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Vitamin B12 and Vitamin D low from years
Hi, I got my blood test results today and my vitamin B12 is 180pg/ml and vitamin D is 27.3 ng/ml. So what brand injection and what dosage should I be taking now? Thank you.
Answers (25)
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Your vitamin B12 level of 180 pg/mL is low/deficient (most labs consider
Next Steps
1. Consult your doctor (general physician or endocrinologist) within the next few days to confirm the cause and get a prescription — do not start injections without a doctor’s advice (they will check for absorption issues or other causes).
2. Doctor will likely prescribe:
• Vitamin B12 injection (for faster correction at 180 pg/mL)
• Vitamin D oral (injections rarely needed at 27.3 ng/mL unless severe symptoms or malabsorption)
Health Tips
Vitamin B12 – recommended injections in India
• Best & most commonly prescribed: Methylcobalamin 1000 mcg (Methylcobalamin is active form, better tolerated than cyanocobalamin)
Popular brands:
• Methylcobal 1000 mcg (Neon Labs / Intas)
• Mecobal 1000 mcg (Torrent)
• Nurokind OD Injection (Mankind)
• Neurobion Forte Injection (also contains B1, B6 — good if nerve symptoms)
• Usual dosage schedule for deficiency (doctor confirms):
• 1000 mcg intramuscular (IM) injection once daily or alternate days × 5–10 doses (loading phase)
• Then once weekly × 4–8 weeks
• Then once monthly for maintenance (lifelong if diet is low in B12)
Vitamin D – oral is usually enough
• At 27.3 ng/mL → no injection needed
• Common prescription: 60,000 IU cholecalciferol once weekly × 8 weeks (brands: D-Rise, Uprise-D3, Calcirol, Lumia, Arachitol)
• Then 2000 IU daily maintenance (or 60,000 IU monthly)
• Take with fatty meal (milk/curd/eggs) for best absorption
You’re doing the right thing by checking early — both deficiencies are very treatable, and most people feel significantly more energetic in 1–2 months.
For a detailed, personalized plan (exact dose schedule, best brands in your city, diet tips to support recovery, and when to retest), please book an online consultation with me — I’ll review your full history/symptoms and give you clear, step-by-step guidance so you feel better quickly and safely.
Looking forward to helping you regain your energy — book now and let’s fix this together
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Take injection neurobion forte once a week for 4 weeks followed by oral tablet 750 mcg daily for a few months.You have vitamin d insufficiency,you don't need injection form of vitamin d, instead, you can take d rise cap 60000 iu once a week for atleast 8 weeks
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Avoid fried and spicy food
Water intake more
Kindly do connect and consult
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Inj neurobion forte one ample intramuscular injection in gluteal reason every alternate day for five injection.
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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Your B12 (180) is low and Vit D (27.3) is borderline. Both can cause fatigue, body pain, headaches and low energy. In most cases B12 injections + oral vitamin D help, but exact dosing depends on symptoms and cause of deficiency, so it’s better not to self-start brands blindly.
Next Steps
You’ll likely need B12 injections weekly initially, plus vitamin D supplementation. Please consult once with your reports so correct dose and duration can be planned properly — otherwise levels often drop again.
Health Tips
Avoid random injections without guidance. Also check Hb if not done. If you’d like, you can book a quick consult — takes just a few minutes and avoids over or under treatment.
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It can be discussed and adequate level can be achieved with supplements and dietary advise.
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Hello, start with D3 60,000 IU once a weeks for 8-10 weeks and T. Neurobion once daily for 2 months. We should be able to reduce the dose afterwards.
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Cholecalciferol 60000 units once weekly for 4weeks
Inj vitcofol 2cc i m for 7days daily (week)
2cc Alternate days for 14days (7doses)
2cc weekly for 1month
2cc monthly for 6months
Next Steps
u need further tests kindly consult for proper management..
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Take tab cholecalciferol 60,000 units once a week for 4 weeks.
Take fortified cereals, soya, almonds, mushrooms, curd, cheese, eggs, in your diet.
Spend about an hour or so in the morning sun.
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If you have any other symptoms, consult to me on practo.
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cap uprise d3 60000 once weekly for 8 weeks
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Take becosule once a day for a month
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Tab B complex 0-1-0 for 15 days
Cap.Vit D 60 k weekly once
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You can consult me on practo or nine eight nine seven one four eight one three zero
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At this level usually no need for inj or suppliment
Needs some more details before prescribing any suppliment
Burning sensation in palm and sole?
Weakness?
Light headache?
Next Steps
do check your cbc report
take sunbath for 15 min daily
take vit b12 rich food like curd fish egg
stop pantoprazole (gas ki goli) like drugs if you are taking without priscription
Health Tips
never take excess suppliment it is harmful
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Injection: Vitamin B12 (Methylcobalamin)
Dose: 1000 mcg IM
Once weekly for 4–6 weeks
Then start oral tab.
Vitamin D3 (Cholecalciferol)
Dose: 60,000 IU orally
Once weekly for 6–8 weeks.then shift to oral dose.
Recheck Vitamin B12 and Vitamin D after ~8–12 weeks.
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
Take supplements
Uprise d3 capsule weekly once for 12 weeks
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Vit D once 1 week for 8 weeks you have to take after that repeat the test for b12 take adequate diet consisting of b12 rich foods
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Tablet ok
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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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.