Talk to General Physician on B12 Defuciency
Asking For Self, Female 35, lahore
I am attaching my b12 report its 203pg/ml and reports says normal range starts from 187 but i read in a research paper that normal range starts from 200 not below 200 question is that if it 200 is normal then mine is borderline if according to you its normal but can i still take b12 supplement oral if so mention its dose for me as my skin is pale .is it safe to take if so tell me safe dose plus duration thanks in advance
Ms. Maryam Tahir - Nutritionist
BS (Hons.) Food & Nutrition | Rahim Yar Khan
I can help and guide you all in detail
You have vitamin d defeciency. For that take cap sunny-D 200,000 iu once monthly. And can take vitaminb12 supplements but this is within normal range. No need to worry about that
Recomended Dose will be prescribed to you after booking appointment. Both will be normalized within 6 weeks. Be safe Be Healthy.
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you only have vitamin D Deficiency..just take vitamin d supplements for 5 to 7 days
Hy you shouldn’t take tension about b12 but d3
Your level is borderline, not optimal
Oral B12 supplementation is safe and recommended
500–1000 mcg daily for 2–3 months is appropriate
Follow-up testing is important
you can contact me I'll guide you
Prof. Homeopathic Dr. Syed Atta E Rasool Bokhari - Homeopath
DHMS, RHMP | Lahore
105 Positive Reviews
If you will take B12 For lifetime
Pale skin problem will never ever be resolved.
Why aren't you diagnosing root cause?
Always know the root cause first before starting any medicine.
Pale skin have multiple causes.
Like
Anemia
Low Iron Absorption-Folate
Liver Problem
etc
If you want to trace root cause. I need to do some questions.
I don't start treatment until i diagnose actual cause.
Pale skin can also be due to history of jaundice.
My online consultation charges are 100 Rs
Dr. Shehla Arshad Khan - General Physician
MBBS, MRCP – UK, ARDMS, Certified in CPR, AED, and First Aid Course, Certified in FamMed essentials | Karachi
10 Positive Reviews
Vitamin B12 Deficiency – Dr. Shehla Khan
Symptoms: Fatigue, weakness, numbness or tingling in hands/feet, pale skin, memory issues, poor appetite.
Tests to Confirm B12 Deficiency:
Serum Vitamin B12 (primary test)
Complete Blood Count (CBC) – may show anemia
Methylmalonic Acid (MMA) or Homocysteine – if B12 borderline
Peripheral Blood Smear – looks for large red blood cells (megaloblastic anemia)
Treatment (Pakistan Available Medicines):
Oral B12: Cyanocobalamin 1000 mcg daily for 1–2 months, then weekly
Injection B12: Hydroxocobalamin 1000 mcg IM every week for 4–6 weeks if severe deficiency or absorption problem
Dietary Advice: Include meat, eggs, dairy, fortified cereals
Follow-up: Recheck B12 and blood counts after 2–3 months
Note: Early treatment prevents nerve damage. Always consult your doctor before injections.
you can take oral or injectable b12 it is safe, however if you skin is pale, please get a cbc done first to help diagnose the cause of anemia. once we get a cbc report, we can go from there to further tests.
have your cbc done first then book consultation
book appointment
You are deficient in Vitamin D.
Take Capsule SGIndrop D 2 times a month for 3 months and then once monthly for months. The Capsule should be of 2lakhs unit.
Take Calcium supplements.
Take Tablet Neuro ion 2times aday. for one week.
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