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I Am An XXXXXXX Living In Japan. I Have Had
Question: i am an XXXXXXX living in japan. i have had following symptoms.
1. fatigue(especially in legs)
2. lack of logical abilites (not costant but yearly once or so for past 10-15 years)
3. tingling on face and other skin(recently developed but not constant)
I have been diagosed with low vitamin b12 level(52pg/ml)40 days back and have started vitamin capsules . But i am still feeling the above symtoms. What should i do? Also had high trygyceride levels for past 10 years
1. fatigue(especially in legs)
2. lack of logical abilites (not costant but yearly once or so for past 10-15 years)
3. tingling on face and other skin(recently developed but not constant)
I have been diagosed with low vitamin b12 level(52pg/ml)40 days back and have started vitamin capsules . But i am still feeling the above symtoms. What should i do? Also had high trygyceride levels for past 10 years
Brief Answer:
You can start vitamin B12 injections also.
Detailed Answer:
Thank you for posting your query. I have noted the clinical details. All your symptoms can be explained due to vitamin B12 deficiency. Capsules or tablets of vitamin B12 take a long time to show any improvement. Therefore, in addition please start vitamin B12 injections also. Injection methycobal 500 MCG intramuscular once daily for 5 days followed by once weekly for 5 weeks. Review after 6 weeks.
Dr Sudhir Kumar MD DM
You can start vitamin B12 injections also.
Detailed Answer:
Thank you for posting your query. I have noted the clinical details. All your symptoms can be explained due to vitamin B12 deficiency. Capsules or tablets of vitamin B12 take a long time to show any improvement. Therefore, in addition please start vitamin B12 injections also. Injection methycobal 500 MCG intramuscular once daily for 5 days followed by once weekly for 5 weeks. Review after 6 weeks.
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by :
Dr. Yogesh D
Respected Dr. XXXXXXX XXXXXXX
Thanks very much for the reply.
I have asked 2 doctors over here to give me injections and both of them have refused to give me the injections(They gave me 1 injection at the time of deficiency detection). I am taking tablets for last 40 days and have started Vitamin D3 tablets also based on advice of my family doctor. Also, they had taken a CT scan of my brain which was found normal. Kindly answer following additional questions,
1. How bad is my vitamin b12 deficiency as far as XXXXXXX body is concerned?(52 is the value).
2. What sort of damages it may have caused over the period of time which I need to find and reverse? Some of these symptoms I had for more than a decade. And how to find them?
3. Regarding lack of concentration and logical reasoning, it’s a periodic phenomenon for me and not constant. Is it the case with vitamin B12 deficiency ？
4. Tingling and numbness on face is presently the most irritating feeling I have any suggestions to deal with that?
5. I am very afraid of other diseases like MS which shows similar symptoms, and the process over here is taking too long time, any advice from you, including coming to XXXXXXX will be greatly helpful.
Thanks very much for the reply.
I have asked 2 doctors over here to give me injections and both of them have refused to give me the injections(They gave me 1 injection at the time of deficiency detection). I am taking tablets for last 40 days and have started Vitamin D3 tablets also based on advice of my family doctor. Also, they had taken a CT scan of my brain which was found normal. Kindly answer following additional questions,
1. How bad is my vitamin b12 deficiency as far as XXXXXXX body is concerned?(52 is the value).
2. What sort of damages it may have caused over the period of time which I need to find and reverse? Some of these symptoms I had for more than a decade. And how to find them?
3. Regarding lack of concentration and logical reasoning, it’s a periodic phenomenon for me and not constant. Is it the case with vitamin B12 deficiency ？
4. Tingling and numbness on face is presently the most irritating feeling I have any suggestions to deal with that?
5. I am very afraid of other diseases like MS which shows similar symptoms, and the process over here is taking too long time, any advice from you, including coming to XXXXXXX will be greatly helpful.
Brief Answer:
I would be pleased to see you whenever you visit XXXXXXX
Detailed Answer:
Thank you for getting back with follow up questions.
1. Vitamin B12 (52) is VERY LOW.
2. The commonest damage due to vitamin B12 deficiency occurs in peripheral nerves (located in the skin) and brain nerves. We need clinical examination followed by appropriate tests to confirm any damage to them.
3. Lack of concentration and logical reasoning can be due to vitamin B12 deficiency.
4. If tingling is troublesome, you could take PREGABALIN capsules.
5. MS needs to be ruled out. I would be happy to see you if you decide to visit XXXXXXX anytime.
Best wishes,
Dr Sudhir Kumar MD DM
I would be pleased to see you whenever you visit XXXXXXX
Detailed Answer:
Thank you for getting back with follow up questions.
1. Vitamin B12 (52) is VERY LOW.
2. The commonest damage due to vitamin B12 deficiency occurs in peripheral nerves (located in the skin) and brain nerves. We need clinical examination followed by appropriate tests to confirm any damage to them.
3. Lack of concentration and logical reasoning can be due to vitamin B12 deficiency.
4. If tingling is troublesome, you could take PREGABALIN capsules.
5. MS needs to be ruled out. I would be happy to see you if you decide to visit XXXXXXX anytime.
Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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