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Suggest Treatment For Psoriasis

Posted on Mon, 20 Nov 2017

Question: Hi Doctors, today I got my medical report and found that level of my vitamin D3 is 29 ng/ml. I have psoriasis on my scalp. What should be the ideal level?

Answered by Dr. Rudina Balliu (15 minutes later)

Hello There!
Your vit D level is in the nornal range .
Take Care !

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

Follow up: Dr. Rudina Balliu (13 hours later)

Hi Dr, thanks for your reply. I have also found that vitamin B12 level is : 148 pg/ml. I am vegetarian. Can you pls suggest what should I do to bring my B12 to adequate level.

Answered by Dr. Rudina Balliu (5 hours later)

Brief Answer:
Supplement are needed

Detailed Answer:
Hello again!
Thank you for asking Health Care Magic.
Yes your vitamine b12 level is less then normal , it means that you have vitamin b12 deficiensy.
The deficiensy is most likely cause of the vegetarian diet, low intake of vitamine b12 .Since vitamin b12 best source is from animals ( meat, fish..) .

The best treatment for you now will be vitamin b12 supplement, you need to take at least 1000mcg /day, maximum 2000mcg/day . After 1 month treatment you have to check again your vitamin level, to see how the vitamin level changes.
It would be best to take the supplement for 3 months totally.
After you finish the treatment , you need to think about how to take the daily neccessary requirement of vitamin b12 since you are a vegetarian. ( It is very important to take the neccessary vit b12, to prevent any deficiensy in the future ).
The daily requirement for vit b12 in your age is 2.4mcg /day
Here are the possible options how to get it:
- stop being a vegetarian ( start to eat meat )-but i understand, you should not eat meet if you want to keep being a vegetarian.

-start to eat egg, milk cereals they are a good source of vitamin B12.

- Take vitamin b12 from the supplement 250mcg vit b12 once daily to maintane the normal level.
The vitamine b12 levels should be monitored at least every year.

Hope the answer is helpfull.
Take Care!
Dr Balliu .

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

Follow up: Dr. Rudina Balliu (2 days later)

Thakns for your reply. Could you please suggest me any supplement to bring vitamin b12 to adequate level?

Answered by Dr. Rudina Balliu (2 hours later)

Brief Answer:
Methyl B-12

Detailed Answer:
Hello again!

I would supplements that contains methylcobalamin (Methyl Vit B-12) for vegans, take 1500 mcg/daily in capsules for 3 months and check your vitamin b12.

level to be sure that it is back to normal.

After 3 months start with 250mcg /daily as a maintenance dose.

Take Care!
Dr. Balliu.

Above answer was peer-reviewed by : Dr. Arnab Banerjee