Doctor insights on:
Vitamin B9 Deficiency
I am taking prenatal vitamins religiously with 800 microgram folic acid content since past 1 year.Can I still have folic acid deficiency?
If you are taking: Folic acid supplements, normally no you Cannon have a deficiency however, certain lifestyle behaviors such as excessive alcohol consumption, individuals with kidney probs., on seizure medications, RA meds and a few other situations, the body is not able to maintain the required amount of folie acid. If you are none of the above then NO you could not have folic acid deficiency ...Read moreSee 2 more doctor answers
Folic acid, AKA folate (vit B9), is recommended for all women wanting to get pregnant -- 0.4mg (400mcg) daily, which is important for preventing birth defects like spina bifida. Women w/ a hx these disorders should take 10x that amt daily -- 4mg (4000mcg) through the 3rd month of pregnancy. It won't affect fertility, chances of conception/twins, or periods. ...Read more
I have vitamin B12 and folic acid deficiency. I was prescribed bactrum and read not to take if i'm folic acid deficient?
Vitamins: Are you taking replacement B12 and folate? It would be very difficult for you at 18 years old to be deficient in these vitamins unless you were alcoholic and not eating. Nail down this diagnosis. You should be able to take the Bactrim but check with your physician just in case. ...Read more
Fairly: B12 def more common. Ideal lab value for serum B12 is 800 or more. Possibly due to gluten sensitivity which can damage gut lining and promote malabsorption. Also hypothyroidism can cause decreased stomach acid which can impair digestion and absorption. Take methylcobalamin supplements. ...Read more
My homocysteine level was 13.5. Is this too high? My vitamin B12 level was 292 and i was told i'm deficient in folic acid.
Too high: I consider an optimal level to be between 5-7. Consider getting mthfr checked if repleting your B12 does not resolve the problem. You may possibly have an mthfr 677 mutation, or it could be due to B12 deficiency. Also consider getting checked for gluten sensitivity genes. Sometimes gluten sensitivity can cause malabsorption of nutrients. ...Read more
Can patients with polycythemia vera take folic acid and vitamin B12 supplements when deficient or will it cause clots?
B12/Folate: If i understand your question correctly if a patient with pcv polycythemia vera have documented Folic Acid or B12 deficiency, then those could be replaced. However, if the levels of B12 and folate are normal in blood, then i would not recommend it. Thanks. ...Read moreSee 2 more doctor answers
What are all the causes of moderate macrocytic anemia in elederly other than vitamin B12 and folic acid defficiency. Can severe depression cause that?
Depression>poor eatg: Anemia should not be accepted as an inevitable consequence of aging. A cause is found in approximately 80 percent of elderly patients. The most common causes of anemia in the elderly are chronic disease and iron deficiency. Vitamin B12 deficiency, folate deficiency, gastrointestinal bleeding and myelodysplastic syndrome are among other causes of anemia in the elderly. Serum ferritin is the most us. ...Read more
Does vitamin B9 /folic acid/ needs gastric intrinsic factor to be absorbed like the B12 vitamin ?
No: It's absorbed readily as long as the small intestine is basically intact. Here's a recent scientific review. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3573592/. ...Read more
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