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I have low levels of vitamin B12. How to manage it?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have low levels of vitamin B12. I have to take vitamin B12. Every time, when I take them, I get a terrible spine pain, and I feel very tired.

Please help.

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Your symptoms are related to vitamin B12 adverse effects. I would like to know your vitamin B12 plasma levels. You can take it as an injection once a month.

I hope it helps.

Revert in case of any doubts.

Thank you.

Patient's Query

Thank you doctor,

My vitamin B12 plasma level is 191 ng/L. I have taken Jamieson 1000 mcg sublingual.

Answered by Dr. Aida Abaz Quka

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I recommend a muscular injection of 1000 mcg every month. This type of administration is invasive. But it shows a little side effect, and it is better absorbed when compared to the sublingual form.

Revert back if you have any doubts.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 16, 2018
Reviewed At May 6, 2026

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Aida Abaz Quka is a Neurologist with 12 years of experience. She completed her studies at the Faculty of Medicine and pursued a Neurology Post Graduation. Specializing in diagnosing and treating neurological disorders, she offers expert care for conditions affecting the nervous system.

This doctor is not available for online consultations on the platform anymore.

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