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Does B12 Level Of 283 Indicate Any Abnormality?

Posted on Thu, 23 Jan 2014

Question: Is b12 of 283 low?

Answered by Dr. Dr. Ivan Romich (2 hours later)

Brief Answer: Hi and welcome to XXXXXXX Detailed Answer: Thanks for the query. This is not low. It is still considered normal when is above 200. However,rarely,but possible, even if levels are within normal range,it may still indicate B12 defficinecy if there are symptoms such as:weakness, tiredness,rapid heartbeat and breathing, pale skin, stomach upset and weight loss, diarrhea or constipation,mood changes. So if you have some of these you should just take B12 rich food and repeat test in 2-3 months. WIsh you good health. Feel free to ask. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Ivan Romich (1 hour later)

I had a vertigo spell when I woke up 8 weeks ago.. My first one ever ... And since the. I feel off balance. I feel Like the back of my head has a hevu feeling. I am so nervous, ent told me I might have meneires, neuro said have vertigo but nothing spins anymore just had it once.. Neurotologist said I have labrynthisis, primary said I have vertigo.. Went for vestibular therapy and she said she can't do anything for me as I don't have neuritis.. I am taking Xanax and helps a little.. Help I am getting scared!! It's 8 weeks ....neuro thought maybe b12 is contributing to my feeling off balanced. My MRI brain was unremarkable I upload my MRI report

Answered by Dr. Dr. Ivan Romich (46 hours later)

Brief Answer: Hi Detailed Answer: Well,MRi scan is completely normal so you can be sure that there is no some serious brain patology. it sounds to me like inner ear disorder too,and most commonly this is benign paroxismal vertigo or labirinthitis due to Menieres disease. Both disorders are not very serious but its prognosis and progression is unpredictable. Sometimes it lasts for few weeks or months and sometimes it can persist for longer. It can be treated by steroids so recovery can be facilitated,but usually it subsides spontaneously,just need to be patient. I am not sure if b vitamin will help but it cant harm you either. Third possiblity is psyhosomatic effect and this explains why xanax helps. i am sure it will be better soon,it is important that serious brain diagnoses are ruled out

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Ivan Romich (27 minutes later)

Have serious brain diagnosis been ruled out through the MRI that I took although it's was it without contrast? So I think I need one with c So don't think I need an MRI with contrast or is the mri I took Good enough to rule out anything serious

Answered by Dr. Dr. Ivan Romich (9 minutes later)

Brief Answer: hi Detailed Answer: I think this is enough. MRI with contrast is bit more sensitive for some rare vascular and inflammation brain diseases,but tumors,multiple sclerosis, ischemic changes and other more common disorders in your age wouldnt be misdiagnosed. You should do EEG maybe,but I dont see a reason to repeat MRi again

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar