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Suggest Treatment For Vitamin B12 Deficiency
Dear Doctor,
I am 47 Years Male from INDIA.
I am Vitamin B12 Deficient & my readings are:
Holotranscobalamin(Active Vitamin B12) by
MEIA 24.36
19.1 to 119.3 pmol/L **
(Test done through Metropolis LAb)
Please advise me if i have to take medicines for these deficiancy . I do not eat non veg regularly.
I have Insomnia, I get disturbed sleep, I also forget
names, My joints Crack a lot through out the day.
I also have G6PD ( deficiency).
Thanks,
RRajesh.
I am 47 Years Male from INDIA.
I am Vitamin B12 Deficient & my readings are:
Holotranscobalamin(Active Vitamin B12) by
MEIA 24.36
19.1 to 119.3 pmol/L **
(Test done through Metropolis LAb)
Please advise me if i have to take medicines for these deficiancy . I do not eat non veg regularly.
I have Insomnia, I get disturbed sleep, I also forget
names, My joints Crack a lot through out the day.
I also have G6PD ( deficiency).
Thanks,
RRajesh.
posted on
Fri, 14 Mar 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 24 Mar 2015
Answered on
Fri, 10 Apr 2015
Last reviewed on
Dear Sir:
I highly suggest you make an appt. with a Dietitian in India to review your diet as there are foods and vitamins you should not be taking with your genetic disease that affects carbohydrate metabolism and may cause hemolytic anemia. You ask about a B 12 supplement. Lets start with the things to avoid to help your blood - fava bean, sufonamide antibiotics, vitamin C, possibly vitamin K. many other vitamins are suggested and even encouraged. Vitamin E in the range of 400 - 800 IU may be protective against your illness. Daily oral doses of 1000-2000 MCG/DAY OR INJECTION and it is imperative if you are deficient to become repleted as B12 deficiency prolonged can cause bone marrow failure. Also there are other foods to avoid, but I would feel more comfortable if you had a complete assessment and meal plan by an Indian dietitian either by video (telehealth) or walk-in. Best wishes to your health.
I highly suggest you make an appt. with a Dietitian in India to review your diet as there are foods and vitamins you should not be taking with your genetic disease that affects carbohydrate metabolism and may cause hemolytic anemia. You ask about a B 12 supplement. Lets start with the things to avoid to help your blood - fava bean, sufonamide antibiotics, vitamin C, possibly vitamin K. many other vitamins are suggested and even encouraged. Vitamin E in the range of 400 - 800 IU may be protective against your illness. Daily oral doses of 1000-2000 MCG/DAY OR INJECTION and it is imperative if you are deficient to become repleted as B12 deficiency prolonged can cause bone marrow failure. Also there are other foods to avoid, but I would feel more comfortable if you had a complete assessment and meal plan by an Indian dietitian either by video (telehealth) or walk-in. Best wishes to your health.
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RRajesh,
I remember speaking with someone else recently with G6PD. This is a complicated inborn error of metabolism that may disrupt the levels of many nutrients. Your low level of B12 is likely pernicious anemia meaning you lack intrinsic factor to ABSORB vitamin B12, so I suggest getting injections per month. Are you following your diet strictly? No Fava beans, sulfites, menthol,blue dye,vitamin c, vitamin K, tonic water, gluten free products, garden egg and many chinese herbs as well as black and green tea. It is important to work with your doctor with this illness. Zest.MD also has virtual dietitian clinics throughout India if you are open to working with someone on achieving a balanced diet and what to do with the nutrients you are low in. Good luck to you!
I remember speaking with someone else recently with G6PD. This is a complicated inborn error of metabolism that may disrupt the levels of many nutrients. Your low level of B12 is likely pernicious anemia meaning you lack intrinsic factor to ABSORB vitamin B12, so I suggest getting injections per month. Are you following your diet strictly? No Fava beans, sulfites, menthol,blue dye,vitamin c, vitamin K, tonic water, gluten free products, garden egg and many chinese herbs as well as black and green tea. It is important to work with your doctor with this illness. Zest.MD also has virtual dietitian clinics throughout India if you are open to working with someone on achieving a balanced diet and what to do with the nutrients you are low in. Good luck to you!
I find this answer helpful
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