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What Causes Headache When Diagnosed With Low Vitamin B12 Level In Blood?

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Posted on Fri, 17 Feb 2017
Question: Hi i have attached XXXXXXX recent reorta plase chack amd advise if evertning is ok. I have liitle more iron does that cause headache.

Should i take b12 suppliments, i am vegeterian and do bot take dairy product

doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
not enough information

Detailed Answer:
Hello,

Your vitamin B12 levels are in the low-normal range, which is ambiguous (with deficiency in regard). Active B12 clarifies this issue. Active B12 is the usable part of vitamin B12 stores. A normal value indicates normal function.

Another marker for confirmation can be the measurement of methyl-malonic acid (MMA) and homocysteine levels. In cases of mild deficiency both will rise. Since you've done the active B12 test, I don't consider any of them necessary.

So in conclusion, I don't see the need for immediate supplementation but since the total levels are low-normal, you should keep an eye on it from time to time. Another thing to consider is the low vitamin D. Vitamin D production is mostly done in the body. Exposure to the ultravioliet radiation of the sun increases production. Vitamin D supplementation is required...

I hope it helps!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (29 minutes later)
Thanks for the answer so how many tablets of vitamin D i should take? So everthing else is ok ?
And lastly what about my iron level which is bit high? Is it all reason to have any concern?
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
2000 IU should be enough

Detailed Answer:
Hello,

regarding your iron levels, there's nothing to worry about. It's only a slight elevation and the rest of the indices are perfectly normal.

2000 IU of vitamin D3 per day should be enough. Try to increase sun exposure (unless you have serious reasons not to). 10 minutes every day during the 'hot' hours of the day (12:00 to 14:00) should be enough. Remember that clothes and sunscreen won't allow the ultraviolet radiation act on your skin, so wearing a T-shirt is advised. Don't stay under the sun for longer though to prevent serious damage to your skin (including a higher risk for skin malignancies).

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (3 hours later)
Thanks for the answer Doctor.
I was bit convern as my b12 came 500 last time two years ago and know 192.

Lastly but not the least ifwe take supliments of Vitamin D
B12
And Iron
And we somehow the vitamins get increased does the excess vitamins flush through toilet
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
it's a bit concerning

Detailed Answer:
Complete abstinence from meat is not medically proven to be healthy. B12 is one of the vitamins that may be lacking in such individuals. In your case there is no immediate concern but as I've told you, you should keep an eye on it. If I were your doctor, I would have prescribed you another test in 6 months or so.

I'm not sure I understand your question about your wife. You've told me that she takes B12, D and iron but she loses them in the stool or urine? Do they cause her diarrhea? Please clarify what's your point...

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3810 Questions

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What Causes Headache When Diagnosed With Low Vitamin B12 Level In Blood?

Brief Answer: not enough information Detailed Answer: Hello, Your vitamin B12 levels are in the low-normal range, which is ambiguous (with deficiency in regard). Active B12 clarifies this issue. Active B12 is the usable part of vitamin B12 stores. A normal value indicates normal function. Another marker for confirmation can be the measurement of methyl-malonic acid (MMA) and homocysteine levels. In cases of mild deficiency both will rise. Since you've done the active B12 test, I don't consider any of them necessary. So in conclusion, I don't see the need for immediate supplementation but since the total levels are low-normal, you should keep an eye on it from time to time. Another thing to consider is the low vitamin D. Vitamin D production is mostly done in the body. Exposure to the ultravioliet radiation of the sun increases production. Vitamin D supplementation is required... I hope it helps! Kind Regards!