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B12 Deficiency: Oral Supplmts vs. Inject
Hello doctors, I'm seeking advice on my vitamin B12 deficiency. For nearly a year, I've had low B12 levels, with my latest test showing a level of 282 pg/mL. For the past four months, I've been taking Neurobion Forte orally. I've consulted with multiple doctors and received conflicting opinions regarding B12 injections. Some have advised against them, claiming they can damage organs, while others have said they are safe and necessary. This has caused significant confusion, and I'm unsure how to proceed. Could you please share your professional opinion on the necessity and safety of B12 injections in my case, considering my long-term deficiency and current B12 levels?
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U r in the borderline range. If u still feel the symptoms even after the oral medication, u can take injections. They r safe. Try adding meat, eggs and dairy products to ur meal, as meat contains good amount of vit b12
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For now your Vit B12 levels are normal.. you can continue the tablet. Injections are given when there is severe vit B12 deficiency.
You don't need injections
For long term you can take Neurobion forte tablet
I would suggest taking vitamin B12 via your diet.. eat vegetables, fruits, non-veg
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With This borderline levels of Vit B12 and if you’re not having symptoms related to it + You are Having supplement that is well tolerated and is not producing any GI problems You are Good to continue oral Supplements
IV VitB12 doesn’t produce any harm if given under supervision and within dose
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If possible Dietary modifications can help
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Consult For more
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In this level oral tablets are ok , can take injection also
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I think according to ur b12 level it is borderline... Less than 200 is deficient... And also if intolerace to oral medication you can take injection safely..
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You can also add some non veg items to your diet to improve your vitamin b 12 levels.. I want to know if any symptoms affecting you??
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• At 282 pg/mL, you are borderline. If you have symptoms or poor absorption, injections are justified and safe.
• If you are otherwise healthy and absorption is normal, high-dose oral B12 (1000 mcg daily) is often sufficient.
• Injections are not harmful to organs when medically indicated.
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B12 injections can be taken safely.
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Consult me . I will tell you in detail
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Wrong advise
Inj hardly damage any organ.
Neurokind od after dinner for two months ir oral.
Or
Inj neurobion forte one ample intramuscular alternate day for five injection in ten days, intramuscular in gluteal reason.
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Dr. Shivani B
General Practitioner
Bangalore
Taking oral or injection doesn't cause any side effects
Acc to ur vit b12 levels take oral tablet neurokind
Also include eggs neat in ur food
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Dr. Urja Chandpa
Internal Medicine
7 yrs exp
Rajkot
You can continue oral B12 tablets. As per your B12 level of 282 pg/ml, no injection needed currently and even if you take it it's safe so don't worry about the side effects.
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
You can take oral medication. No need of injection.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Farhan Khan
General Practitioner
7 yrs exp
Mysore
Thank you for sharing these details. Vitamin B12 deficiency can have multiple causes, and management depends on the underlying reason, severity of deficiency, and your body’s ability to absorb B12 orally. Oral supplements such as Neurobion Forte can be effective for many patients, but in cases where absorption is impaired (e.g., pernicious anemia, gastrointestinal surgery, or severe deficiency), B12 injections are often considered a standard and safe therapy under medical supervision.
B12 injections, when administered appropriately, are generally regarded as safe and rarely cause organ damage. Side effects are uncommon but may include mild injection-site reactions or, very rarely, allergic responses. The decision to switch or add injections should be individualized after reviewing your full medical history, current symptoms, dietary intake, and additional lab results.
Disclaimer:
This response for general informational purposes only and does not replace an in-person evaluation, diagnosis, or personalized medical advice from your treating physician. Please consult your healthcare provider or a hematologist for a full assessment and to determine the most appropriate next steps for your specific situation.
Next Steps
Next Steps:
1. Schedule a follow-up consultation with your primary care physician or a hematologist to review your full medical history, dietary habits, and any potential absorption issues.
2. Repeat B12 testing and related labs (e.g., methylmalonic acid, homocysteine, folate, and a complete blood count) to confirm current levels and evaluate for underlying causes of deficiency.
3. Discuss the risks and benefits of B12 injections versus continuing oral supplementation with your doctor, taking into account your response to Neurobion Forte over the past four months.
4. Monitor symptoms (e.g., fatigue, neurological changes, numbness, or cognitive issues) and report any progression or new issues promptly.
5. Follow your doctor’s personalized plan—do not begin or discontinue B12 injections or supplements without professional guidance.
Disclaimer: This guidance is general and does not replace an in-person evaluation or personalized medical advice. Always follow recommendations from your treating healthcare provider.
Health Tips
Disclaimer:
This response for general informational purposes only and does not replace an in-person evaluation, diagnosis, or personalized medical advice from your treating physician. Please consult your healthcare provider or a hematologist for a full assessment and to determine the most appropriate next steps for your specific situation.
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