Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Internal Medicine
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Patient's Query
Hello doctor,
My question is as follows. I have low B12 tested at blood laboratory. I have been taking B12 for over three years off and on as directed by my doctor (sublingual). Now every time I take B12 with food or without the acid reflux is so very bad. I have to some times take medication to calm the acid reflux. Is there anything I can do?
Hi,
Welcome to icliniq.com.
I understand all your concerns. Acid reflux is one of the adverse effects of taking Vitamin B12 supplements. I suggest that you test the vitamin B12 level as you have already taken supplements for three years. In case of mild deficiency, I suggest that you take foods rich in Vitamin B12 like clams and liver and stop the supplements. For acid problems, I suggest antacids like Maalox (Calcium carbonate) after meals.
Patient's Query
Thank you doctor,
I recently tested B12. It is still low 180, test one week ago. I will try Maalox. I only have acid reflux when I take the B12. Thank You for the helpful information.
Hi,
Welcome back to icliniq.com.
180 is considered a mild deficiency. I suggest that you depend on natural sources of Vitamin B12 plus either once a week Vitamin B12 injection or low dose oral intake. Further history and investigation is required to find out any cause of persistent low vitamin B12. Treatment of vitamin B12 deficiency is only required if severely deficient, peripheral neuropathy symptoms or anemia.
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Internal Medicine
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