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Low vitamin B12 values, vegetarian diet, schilling test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vitamins
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi, .
Doctor :   Give me a min.
Doctor :   Yes.
User :   I have got few tests done. My Vitamin B 12 test score is 131 pg/ml. Can u advise me on this?
Doctor :   Are you there.
Doctor :   ok.I guess it is little below normal.
Doctor :   Have you gone to a gastroenterologist.
User :   Yes. He is on vacation at the moment. Can you suggest some remedy to improve vitamin B 12 score
User :   Accepted range is 180-914
User :   I am veg
Doctor :   Can you tell whether you are vegetarian or not.
Doctor :   Yes 150 to 750
User :   I had eaten in my childhood. But now I am veg.
Doctor :   ok, so you have never eaten eggs, meat?
User :   I take a glass of milk daily
Doctor :   This is mainly caused due to strict vegetarian diet.
Doctor :   Do you have milk.
User :   Yes
Doctor :   You are not religiously bound to eat only veg right.
User :   I would prefer veg diet due to religious reasons
Doctor :   Then it is better you can start with eggs and lean meat.Do drastically increase this levels or if you cant eat non veg i would suggest methylcobalamin injections.
Doctor :   And neurokind tablets also containing methylcobalamin.
Doctor :   You can take once a day in the night.
Doctor :   Drink milk twice a day.
User :   If I go for injections, can u advise me the potency and duration
Doctor :   Are you there.
Doctor :   You can take 2 injections in a week for 2 weeks then next month one dose is sufficient.
Doctor :   First tell doctor to check for sensitivity to injection.
Doctor :   Some people are allergic.
Doctor :   You will have to know the reason for your deficiency like do a schilling tests ,to know whether you have any IF deficiency.
User :   Will neuokind tab would suffice?
Doctor :   Do you have thyroid problem or diabetes.
User :   TSH was 2.93. Diabetes test was not done. It was negative in Sep 2010
Doctor :   Yes it will.
User :   Eg?
Doctor :   But try to take more of dairy products in your meal.
Doctor :   ok.
Doctor :   You can try the tablets and get the vitb 12 checked after 1 month.Take the tablets for 3 months continously .Everday one.
User :   ok.tks
User :   Can you advise me which daily products?
Doctor :   give me 1 sec
Doctor :   Yes,sorry.
Doctor :   You can take milk,cheese,paneer.
Doctor :   butter.
User :   yes
User :   ok. tks
Doctor :   Are you there.
Doctor :   Did you have any previous surgeries or are taking any medications for gastritis.
User :   Tonsillectomy was done about 25 yrs ago. No other medication except homeopathic medicines are being taken by me.
Doctor :   ok fine.You can follow my advice and get back to me after a month with another vit b12 test.
User :   What is this test?
Doctor :   Along with that try to get a schilling test done.
Doctor :   Meet a physician for that.
Doctor :   To check for intrinsic factor deficiency, to check whether diet is the only cause for your vit b12 or not.
User :   No thanks.
Doctor :   Ok.Do you have anymore medical queries.
User :   bye
Doctor :   your welcome.
Doctor :   KIndly login for further medical queries.
Doctor :   Take care.
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