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What supplements should I take for these
I got a blood test done and I am deficient in Vitamin B12(179 pg/ml), B9 (4.09 ng/ml), Zinc (39.56 Âug/dL). I am also low in Total Iron Binding Capacity (220.8 Âug/dL). My RBC count and Hemoglobin are also borderline low.
Also should Zinc and Iron supplements be spaced apart?
Answers (7)
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Your reports show multiple deficiencies (Vitamin B12, folate, zinc) along with borderline low hemoglobin, which usually need a combined and well-timed correction plan, not just random supplements.
Yes, iron and zinc should ideally be spaced apart for better absorption, and B12/folate also need proper form and dosage based on your levels and symptoms.
More importantly, the root cause (diet, absorption, gut health, lifestyle) needs to be addressed to prevent this from recurring.
I usually design a structured plan covering supplements + diet + timing based on individual reports. You can connect with me if you’d like a personalized plan.
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Connect with the physician for the same.
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Connect over consultation to understand
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consult with a physician
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Ms. Neema Yadav
Dietitian/Nutritionist
5 yrs exp
Kolhapur
The patient has combination of vitamin B12 + anaemia- so treatment needs be well-timed and coordinated, otherwise absorption gets affected
Low Hb + RBC -Anaemia
Low / abnormal TIBC - suggest iron metabolism anaemia
B12 deficiency- can cause megaliblastic anaemia
Iron and zinc should spaced
Yes
Iron and zinc compete for absorption in intestine
Taking together-reduce effectiveness of both
Keep 2-3 hours gap
Ideal supplements schedule
Iron supplements ( Morning empty stomach)
Take with lemon water
Avoid with - tea , coffee, calcium, milk
Evening -after food
Zinc
Bedtime- vitamin B12 nerokind or methyl cobalamin
Add in diet :
Non veg : chicken, liver, meat, egg
Veg : beet root , pomegranate, jaggery,spinach , dates
Combine with vitamin C foods ( lemon , amla )
For RBC
Folate foods like green leafy, legumes
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Ms. Swarn Shikha Sharma
Dietitian/Nutritionist
19 yrs exp
Delhi
Medical diet, is always good to be followed by proper constitution check. Kindly follow a proper diet as per the scientific analysis and constitution
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Ms. Trupti Padhi
Dietitian/Nutritionist
17 yrs exp
Bhubaneswar
Good evening pls consult physician for it.
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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.