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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty In Climbing Stairs, Imbalance, Breathing Problem, Diagnosed With B12 Deficiency, No Improvement With Methyl Cobol Injection. Help?

Hi,I am 40.for the last 6months I am unable to climb stairs,walk(unsteady), and have breathing problem.I had been diagnosed with vitamin b12 deficiency which is 184.Now doctor suggested me for injection(Methyl cobol 500mg) twice a week for 4weeks.Doctor suggested few oral medicines like met neurobion once daily,corcium once daily .4 injections are already over but I don t find any improvement.Please help me
Mon, 29 Jul 2013
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to healthcare Magic!
Your vit.B12 levels are crucially low and you seem to be having the peripheral neuropathy and spinal cord dysfunction due to this.
your doctor has planned a good regimen of vitamin B12 replacement. You should get the injection regularly and oral treatment as per this schedule.
neuropathy is a difficult problem and is very slow to recover even with accurate and best treatment because apart from the replacement of the vitamin the nerves need to heal the damage that have accumulated probably over many months period and nerves are the slowest healer in the body needing months to show response.
Breathing problem is not a feature of vit.B12 deficiency and may be due to respiratory or cardiac compromise simultaneously.
You should get a physical examination, a chest xray and an ECHO for the diagnosis of the respiratory problem.
I hope the advise would be informative and useful for you.
Take Care!
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Difficulty In Climbing Stairs, Imbalance, Breathing Problem, Diagnosed With B12 Deficiency, No Improvement With Methyl Cobol Injection. Help?

Hi, Welcome to healthcare Magic! Your vit.B12 levels are crucially low and you seem to be having the peripheral neuropathy and spinal cord dysfunction due to this. your doctor has planned a good regimen of vitamin B12 replacement. You should get the injection regularly and oral treatment as per this schedule. neuropathy is a difficult problem and is very slow to recover even with accurate and best treatment because apart from the replacement of the vitamin the nerves need to heal the damage that have accumulated probably over many months period and nerves are the slowest healer in the body needing months to show response. Breathing problem is not a feature of vit.B12 deficiency and may be due to respiratory or cardiac compromise simultaneously. You should get a physical examination, a chest xray and an ECHO for the diagnosis of the respiratory problem. I hope the advise would be informative and useful for you. Take Care!