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Suggest treatment for vitamin B-12 deficiency

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Posted on Thu, 13 Nov 2014
Question: Hi,

My Wife is suffering from lot of weakness, memory issues, muscle and joint pain. None of the doctors were able to diagonise the root of the problem. Later my brother suggested for Vitamin B12 and D3 test to be done as he also had similar issues in past. I have got the test done for my wife last year. And found Vitamin B12 is 185 and D3 is 22. Which are almost at the border of the normal range.

My recent analysis on the net explains to me if these two factors improve then her all problems can get solved automatically. Doctors are giving Vitamin tablets from past one year. But I do not see any improvement in the levels from last one year. It remains in the range of 180 and 20+ only.

Few people suggested me to get the B12 injections for immediate relief. I am not sure of any side effects etc...

Please suggest what should I do. Can insits on taking B12 injections for her or not?

Please help me here as I am seing her going with lot of pain from past one year.

Regards,
XXXXXXX
doctor
Answered by Dr. Sudhir Kumar (56 minutes later)
Brief Answer:
Give her injection of B-12 and vitamine D3.

Detailed Answer:
Hi,
Thanks for your query.

I'm Dr. Sudhir Kumar,

After going through your query I came to know that your wife is having deficiency of VitaminB-12 and Vitamin D3 . It is advisable to give her injection of vitamin B-12 as by continuously giving Vitamin B12 tablet also not increasing the level.It may be because there may be deficiency of internsic factor which help in absorption of it from gastrointestinal tract so by giving injection of vitamin B-12 role of internsic factor will not be there as it will be absorbed directly in blood,so its level will definitely increase. However it should be given after sensitivity test to see any allergic reaction.I think there is no other side effect. Similar is condition with vitamin D3, its sachet/capsules/ tablets are available in 60000 i.u. It is a fat soluble vitamin so it should always be given with diet having fat otherwise if diet doesn't have fat it will not be absorbed. I generally give to my patients deficient in vitamin D3 60000i.u. weekly for 10 weeks always along with a glass of milk.

You can discuss with your treating Doctor about it.

Hope I have answered your query.
If you have any further questions I will be happy to help.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Sudhir Kumar

Orthopaedic Surgeon

Practicing since :1993

Answered : 3345 Questions

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Suggest treatment for vitamin B-12 deficiency

Brief Answer: Give her injection of B-12 and vitamine D3. Detailed Answer: Hi, Thanks for your query. I'm Dr. Sudhir Kumar, After going through your query I came to know that your wife is having deficiency of VitaminB-12 and Vitamin D3 . It is advisable to give her injection of vitamin B-12 as by continuously giving Vitamin B12 tablet also not increasing the level.It may be because there may be deficiency of internsic factor which help in absorption of it from gastrointestinal tract so by giving injection of vitamin B-12 role of internsic factor will not be there as it will be absorbed directly in blood,so its level will definitely increase. However it should be given after sensitivity test to see any allergic reaction.I think there is no other side effect. Similar is condition with vitamin D3, its sachet/capsules/ tablets are available in 60000 i.u. It is a fat soluble vitamin so it should always be given with diet having fat otherwise if diet doesn't have fat it will not be absorbed. I generally give to my patients deficient in vitamin D3 60000i.u. weekly for 10 weeks always along with a glass of milk. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you good health. Take care.