Doctor insights on:
Does B12 Suppress Appetite
My Vitamin B12 is 335 pg/mL then it says Low: <146 pg/mL I rarely eat cause I don't have a appetite and at times go up to 4 or 5 days w/o food why?
Anorexia: Appetite is a complex process mediated by the brain, emotions, metabolic needs, health of the gut & surrounding organs. Lack of weight loss would be good news here. I recommend a visit to your doctor to discuss the circumstances that preceded your anorexia & that may contribute to its persistence. Simple testing is appropriate. Of note, your B12 level is normal. ...Read more
Months lack energy, strength. Feel weak after doing things. Lack appetite. Lot test done. Everything ok. Would a B12 shot help? Or any meds
B12 if deficient: If not deficient in b12, shot won't help. Blood test could confirm if exclude. ...Read more
High folic acid 24ng b12 normal having body pain loss of appetite is it due to high folic acid what does it mean high folic may mask haemotoloic effec?
Serum folate is a poor test as it does not differentiate from natural beneficial folates versus artificial folic acid.
The enzyme that metabolizes synthetic folic acid is a slow enzyme in humans but a fast enzyme in rats, so rat studies cannot be used for human health advice. Basically, unmetabolized folic acid ends up floating around and artificially raising serum levels ...Read more
Have metabolic induced foot drop (b12 deficiency, from a partial gastrectomy), ideas about recovery time? (b12 is helping, also w sleep & appetite.)
Peripheral Neuropath: You likely have peripheral neuropathy caused by B12 deficiency. This causes death to the axon fibers of the nerve and this can be a long recovery process. It can take up to 24 months for recovery but unfortunately it may not fully recover depending on the extent of initial nerve damage. ...Read more
18 mo with decreased appetite, vitamin B12 level at 1569, not sleeping, arm pain, and dizzy spells. What could this all mean?
Chronic ruq pain, pressure, nauseax3 mo. Sle. Gastro is at a loss. Norm us, mri. Little appetite, weight loss. Night sweats. Enzymes norm. Hi b12?
HIDA scan: Major inflammation exists ("strep" throat, hepatitis, cancer, lupus, acute heart attack, etc.), signs and symptoms often include fevers, sweats, chills, fatigue, weight loss, and various muscle aches, pains, and weakness. People with lupus may have problems withliver, pancreas, bile ducts, and gallbladder. Hida scan even if gall bladder normal on us, detects stones not gb function (ruq pain&nausea). ...Read more
What causes chronic fatigue, nausea, loss of appetite, dizziness, blurred vision and overall achiness. Blood tests. Low vit d/b12, high calcium/pth?
Those things can,,,: All the things you mentioned can give you many of those symptoms. Vit B12 deficiency especially can do it. The high PTH is a concern also as it can mean a possible adenoma, so it would be smart to see your doctor for therapy to correct your deficiencies and find out why the ca/pth is high. Best of luck. ...Read more
Absolutely!: Ideal b12 levels are above 1500 in blood. Often times I will recommend that people take shots or very high levels of vitamin b12 10, 000 mcg if they are less than 500. It can make a huge difference in energy, sleep, cognition, memory and any nerve problems you may have. You will also want to figure out why you have low b12. It could be due to an autoimmune condition or too low stomach acid. ...Read more
Depends: What are you hoping will improve? A lot of people notice improved energy after getting a b12, that's true, but the only people who really need them are those with a deficiency of B12 that cannot be overcome with pills. Sometimes B12 deficiencies can cause nerve problems and other nervous system disease, so B12 shots can help with those. ...Read more
Chronic myelogeneous leukemia, promyelocytic leukemia, polycythemia vera and also the hypereosinophilic syndrome can result in elevated levels of B12 mostly from increased production of haptocorrin.
In addition, because the liver stores b12, liver diseases such as acute hepatitis, cirrhosis, hepatocellular carcinoma and metastatic liver disease can also cause a rise in serum b12. ...Read more
You are at higher risk of B12 deficiency if you: are the age over 45
are a vegan or vegetarian; suffer from digestive problems; take certain diabetes drugs; take acid-blocking medications;
are or have ever been anemic;have low stomach acid;drink alcoholic beverages
B12 deficiency can be due to low B12 intake (rare) or inability to absorb B12 from foods (common). ...Read more
Needs evaluation: B12 is not toxic so high B12 due to taking it is not bad. If someone has high B12 without taking it then it can be a sign of serious problems including liver ; kidney disease, myelproliferative disorders including leukemia ; polycythemia vera ; hypereosinophilic syndrome. High B12 does not cause these but caused by them. Further tests are needed to find the underlying cause: http://bit. Ly/1hvpcy7. ...Read more
Anytime: If we are speaking of pills I do not know of any best time. If we are speaking of B12 injections, again anytime is ok. Oral B12 requires an acid environment in the stomach in order to bind to intrinsic factor (made by the stomach) and be easily absorbed- so empty stomach is best and not when you have recently taken antacids or medicines that inhibit stomach acid production. ...Read more
Vitamin B12: Values of less than 200 pg/mL are a sign of a vitamin B12 deficiency. People with this deficiency are likely to have or develop symptoms. Older adults with vitamin B12 levels between 200 and 500 pg/mL may also have symptoms. It would be appropriate for you to see a doctor and be evaluated for the relatively low levels. If you are taking medicine to lower stomach acid that may lower the B12. ...Read more
Almost anywhere: It is hard to go wrong with B12 injections. Anywhere there is enough fat can be used, but usually the stomach, buttock, upper arm. I teach my patients to do home B12 injections all the time. There are actually lots of You Tube videos teaching people how to give shots. ...Read more
Depends: If normal you have nothing to do. If low will need replacement after identifying etiology. Purely vegetarian diet may need replacement. Evaluation for pernicious. Elevated B12 may be associated with myelodysplasias. Discuss with your md. ...Read more
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