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Suggest Treatment For Pernicious Anemia

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Posted on Fri, 22 Apr 2016
Question: I have pernicious anemia since a long time.
Currently I am taking Vitcofol injections on regular basis.
I have tried many oral supplements including tab methylcobal but they dont work on me. I .mean it doesnot get absorbed by my body.I have tried plenty of them.
Only injections work on me.
I have also acidreflux problem , sore tongue , fatigue and heavy hairfall and splits and ridges on nail.
( earlier I used to have IBS for many years)
Sometimes I have high BP .But I am not on any regular medication.

I request to prescribe me some Oral Vitmain B 12 supplements which can work on me like Vitamin B12 injections.
I mean my body can absorb it.
Also If I can be prescribed some good multivitamin supplement and Vitamin D3 and calcium + magnesium along with it.
I have heard about something called sublingual Vitamin B12 !
Can I take it?
Does it have any side effects?
I am 49 yrs old women.Pl advice me accordingly





doctor
Answered by Dr. Dr. BR Hudda (32 minutes later)
Brief Answer:
sublingual vitamin B 12 is good alternative to injections, you can take it

Detailed Answer:
Hello ma'am
I had gone through your questions very diligently and I really appreciate your concern.

At the outset I would like further information for better assessment of the condition
If you have any blood investigation reports, please upload me the reports
are you non vegetarian or vegetarian
Your weight and relevant medical history?
Do you smoke or consume liquor?

Since you also have high blood pressure, Here I would like to know what medicines you take?
In my opinion you should take Medicines for high BP regularly
irregular intake of anti hypertensive drugs could be dangerous, it mày lead to hypertensive emergency or stroke.

Acid reflux can be controlled by life style modifications and dietary changes like
Have small and frequent meals
don't lie down immediately after food
avoid cold drinks or carbonated drinks
you can take anti acidity medicines like pantoprazole or ranitidine with antacids for symptomatic relief.

sore tongue, hair fall and split nails might be related to nutritional deficiencies particularly anaemia

Sublingual vitamin B 12 is a good alternative and cost effective compare to injections.
You can take it, in this form vitamin B12 directly absorbed in the blood.

I would advise you to have well balanced diet with egg, fresh fruits and vegetables with low fat diet.
I would advise you to take no or less salt in your diet.
Multivitamin and calcium supplements are available over the counter so you can ask for any brand available at your nearest medical store.

Please write back to me with all the details I have asked for, so that I will be able to tell you more precisely.
waiting for your reply
Best wishes
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Dr. BR Hudda (18 hours later)
HI,

Which companys Vitamin B12 sublingual I should take .?


How and when it should be taken ?

The recommended dosages for it to be taken ?

Any side effects of it.

Please advice that along with Calcium ,mutlivitamin and D3 and magnesium .I want the name of the medicine.


I dont drink or smoke.

I have a very healthy eating

I dont eat any junk food , softddrinks oily foods , sweet foods, very rare of outside food

Yes I am vegetarian by diet .
doctor
Answered by Dr. Dr. BR Hudda (3 hours later)
Brief Answer:
500 mg once daily

Detailed Answer:
Hello ma'am
welcome again and thanks for the details
Since you are vegetarian, than there are chances of vitamin B 12 deficiencies., You need to worry.

You can take sublingual vitamin B12, 500 mg once daily which is a good alternative of injections and even cheaper than to injections.

There are no side effects till the time you don't take it in excess doses, allergic reaction can also occur, but its very very rare.

In my opinion you should consult general physician for a battry of tests like CBC, Hemoglobin, Vitamin B12 level and serum calcium.
Depending upon the reports, dose of these supplements can be adjusted.

Hope this answers your question, please feel free to discuss further.
Best wishes
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Dr. BR Hudda (2 days later)
Doctor,

I asked u the name of medicine for sublingual Vitamin B12 which U have not replied till date.

So please provide me the name of the medicine for Sublingual Vitamin B12.

Regards

xxxxxxx
doctor
Answered by Dr. Dr. BR Hudda (1 hour later)
Brief Answer:
Advanced vitamin B12 sublingual

Detailed Answer:
Hello
welcome again
It's available as "advanced B 12 sublingual" which contains vitamin B 12 sublingual and folic acid.
hope I could answer your question
Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 3004 Questions

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Suggest Treatment For Pernicious Anemia

Brief Answer: sublingual vitamin B 12 is good alternative to injections, you can take it Detailed Answer: Hello ma'am I had gone through your questions very diligently and I really appreciate your concern. At the outset I would like further information for better assessment of the condition If you have any blood investigation reports, please upload me the reports are you non vegetarian or vegetarian Your weight and relevant medical history? Do you smoke or consume liquor? Since you also have high blood pressure, Here I would like to know what medicines you take? In my opinion you should take Medicines for high BP regularly irregular intake of anti hypertensive drugs could be dangerous, it mày lead to hypertensive emergency or stroke. Acid reflux can be controlled by life style modifications and dietary changes like Have small and frequent meals don't lie down immediately after food avoid cold drinks or carbonated drinks you can take anti acidity medicines like pantoprazole or ranitidine with antacids for symptomatic relief. sore tongue, hair fall and split nails might be related to nutritional deficiencies particularly anaemia Sublingual vitamin B 12 is a good alternative and cost effective compare to injections. You can take it, in this form vitamin B12 directly absorbed in the blood. I would advise you to have well balanced diet with egg, fresh fruits and vegetables with low fat diet. I would advise you to take no or less salt in your diet. Multivitamin and calcium supplements are available over the counter so you can ask for any brand available at your nearest medical store. Please write back to me with all the details I have asked for, so that I will be able to tell you more precisely. waiting for your reply Best wishes