Vitamin B12, also called cyanocobalamin, is available in injection form and is used to treat vitamin B12 deficiency. The injections are given into the muscle. They help improve deficiency symptoms within two to three days whereas oral tablets take longer.
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What can be done for my daughter's pernicious anemia?
Query: Hello doctor, I hope you will be able to help me with my daughter's health. The summary of her health is as follows: She was born prematurely at 25 weeks. She had to undergo PDA surgery soon after. She had Hashimoto's hypothyroidism when she was 8 years of age. She had urticaria and angioedema for m... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and the medical history of your daughter. I have seen the detailed reports (attachment removed to protect patient identity) as well. Let me answer each one of your questions. Her raised cortisol is likely to be due to exogenous steroids use, ... Read Full »
Can low levels of vitamin D and testosterone cause forgetfulness?
Query: Hi doctor, I am 50 year old. My height is 179 cm and weight 85 kg. Recently, I have tested for free testosterone and vitamin D. Both are on lower side. I am also taking Thyronorm 75 mg since last 7-8 years. I have attached my medical file of past health issues. After 7 PM, I feel very low and confu... Read Full »
Answer: Hi, Welcome to icliniq.com. Well, for your low testosterone and low vitamin D you need to take supplements. For vitamin D, I recommend Cholecalciferol sachets or tablets 60000 units weekly once for three months. Also take Calcium supplements every night. For testosterone, you need to get Testoster... Read Full »
Can diabetes be the cause behind my lethargy and heart palpitations?
Query: Hello doctor, I am a 70 year old lady. Over 10 years, I am diabetic. My fasting sugar is 160 and PP 200. I do not have any other complications. I am feeling tired due to insufficient blood. I am having heart palpitations on and off due to insufficient blood. Currently, I am taking Voglinorm 0.3, Jal... Read Full »
Answer: Hello, Welcome to icliniq.com. I had a look at your test reports (attachment removed to protect patient identity). First of all congratulations for maintaining your body weight and keeping the blood sugar under control. As I always say if you can control your weight and diet, then you can control y... Read Full »
My CBC shows an iron deficiency. I am really nervous. Please help.
Query: Hello doctor, I had an iron deficiency in the past. So, my doctor ordered a CBC. My CBC came, and it really worried me. The reports showed that I also had low B12 and Vitamin D. I have attached those reports. I lose a lot of blood during menstruation. I am nervous until my next CBC. Right now, my p... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). You have an iron deficiency anemia as microcytic hypochromic blood picture. For 7.6 hemoglobin level, I would suggest iron tablets. It has to be taken without interruption for at lea... Read Full »
Do Vitamin B12 injections help fatigue?
Query: Hi doctor, I have been diagnosed with chronic fatigue syndrome. I am taking 3 g of Valtrex a day, increased from 2 g before four months. Until a month ago, my CFS seemed to be improved. Then last month, I had a major setback with the return of symptoms beyond fatigue, such as heart palpitations, tin... Read Full »
Answer: Hi, Welcome back to icliniq.com. Based on your query, my opinion is as follows: Hemoglobin levels are good and should not be causing any of these symptoms. It appears to be more related to medication adverse effects. Vitamin B12 levels are high and injectable B12 will only increase it. Improvement i... Read Full »
Can constipation be caused by iron tablets?
Query: Hi doctor, My wife who is 40 years old has hemoglobin level of 8. Which iron or other supplement should she take immediately? She regularly feels quite tired. She had the same issues during her college days too. Also, can iron tablets cause constipation? If yes, kindly suggest remedial measures. Pl... Read Full »
Dr. Dattaprasad Balasaheb Inamdar
Answer: Hi, Welcome to icliniq.com. If she is having chronic anemia then one advice would be to make sure that it is due to iron deficiency anemia indeed and not due to other deficiency or thalassemia minor. If hemogram was done, red blood cell distribution width RDW of ≥15% and picture of micro... 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 »
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 »
Which neuropain killer can be used to treat leg pain?
Query: Hello doctor, l have been taking Neurocare plus OD for the past one month but the pain on my left leg is just too much. Which neuropain killer can I take to ease the pain? Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would recommend taking Gabapentin or Pregabalin to help improve your situation. I would just advise starting in low dose and increase gradually the dose as tolerated, in order to avoid sedation, which is a common adverse effect of these ... Read Full »
How to increase my vitamin B12 level?
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. Read Full »
Answer: 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. Read Full »
Can a deficiency of vitamin B12 cause breathlessness?
Query: Hello doctor, I had a blood test recently and my ESR was elevated to 22, while vitamin B12 was low. I have pain in the right armpit and also a pain in the neck. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your B12 level is low, hence it should be treated with Folic acid tablets and Cyanocobalamin injections. Cyanocobalamin 1000 mcg injections are given intramuscularly for six weeks. ESR (erythrocyte sedimentation rate) can be high in any inflammatory condition. You hav... Read Full »