5 doctors weighed in:

Can patients with polycythemia vera take folic acid and vitamin B12 supplements when deficient or will it cause clots?

5 doctors weighed in
Dr. Aasim Sehbai
Internal Medicine - Hematology & Oncology
2 doctors agree

In brief: 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 (folic acid) are normal in blood, then i would not recommend it. Thanks.

In brief: 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 (folic acid) are normal in blood, then i would not recommend it. Thanks.
Dr. Aasim Sehbai
Dr. Aasim Sehbai
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Dr. William Hammond
Internal Medicine - Hematology & Oncology
1 doctor agrees

In brief: Yes, no clot risk

If you are deficient in Folic Acid or vitamin b12, replacement is appropriate therapy.
The level of hematocrit (>55%) or hemoglobin (>17gm/dl) is correlated with clotting risk, not specific vitamins. Treatment often involves phlebotomy (removing a unit of blood) which can cause iron deficiency. If one treats with iron, it is possible to stimulate a rapid rise in these counts and cause a clot.

In brief: Yes, no clot risk

If you are deficient in Folic Acid or vitamin b12, replacement is appropriate therapy.
The level of hematocrit (>55%) or hemoglobin (>17gm/dl) is correlated with clotting risk, not specific vitamins. Treatment often involves phlebotomy (removing a unit of blood) which can cause iron deficiency. If one treats with iron, it is possible to stimulate a rapid rise in these counts and cause a clot.
Dr. William Hammond
Dr. William Hammond
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Dr. Ed Kaplan
Internal Medicine - Hematology & Oncology
1 doctor agrees

In brief: Won't cause clots

I don't think that it will cause clots, but the blood count is high and B12 is usually elevated.
Why take the folate (folic acid) or b12?

In brief: Won't cause clots

I don't think that it will cause clots, but the blood count is high and B12 is usually elevated.
Why take the folate (folic acid) or b12?
Dr. Ed Kaplan
Dr. Ed Kaplan
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Dr. Ed Friedlander
Pathology

In brief: Not a problem

These won't put the person at any increased risk.

In brief: Not a problem

These won't put the person at any increased risk.
Dr. Ed Friedlander
Dr. Ed Friedlander
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