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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ferritin Regulation Problem. Previous Blood Test Showed Rbc Count Below Normal. Is Taking 1000 Mcg Safe?

I have a daughter that is 17 and runs distance races of 1 mile to 3 mile in HS. For about a year now she has continued to have probelms with regulating her Ferritin levels. Supplements are use to raise them, but once reduced the Ferritin leve drops off fairly quickly (in few months). In an April blood test her RBC count had dropped just below normal. I have read how low B12 (among other things) can impact RBC count. We have not had a B12 blood test ran yet, but with the season near year end I wanted to know if having her take a 1000 mcg would be okay in case it might help until we get a blood test in the near future. It appears that doing this for a short period of time would be unlikely to have any ill side affects.

In addition, a non-doctor athletic trainer recommended a Manganese B12 supplement at a high dosage, 100 mcg for two weeks, then 60 mcg for 3 weeks. I have read how high dosage or exposure to Manganese can have harmful side affects. Is this dosage high enough and/or long enough to cause adverse side affects?
Sat, 11 May 2013
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General & Family Physician 's  Response
Hi,
Yes, giving her 1000mcg of vitamin B12 will have no side effects on her.
As for why the trainer has told you to give your daughter manganese is beyond me, for as far as I can tell she doesnt need it and it doesnt affect her RBC count.

Besides giving her supplements you can also change her diet to include more iron rich products. If she isnt a vegetarian eating more meat should help her.

I hope this answered your question.
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Ferritin Regulation Problem. Previous Blood Test Showed Rbc Count Below Normal. Is Taking 1000 Mcg Safe?

Hi, Yes, giving her 1000mcg of vitamin B12 will have no side effects on her. As for why the trainer has told you to give your daughter manganese is beyond me, for as far as I can tell she doesnt need it and it doesnt affect her RBC count. Besides giving her supplements you can also change her diet to include more iron rich products. If she isnt a vegetarian eating more meat should help her. I hope this answered your question.