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Low B12 count with headache dizziness
Sir I am experiencing chest and romboid area pain from December with dizziness. Tmt ecg echo all normal. I have done full body checkup up in which b12 is 216. Still I am facing neck shoulder and chest pain since 5 months. Additionally heart beat increases when go out from home. Kindly advice is this due to B12. And how to take B12. I am pure vegetarian
Answers (11)
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U are dealing with panic attack or anxiety issues..
C b complex 1 od for 3 mnths...
Check your bre status..peripheral smear...
Injections if needed after lab investigation ...after ruling out absorption problems..gastro problems if any shud be dealt with an gastroenterologist...
Chest pain..if continuing...coronary angiography shud be done..rule out lung issues...and muscle pains..rule out dvt arterial disease if any and pulmonary embolism..alcohol intake history if present shud be treated as per..
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Your b12 levels are within lower side of normal .
Neck, shoulder ,chest pain could be musculoskeletal because of constant use or anxiety.
Take tab flexon m.r one every 8hours after meals for 4 days.
Tab antoxid one morning and one evening for 2 weeks.
Tab shelcal 300mg one morning and one evening for 2 weeks.
Tab neurobion forte one daily for 2 weeks.
Get Haemoglobin, blood sugar, thyroid profile done and share results.
Take fresh curd. Cheese, nuts, berries, mushrooms, eggs, fish if you take meat.
Connect online with results, then I can help you further to heal.
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Methylcobalamin 1500 mcg one tablet weekly upto 3 months.if you are vegetarian then also take milk ,because its also a source of b12.
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Tab neurokind od one at night for 2 months
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"Experiencing frequent fever despite normal clinical reports is a common challenge for those working in a hospital environment. Since your CRP, CBC, and are normal, it indicates that your body is successfully fighting off infections, but the high 'viral load' and constant exposure to different pathogens in a healthcare setting are likely overwhelming your immune system's primary defense
Next Steps
Strict Personal Hygiene: As suggested by Dr. Sai Swetha, consistent hand hygiene and wearing a high-quality (N95) mask while on duty are your best defenses.
Boost Your Baseline Immunity:
Sleep: Ensure 7–8 hours of uninterrupted sleep to allow your immune cells to regenerate.
Nutrition: Focus on an antioxidant-rich diet (citrus fruits, leafy greens, nuts) and consider a Vitamin D3 and Zinc supplement if your levels are low.
Work-Life Balance: If possible, ensure you are taking adequate breaks. Chronic exhaustion is a major trigger for recurrent infections in healthcare workers.
Advanced Screening: If the fever pattern persists for another 2 months, I recommend a more detailed evaluation, including:
Peripheral Blood Smear (for malarial parasites or atypical cells).
Thyroid Profile (to rule out metabolic triggers).
Vitamin B12 & D3 levels.
Health Tips
Do connect and consult with me for better treatment plan and advice accordingly
For a customized immunity-boosting protocol, a review of your specific hospital department risks, and direct follow-up on your next fever episode, you can consult me directly through my profile.
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This is unlikely to be only due to B12 your normal ECG ,ECHO is reassuring, and this pattern is more often due to muscle strain and anxiety component.
Your B12 216 is borderline low and can contribute to fatigue and dizziness.
For now, start B12 supplements daily and do gentle neck shoulder stretches.
If you want, I can guide you with the exact dose and help you address both pain and symptoms properly.
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Will require few more details to give an appropraite answer.
As far B12 is concerned you can take injections for a faster replenishment.
Next Steps
For palpitations do TFT and holter monitoring. Also a Orthopaedic consultation to rule out cervical spondylosis.
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The pain shouldn't be because of B12.
Could be due to muscle spasm or some other underlying condition.
For b12 try supplements , can take one tablet daily.
Next Steps
As a vegetarian try consuming more milk, cir, paneer for b12 sources. Can consult regarding prescription and proper guidance.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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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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