Doctor insights on:
Cobalamine Combinations Medication
Methylcobalamin best: You must be taking cyanocobalamin (most common) or hydroxocobalamin. These are both effective but methylcobalamin has some significant advantages and is the optimal form to take if possible. See http://centraldrugsrx.com/doctorblog/comments/brief-comparison-of-the-three-formulations-of-vitamin-b12 and http://drfairchild.blogspot.com/2012/12/b12-deficiency.html for more information. ...Read moreSee 1 more doctor answer
Different forms B-12: They are different forms of vitamin b-12. ...Read more
Is 200 too low for cobalamin? I eat enough meat, fish etc. In 2012 it was 430. My doctor asked me if i'm taking any B12 supplements. Would that help?
See below: If you have been taking the diet you described, your intake would be sufficient yet your B12 level is at the low end of normal. You may try taking oral supplements of b12, if that does not work it may be that you are not absorbing B12 properly and may need periodic injections. ...Read moreSee 3 more doctor answers
Is it possible that a cobalamin deficiency during pregnancy cause both the mother and child to form mental illness?
Child risk: efects: The child's risk is birth defects, including anencephaly and spina bifida and some other birth defects. The mother is more likely to form depression, anxiety, psychosis, or memory difficulties.I can;t find any literature on intrauterine B12 deficiency and mental illness per se. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read moreSee 1 more doctor answer
Immune suppression: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may take the edge of symptoms, they do not adequately treat crohn's disease. 2. Steroids work, but are only useful for short course because of side effects. 3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids 4. Remicade, Humira are very effective at treating fistulas or severe crohn's. ...Read moreSee 1 more doctor answer
Immune suppression: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may take the edge of symptoms, they do not adequately treat crohn's disease. 2. Steroids work, but are only useful for short course because of side effects. 3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids 4. Remicade, Humira are very effective at treating fistulas or severe crohn's. ...Read more
Sun light: Ample sun light is the best natural treatment for sad or seasonal affective disorder. Since once cannot get this in winter, this can be replicated by using a white light lamp of at least 10, 000 lux intensity kept at a distance of one foot. This should be used only with start of fall and discontinue with advent of spring. ...Read more
Should i be taking medication for p.C.O.S? I also would like to start trying for a child, any tips?
What can I do to help the pain stop? All I have right now is over the counter pain medication and it’s not helping.
Back pain: You need to find out what is the problem. Then it can be treated. ...Read more
What is the generic medication for Venlor? I am forced to pay a big levy for my medication because Discovery says there’s a generic.
My pressure is constantly on the 130's sometimes goes up to 150 upper number not on medication lower is 70's is that bad am 40yrs lady living healthy?
What is the minimum time allowed between taking Vyvanse dosage(s)? Is there a dosage set point where the intensity of the medication extends the time?
Vyvanse dosage: These are one daily drugs. They are stimulants. If taken too late they will interfere with sleep. Usual time to take this med is in the morning, before school or before work. Should only be taken under physician supervision. If you are taking it for "ADD" or ADHD, I would advise that you be evaluated by a mental health professional. ...Read more
I am 40 years old, i had a complete hysterectomy in my late 20's i have struggled with no labido, can u help, im desperate , tried many medications, ?
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
So call your doc: This is the HT public information site.We are thousands of volunteer docs based primarily in the US who answer medical questions.We do not offer treatments. State medical boards require a physician/patient relationship,a retrievable record,recent exam with vital signs for prescribing.Failure to do so can lead to loss or restriction of license. It may seem minor to you but it is not. ...Read moreSee 1 more doctor answer
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
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