Vitamin B12

Vitamin B12, also called cobalamin, is a crucial vitamin that is needed for maintaining brain function, nerve tissue, and the production of red blood cells. The foods rich in vitamin B12 are beef, pork, ham, lamb, fish, eggs, and dairy products. Vitamin B12 deficiency can cause psychosis, mania, and dementia.

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Why is my vitamin B12 level over 1000?

Query: Hi doctor, I am 21 year old. I am taking tablet Cymbalta 60 mg and tablet Citalopram 10 mg daily for depression and anxiety. Recently, I got a blood test for vitamin B12 and the results turned out to be pretty high at 1344 pg/mL. I am aware that the normal range of vitamin B12 is 200-900 pg/mL. My¬...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. Based on your query my opinion is as follows. Increased vitamin B12 is worrisome. It is a water-soluble vitamin. It never increase unless there is some amount of hepatic damage or certain cancers. I strongly urge you to get a liver function test. Both Cymbalta (Duloxet...  Read Full »

Can vitamin B12 deficiency cause anxiety?

Query: Hello doctor, My best friend has been suffering lately from deficiency of vitamin B12. Our doctor informed us that he suffers from depression and anxiety because of vitamin deficiency. Is it possible? His dad died when he was 10, so I observed that he takes it so seriously when he feels that he is n...  Read Full »


Dr. Sonia Malhotra

Psychiatrist

Answer: Hello, Welcome to icliniq.com. Yes, vitamin B12 deficiency causes severe depression. Also, thoughts like not being able to fulfil duties can induce guilt and worse depression. Please take your friend to a psychiatrist for treatment with a combination of antidepressants and cognitive behavio...  Read Full »

What vitamin deficiency causes nosebleeds?

Query: Hello doctor, My mother is 68 years old, and two of her recent consecutive blood reports show very high vitamin B12 levels, over 1500. Her nose has bled for 3 to 4 times in the last six months. Last week, the bleeding was not stopping so she had to be admitted. She has undergone a valve replacement ...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. The following can be the reasons for her nosebleed, which is also called as epistaxis. Is she on blood thinners? It can be a likely cause for epistaxis in her case. Hypertension can also be a contributory factor¬†if present. She will need an ENT examination and test ac...  Read Full »

Does a positive Romberg test indicate MS?

Query: Hello doctor,My GP¬†referred me to a neurology due to positive Romberg, equivocal Babinski and an intention tremor, which is getting worse. I have been having severe tingling in my legs for months. Recently, the pain in my legs is terrible at night, and my right eye goes blurry with heat. Are you aw...  Read Full »


Dr. Hitesh Kumar

Neurologist

Answer: Hi, Welcome to icliniq.com. Positive Romberg test suggests a possibility of sensory ataxia and associated with tingling in legs. It can be due to peripheral nerves or spinal cord (posterior column). I would like to know if there is a family history of a¬†similar problem in your blood relatives, in t...  Read Full »

What can be the reason for lower leg swelling?

Query: Hi doctor, I am a healthy and active 17 year old female. I have swelling in my right calf or lower leg when sitting. There is no foot swelling. The swelling is present in the calf and it goes away within an hour if I move around. I do have night sweats. I get easily bruised, feel constantly cold and...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. The reason for swelling is either venous or lymphatic. I guess you have undergone venous Doppler for deep vein thrombosis and it was normal. The next thing left is a lymphatic cause, so you need lymphoscintigraphy and thyroid test done. Also, restrict salt intake. You hav...  Read Full »

Can chest pain result from vitamin B12 deficiency?

Query: Hello doctor, I am a 31 year old male. I have been diagnosed with a vitamin B12 deficiency and I am taking medicines from last month. I have a slight pain in the left side of my chest and also below my chest. My ECG is normal.  Read Full »


Dr. Pramod Bhanudas Narkhede

Cardiologist

Answer: Hello, Welcome to icliniq.com. Chest pain can be nonspecific but, you should get evaluated if the aches and pains are all over the body or sometimes in one specific group of muscle. For more information contact a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist  Read Full »

What symptoms occur when WBC is 3.7?

Query: Hi doctor, I had a blood test a few weeks ago.¬†Everything came back within normal range except my white blood cell count. It was slightly low (3.7) and the normal range at my laboratory is 3.8 to 10.8. The test was done because I had mild hypertension and was put on Amlodipine. I have since gone of...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: WBC (white blood cell) count varies with time of collection, method of collection and methods of counting. If there is large variation like less than 1500,...  Read Full »

Are low WBC and vitamin deficiency related?

Query: Hi doctor, I am 56 years old. My body mass index is 21. I used to smoke for around 19 years and I stopped it before four years. I had my blood test done last week. My white blood cell count is 3.4 and I have attached the reports with this. What test should I do in order to figure out the cause of ...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have thoroughly gone through your case and reports (attachment removed to protect patient identity). I can well understand your genuine health concerns.  Read Full »

Why is my left foot numb?

Query: Hello Doctor, I am a 39 year old male. My height is 6 feet and I weigh 81 kg. Right side of my left foot is having numbness though it is not 100% numb. The left side of the foot has little pain. I get a feeling that there is some blockage in the blood flow though it might not be the case. I am a reg...  Read Full »


Dr. Akshay Kumar Saxena

Orthopaedician And Traumatologist, Spine Surgeon

Answer: Hello, Welcome to icliniq.com. You have mentioned numbness in the inner part of the left foot as your main symptom. Most commonly numbness is a manifestation of a nerve involvement, it can be compression of the nerve at an anatomical site like in back or anywhere along the course of the nerve or it ...  Read Full »

I have autoimmune related sores in my mouth and bottom of lips too. Should I be worried?

Query: Hello doctor, I have got sores in my mouth which the doctor said was autoimmune related, but a week ago, I started getting what feels like sores on the inside of bottom lip and I often get pain on the back roof of the mouth, should I be worried?  Read Full »


Dr. Parth Laxminarayan Iyer

Dentist

Answer: Hello, Welcome to icliniq.com. I understand your concern. Autoimmune responses are the best met with the particular drugs, which your doctor might have already prescribed. Also, get checked your vitamin B12 and blood sugar levels. You can use topical anesthetic gel (like Benzocaine), Triamcinolone...  Read Full »

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