Doctor insights on:
Vitamin B12 Dementia
Not clear: No clear evidence for the causal-effect relationship between the two. PA is an autoimmue-mediated destruction of parietal cells in stomach, resuling in impairmnent of B12 absorption. Certainly it is possible that pernicious anemia may co-exist or exacerbate duodenitis via immune process or loss of balance in duodenal fluid, or anemia. But the causal-effect relationship is not well established. ...Read moreSee 2 more doctor answers
No: There is no association between the two. ...Read more
How 2 differentiate between age related dementia & Alzheimer?Which lld be first taken donepezil or memantine in both case?Other suggestions of Med?
AD vs ARCD: Typically the impairment of age related cognitive decline (ARCD) is not as severe as Alzheimer's (AD). Many cases of early AD are first diagnosed as age related until the impairment becomes more severe then the diagnosis of AD is made. I have used Aricept and Namenda (memantine) simultaneously in AD. Med choice based on response and side effect profile. Best wishes! ...Read more
Will ssri antidepressants work to improve cognitive functions and memory loss of a recent multi infarct stroke dementia patient, age 67. How long should he take them until we see an improvement?
Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution) ECG show af. When we start anticoagulant?
What could cause frequent pvcs (benign) daily? Bupropion XL 150mg 3x daily, Prozac (fluoxetine) 20mg, or the combo? Also take 200mg modafinil, levothroid 88mcg.
Your medications: The Modafinil is a stimulant which can cause abnormal hearth rhythms. Your levothroid, if not properly dosed could do it as well, ask your doctor for a blood test to make sure that dose is not too high for you. Being 58 years old, you could have heart problems unrelated to the medications. You should see a doctor to get this evaluated. ...Read more
Generally not but if: B12 deficiency is relatively common and if mild, often cause no symptoms. If deficiency is chronic and more severe, anemia may develop, fatigue, irritability, and nerve damage may occur. Severe deficiency can lead to dementia as well. Any of these condition, if severe, can cause secondary etc..B12 is an important vitamin and treatment is relatively easy/inexpensive..Consult your doc..Good luck. ...Read more
A blood test showed that i'm B12 deficient. Serum B12 level of 186 pg/ml, should I take vitamin B12 supplements?
B12: this low will likely cause dementia, spinal cord degeneration and peripheral neuropathy. Keep your level above 550 for the rest of your life. Recovery takes about a year in a young person. I suggest you take liquid sublingual weekly for 3 months then bi weekly thereafter. Its important to check a level after you cut back to twice a month. Use 1 1/2 dropper and hold it under the tongue for 30 sec. ...Read moreSee 1 more doctor answer
Can you donate blood if you are taking prescription medications? Klonipin , cymbalta, 1 mg folic acid, singulair, qvar, Ventiolin , nasonex, latuda, (lurasidone) trazodone, as well as Allegra, and a multivitamin .
Prevacid (lansoprazole) for barrett's esophagus. Armour thyroid 120 mg( graves thyroidectomy 40 yrs ago), bupropion 75mg bid. Drug interaction? Hair loss sick etc
No interactions: No interactions between these medications that I am aware of. ...Read more
Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?
For 57+ F with Hb 10.6, RBC 3.6, Pt 1.2L & ESR 51 while normal MCV & MCHC, does Ferritin 35 [4 - 204] indicate iron deficiency or haemolytic anemia ?
12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?
Nutrition!: A gastric bypass is a very complex nutrition situation. If your physician has not dealt with it much i would suggest asking for a referral to a nutritionist or a bariatric center. That being said, the dosage of iron is fda approved treatment for iron deficiency, and the vitamin d is a reasonable amount. You have many nutrient levels that should be monitored and carefully watched! ...Read more
Vit d 6.84 ng/ml, can cause only legweaknes(on and off) low energy(on and off), hairloss. So low vit d causes any other symptoms? Is sunlight enough?
This level is low!: This vitamin d level is very low. Vitamin d not only helps your body absorb calcium much better, it also affects your muscle and core strength. We don't recommend spending too much time getting sunlight as as the primary source of vitamin d, due to the risk of skin cancer! see your doctor for a temporary high dose of vitamin d to 'catch you up', then take 1000-2000 units of vitamin d3 daily. ...Read moreSee 1 more doctor answer
Fatigue studies (CFS?): For poor concentration & memory, could a neurologist help? Current specialist advisors: sleep, rheumat., endocrin., immun. MDs
Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?
Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read moreSee 2 more doctor answers