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What Must I Do About Significantly Low Vitamin D And B12 Levels?

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Posted on Wed, 16 Feb 2022
Question: Hi , I have gone through vitamin level checks for myself where in vitamin d & b12 is significantly low. kindly suggest the required actions to be taken & the medication to start.
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Answered by Dr. Dr. Michelle Gibson (1 hour later)
Brief Answer:
vitamin b12 and vitamin d replacement/supplement

Detailed Answer:

Hello,

The exact levels of vitamin B12 and vitamin D are not mentioned.

The medications would be vitamin B12 and vitamin D replacements/supplements.

In the past, significant deficiency in vitamin b12 levels would require vitamin b12 injections but in recent times, it has been replaced by high dose of oral vitamin b12.
Some persons still practice the injections only if the levels are very low, initially every few days then this is spaced out.

The high oral dose of vitamin b12 is 1000

Low vitamin d levels are also treated with either oral replacement or injection.

The exact oral dose needed would depend on how low your Vitamin d levels are.

If you wish you can provide the vitamin b12 and vitamin d levels so exact doses can be recommended

I hope this helps, feel free to ask any other questions



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Michelle Gibson (3 minutes later)
Hi , I have attached my reports.
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Answered by Dr. Dr. Michelle Gibson (46 minutes later)
Brief Answer:
Both can be replaced orally

Detailed Answer:

Hi,

The vitamin B12 level is low but not as significantly low as the vitamin D.

You can consider the use of oral daily supplements for your vitamin b12 levels. Oral supplements with 1 mg (same as the 1000 microgram mentioned before), can be used daily for 1 to 2 months, your doctor can then recheck your levels.
Since the level is not as significantly low as the vitamin d, you can use a lower dose for a longer period if you cannot find the 1mg.

If you are a vegetarian, you may need supplements for life, they would keep the levels normal.
Food with vitamin b12 are- meat, salmon, cod, milk and dairy products, eggs

One replacement option for vitamin d is oral ergocalciferol at 50 000 units weekly for 8 weeks.
The levels would be checked after the 8 weeks. If it is still low then another oral 8 week course can be done.
Vitamin d is found in fortified cereals, milk, orange juice, mackerel, salmon, sardines, tuna etc.

Please feel free to ask any other questions
Note: For further follow up on related General & Family Physician Click here.

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

General & Family Physician

Practicing since :2001

Answered : 16845 Questions

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What Must I Do About Significantly Low Vitamin D And B12 Levels?

Brief Answer: vitamin b12 and vitamin d replacement/supplement Detailed Answer: Hello, The exact levels of vitamin B12 and vitamin D are not mentioned. The medications would be vitamin B12 and vitamin D replacements/supplements. In the past, significant deficiency in vitamin b12 levels would require vitamin b12 injections but in recent times, it has been replaced by high dose of oral vitamin b12. Some persons still practice the injections only if the levels are very low, initially every few days then this is spaced out. The high oral dose of vitamin b12 is 1000 Low vitamin d levels are also treated with either oral replacement or injection. The exact oral dose needed would depend on how low your Vitamin d levels are. If you wish you can provide the vitamin b12 and vitamin d levels so exact doses can be recommended I hope this helps, feel free to ask any other questions