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How Should Vitamin-B12 Deficiency Be Managed Through Treatment?

Posted on Fri, 5 Jan 2024

Question: i had some blood work and was flagged on my b12 results
Vitamin B12
A
847
153-655
pmol/L
Interpretation:
(Serum B12 Probability of symptomatic
deficiency)

High <111 pmol/L
Moderate 111-150 pmol/L
Low 150-220 pmol/L
Rare >220 pmol/L

Clinically significant B12 deficiency
may occur with B12 levels in the normal
range, particularly in elderly patients.

Answered by Dr. Monish De (1 hour later)

Brief Answer:
Vitamin B12 deficiency

Detailed Answer:
Hi

I have gone through your blood report.

You are having vitamin B12 deficiency.

I would advise you to take injections of 1 mg cyanocobalamin weekly during the first month and every 3 months subsequently with your doctors advise till your vitamin B12 comes to normal level

I would also advise you to have fish and seafood or beef liver in your diet.

Regards

Dr Monish De

Oncologist

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Monish De (15 minutes later)

i definitely will be eating a lot more fish. are there any supplements that can work as well. I travel a lot, so having an injection every week could be tough? is my deficiency extreme? a

Answered by Dr. Monish De (17 minutes later)

Brief Answer:
Take 1000 μg of oral cyanocobalamin tablet daily

Detailed Answer:
Hi

Your vitamin B12 deficeincy is moderate

You can take 1000 μg of oral cyanocobalamin tablet daily with your doctors advise for 3 months and then do a repeat blood test for vitamin B12.

If it returns to normal then ok or continue the oral medicine for another 6 months and then stop.

Regards

Dr Monish De

Oncologist

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Vaishalee Punj