I  am a 54 year old male and do not consume alcohol and vegetarianMy B12 level is 148 PG/ml. I have been prescribed  2ml Vitcofol ( cynocobalamin 500 mcg/ml ) injections every third day for 7 days. Is this good enough? I have symptoms likeAnemia - (Hb - 12.9)breathlessness and chest compressiongastritisslight giddinessUnexplained head achesInvestigations:------------------CT Angio is normal with a clacium score of 0 and no vascular stenosisBrain MRI is also normalThyroid hormones are normalUSG Abdomen shows fatty liver grade 2 with mild hepatomegalyGastroscropy revealed gastritis, mild deuodinitis and Inlet patch Question:------------Is the prescription for B12 good enough or should I alter this? Sundar
Hi Sunday, You seem to be having a low B12 level, but since the hemoglobin is good it shouldn't be a major problem. The dose of B12 injections that has been prescribed is adequate. The other symptoms that you have are unlikely to be due to B12 deficiency, and you seem to have been investigated thoroughly. You might want to get a cardiac evaluation done for the chest tightness. Regards.