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Vitamin B12 (225.1 pg/mL) and Vitamin D
Hello Doctor,
I am a 25-year-old female. My recent blood test shows Vitamin B12 = 225.1 pg/mL (reference range: 197–771 pg/mL). I also have a Vitamin D deficiency as per my report.
I would like to know:
Is this B12 level considered low or borderline?
What treatment or supplementation is recommended for B12 and Vitamin D?
Should I consult a general physician or a specialist?
Thank you
Answers (26)
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First of all we should focus on symptoms of vitamin B12 deficiency like tingling, numbness, parasthesia etc along motor difficulties. If they are there and value is low or low normal then vitamin B12 should be taken by IV and IM routes and it is compulsory. Without any symptoms it’s your choice to eat supplements or you can simply have a vitamin B12 rich diet which is predominantly there in animal origin of food. If you have low vitamin D it should be supplemented.
Do also remember to get your CBC, Thyroid function tests HbA1C and do provide your autoimmune and dietary history to your consulting doctor
Treatment of vitamin D consists of weekly sachets of 60KU cholecalciferol for 6 weeks and for vitamin B12 you need daily injection for 7 days(IV), then once per week(IM)for 4 weeks, then once per per month for 12 months(IM)
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B12 is normal.vitd lab test you shud do to know tje ramge.then only we cud assess.after consulting physician and after checking the vitd we cud come to a conclusion.
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U can take vitamin D supplements after consultation for proper dose
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Are you vegetarian and indoor person
You have not mentioned vit d3 level
Oral vit B12 is not a good idea
You can take injection B12 twice weekly for five injection
D3 according to level
It is good taken milk and milk product daily twice
One egg daily
More of fruits daily
b12 comes from Animal and animal products only
Fish and seafood try to take thrice week if you are not vegetarian
Exposure to subfamily will help in generation of vit d3
Next Steps
See a physician near by
Health Tips
Increase exposure to sun
Increase intake of milk and milk products
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You didn't mention your vitamin D value.
If it is borderline then adequate sun exposure is sufficient.
Moderately low value requires oral vitamin D of any brand at a dose of 60,000unit once weekly for 3 month.
If it is extremely low then go for Inj Arachitol 6 lac unit intramuscular once in 6 month.
Your Vit B12 value is normal but on lower side.
Oral absorption of B12 is not good.
If you want can go for B12 injection intramuscular alternate days for 5 injection.
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You can take multivitamin like Supradyn
Once a day after breakfast
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Vit b12 is on lower side of normal.
Take tab neurobion forte one daily for 15 days.
Tab vit d3 , 60,000 units once a week for 6 weeks.
Take more of mushrooms, eggs, almonds, fortified cereals, dates, curd, cheese, soya, in your diet.
Spend an hour or so in early morning sun, with limbs exposed if possible.
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Vitamin B12: 225 pg/mL – this is borderline low.
Supplementation is usually recommended, especially if you have symptoms or dietary risk factors.
Include B12-rich foods and recheck levels after a few weeks if needed
Let me know your vitamin D levels
And if you want a detailed personalized plan, you can consult me.
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No need for vit b 12 supplements
Dietary changes required- add curd/yogurt if you are vegetarian and curd/yogurt+ egg if non vegetarian in your diet
As far as your vit-D is concerned-
Kindly let me know the values and consult me further
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Vitamin B12 borderline low
Vitamin D deficient
Rx:
Tab Methylcobalamin 1500 mcg once daily × 3 months
Cap Vitamin D3 60,000 IU once weekly × 8 weeks
Repeat levels after treatment.
General Physician Consultation with me if needed is sufficient.
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According to reference its normal in border line.
Neurokind od after dinner for two months.
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO
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Connect
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Interpretation of your reports
Vitamin B12 – 225.1 pg/mL
Although this value falls within the laboratory reference range, it is considered low-normal / borderline.
Levels <200 pg/mL → deficiency
Levels 200–300 pg/mL → borderline (can still cause symptoms like fatigue, hair fall, tingling, poor concentration)
Many clinicians aim for a level >300–400 pg/mL, especially in young females.
Vitamin D
Since your report mentions deficiency, treatment is recommended regardless of symptoms.
Recommended treatment
Vitamin B12
If no neurological symptoms:
Oral methylcobalamin 1500 mcg daily for 6–8 weeks, then weekly or monthly maintenance
If symptoms like tingling, numbness, or severe fatigue:
Injectable methylcobalamin may be advised (after clinical evaluation)
Vitamin D
Cholecalciferol (Vitamin D3) 60,000 IU once weekly for 8–12 weeks
Followed by maintenance: 1,000–2,000 IU daily
Take with meals (preferably containing fat) for better absorption
Ensure adequate dietary calcium and sunlight exposure
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Your vitamin b 12 level is around the lower normal limit.You can take mecobalamin 500 mcg daily for a few months
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vitamin b12 level is normal.will need to see your vitamin d report.
please consult for further queries
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Vitamin b12 is normal
Need vitamin d level value to further consult.
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Your b12 level is normal ,for d3 deficiency you need to consult with general physician. Please consult me directly through practo for further management and proper evaluation.
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Hello!
Your Vitamin B12 levels are normal. I would need to know values for your Vitamin - D3 levels to give a specific solution.
You can connect with me or any general physician can help you with this. Need not worry.
Next Steps
Assess the levels of Vitamin D3 and start supplementation if low.
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Please connect me through practo or wattsap nine zero seven two twozero seven zero nine three.. Vitamin b12 is ok.. I want to know the value of vitamin d to know wheather you need to start the treatment.. And will give you lifestyle advices
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Renerve,Tayo 60 k
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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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. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Kindly 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. Chaithra H
General Physician
5 yrs exp
Bangalore
VIT d - uprise d3 capsule 60k weekly once for 12 weeks
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.