Download FREE Practo app
Get ₹200 HealthCash
Vitamin B12 deficiency
Brain fog, heaviness in head, loss of interest, fatigue .. which supplements/mouth dissolve strips/ injection do i need to take.. I think my stomach absorption is not good that's why b12 deficiency is there..
Answers (20)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
More detailed history required with all investigation reports done till date
Next Steps
Consulate for more guidance
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+121
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)
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Injection neurokind plus Im
Daily for 10 days
Weekly for 8 weeks
Monthly may be long term (follow up)
You can add vitD 60k po once a week if (vit d deficiency)
Regular monitor your BP ,spo2, RR,and pulse regularly
Iron supplements if anemic
Next Steps
CBC again aftar 6 weeks
vit b12 after 3 months
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Examination, history and basic investigation required first.
Next Steps
only after investigation like cbc we can say what to do next
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If you want to discuss your problems, pls text me on whatsapp on seven two seven eight nine two seven six three eight, i will guide you step by step.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Do the following,
1. Blood test: Coeliac antibodies, Intrinsic factor antibodies, TSH, Immunoglobulins
2. Hydroxycobalamin injection 1mg three times a week for two weeks followed by once every three months is the recommended dosage for symptomatic B12 deficiency
All the best.
J G S R clinic.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult me on practo for further management and evaluation.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
More detailed history is required
Next Steps
Can consult for proper evaluation and diagnosis.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Neurokind od after dinner for two months.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your symptoms may be related to vitamin deficiencies (especially B12) or other metabolic causes; stomach absorption issues can sometimes contribute, but this needs confirmation
Next Steps
Please consult for proper evaluation and guidance. Necessary tests and treatment will be planned accordingly.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your symptoms:
• Brain fog
• Head heaviness
• Loss of interest
• Fatigue
These are very commonly linked to Vitamin B12 deficiency, and sometimes also:
• Vitamin D deficiency
• Iron deficiency
• Poor sleep or stress
• Thyroid imbalance
If you suspect poor stomach absorption, common causes include:
• Chronic gastritis
• Low stomach acid
• Long-term antacid or PPI use
• H. pylori infection
• Vegetarian or low-protein diet
In such cases:
• Oral tablets may work slowly
• Mouth-dissolving B12 or injections can be more effective
So your thought about absorption issues is medically reasonable, especially if:
• B12 levels are very low
• Symptoms are significant
• You don’t improve on tablets
Next Steps
Step 1: Check actual deficiency
Do these basic tests:
• Serum Vitamin B12
• Vitamin D
• CBC
• TSH (thyroid)
⸻
Step 2: Choose treatment based on level
If B12 is mildly low (200–300 pg/ml)
• Methylcobalamin mouth-dissolving strips or tablets
• Dose: 1500–2000 mcg daily for 2–3 months
If B12 is very low (
Health Tips
To improve absorption naturally
1. Eat more B12-rich foods:
• Eggs
• Milk, curd, paneer
• Chicken or fish (if non-vegetarian)
2. Reduce long-term antacid use unless necessary.
3. Improve gut health:
• Probiotic curd
• Fiber-rich foods
• Adequate hydration
4. Sleep at least 7–8 hours
• Brain fog often worsens with sleep debt.
These symptoms are very common in B12 deficiency and are reversible with proper treatment. Most people start feeling better within 2–4 weeks of correct supplementation.
If you want, you can share your reports and I can help you choose the exact treatment plan suited to your levels.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
More detailed history is desirable
Next Steps
Consultation for detailed discussion is advisable
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Tab Meconerv 1500 mcg once a day for 30 days
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Divyansh Gupta
General Physician
3 yrs exp
Jabalpur
FIRST OF ALL DONT THINK TOO MUCH .
CONSULT IN PERSON FOR PROPER MANAGEMENT OF YOUR DISEASE WHICH WILL REQUIRE SOME BLOOD INVESTIGATION,HISTORY OF YOUR DISEASE,ANY COMORBIDITY,PSYSCHOLOGICAL COUNCELLING,LIFESTYLE MODIFICATION AND MEDICINE.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
More details required
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.