B12
mushroom
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Her vitamin B12 level is 300 pg/mL, so injections are not needed at this time. To maintain healthy levels, you can take oral B12 (around 1000 µg daily) for a few months. Include B12-rich foods like eggs, milk, fish, chicken, and fortified cereals. Adding folic acid 5mg OD can also support B12 utilization.
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Normal range: 200 – 900 pg/mL (varies by lab)
<200 → Deficiency
200–400 → Borderline (sometimes symptomatic, sometimes not)
>400 → Sufficient
So at 300 pg/mL, she is borderline.
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✅ Management
1. Does she need injections?
If she has symptoms (fatigue, tingling/numbness in hands/feet, memory issues, mood changes) → Yes, injections are preferred.
If she is asymptomatic (just routine finding) → Oral supplementation is usually enough.
2. Oral supplementation
Tab. Methylcobalamin 1500 mcg OD × 3 months
OR Tab. Cyanocobalamin 1000 mcg OD × 3 months
3. Injections (if symptoms present or absorption problem suspected, e.g. gastritis, elderly, vegetarian diet)
Inj. Methylcobalamin 1000 mcg IM weekly × 4 weeks, then monthly × 3–6 months
4. Dietary Advice
Milk, paneer, curd, eggs, fish, chicken
If vegetarian → fortified cereals/soy milk
Next Steps
You can consult me directly on Practo, or reach out via WhatsApp number:
Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
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Take a glass of milk daily.
Thanks.
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Dr Praful Mahamuni,
Family Doctor,
MBBS , DM .
Jai hind. 🇮🇳
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A vitamin B12 level of around 300 pg/mL is in the low–normal range. In most cases, oral supplements are sufficient unless there are absorption issues (like chronic gastritis, pernicious anemia, or after stomach surgery). Injections are usually given if the deficiency is severe, if symptoms like numbness/tingling are present, or if absorption from tablets is poor.
Next Steps
Discuss with your doctor whether to continue with oral B12 tablets first.
• If she has significant symptoms (tingling, weakness, memory issues), then injections may be preferred.
• Repeat B12 levels and homocysteine/methylmalonic acid (if available) can help confirm whether supplementation is working.
Health Tips
No need to worry—her level is not dangerously low. Regular supplementation and monitoring are usually enough. Maintain a balanced diet including dairy, eggs, and fortified cereals (if non-vegetarian, lean meats/fish also help). Injections should only be started if clearly advised by her doctor.
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She doesn't need any vitamin b 12 injection at this time as her vitamin b 12 level is 300 pcg.However to maintain she could take oral form of vitamin b 12,500 mcg daily for a few months.
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• Oral Methylcobalamin 1500 mcg once daily after meals × 3–6 months
• Add Folic acid 5 mg daily (helps utilization)
• Diet: eggs, milk, fish, chicken, fortified cereals
Injections only if: severe deficiency (
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No injections are required right now, if she shows any symptoms consult general physician.
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She doesn’t need injections right now unless she has symptoms or absorption problems. Oral tablets are usually sufficient at her level.
Next Steps
consult a physician for proper medicine and dose
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It will be better.
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Hi.
To answer your question, no injections are required as her vit b12 levels are borderline. She might benefit from oral medications.
Next Steps
Consult a doctor.
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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It's border line. Add
Neurokind od one after dinner for one month.
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300 is borderline , instead of injections take any oral B complex tab once daily.
Take fresh vegetables and high fibre diet
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Vitamin B12 deficiency results from various causes ranging from diet to autoimmune.
Simultaneously it may also result in anemia which in turn will also produce various symptoms.
Next Steps
Vitamin B12 rich foods of animal origin like fish, meat, poultry, eggs, and dairy..
Health Tips
Keep a check on Hemoglobin levels.
Also watch out for any nervous symptoms such as postural imbalance, memory disturbance and neuropathy
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She can take inj. Neurobion one on alternate days for a week and then tab neurobion one morning and one evening for 6 to 8 weeks.
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Can manage with vit b12 tablet
Next Steps
consultation
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Dr. Aeman Gazdhar
General Practitioner
1 yrs exp
Indore
Her b12 level is in borderline range if she has symptoms like tingling, fatigue go for injections otherwise supplements are enough.
Tab. Methylcobalamine 1500mcg. OD for 3 months
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Suraj Singh Bhati
General Physician
5 yrs exp
Udaipur
Inj. Vitcofol will help her. And also oral medication for short duration will help her a lot.
Next Steps
Have a thorough consultation and then plan a treatment accordingly.
Health Tips
Before taking any medicines and injections kindly consult for a proper treatment plan.
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Dr. Syed Mohammad Zayan Andrabi
General Practitioner
Srinagar
No injectables are required
Just provide dietary supplements
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
A Vitamin B12 level of 300 pg/mL is usually considered borderline or low-normal depending on the lab reference range. Most people with this level do not require injections if they are not having symptoms like fatigue, numbness, tingling, or memory issues.
What can help:
Increase dietary sources: eggs, dairy, meat, fish.
Oral B12 supplements can be used if diet alone is insufficient.
Only if she develops symptoms of deficiency or levels drop further would injections be recommended.
Bottom line: At 300 pg/mL, oral supplementation and dietary improvement are usually enough, and injections are not mandatory.
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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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Take TAB. BIO D3 MAX ONCE DAILY FOR 6 WEEKS
Next Steps
Repeat test after 6 weeks.
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