Who Is An Expert On High Vitamin B12 With Low B 12 Symptoms?

What type of doctor specializes in vitamin deficiencies?

If you suspect that you have vitamin deficiency anemia, you’re likely to start by seeing your family doctor or a general practitioner. However, in some cases, you may be referred to a doctor who specializes in treating blood disorders (hematologist).

Can you have pernicious anemia with high B12 levels?

A low level of vitamin B12 in the blood indicates pernicious anemia. However, a falsely normal or high value of vitamin B12 in the blood may occur if antibodies interfere with the test. Your homocysteine and methylmalonic acid (MMA) levels. High levels of these substances in your body are a sign of pernicious anemia.

Can you have high B12 levels and still be deficient?

However, a normal blood value cannot rule out a B12 deficiency, as has often been shown in scientific medical literature. Serum B12 can be false normal or even false high, while a deficiency is present.

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How might a doctor suggest the patient manage B12 deficiency?

Your doctor might recommend that you also take a vitamin B12 supplement.

To increase the amount of vitamin B12 in your diet, eat more of foods that contain it, such as:

  1. Beef, liver, and chicken.
  2. Fish and shellfish such as trout, salmon, tuna fish, and clams.
  3. Fortified breakfast cereal.
  4. Low-fat milk, yogurt, and cheese.
  5. Eggs.

How do you know if your B12 is low?

Symptoms of Vitamin B12 Deficiency

  1. Weakness, tiredness, or lightheadedness.
  2. Heart palpitations and shortness of breath.
  3. Pale skin.
  4. A smooth tongue.
  5. Constipation, diarrhea, loss of appetite, or gas.
  6. Nerve problems like numbness or tingling, muscle weakness, and problems walking.
  7. Vision loss.

At what level should B12 be treated?

But a normal level of vitamin B12 in your bloodstream is generally between 190 and 950 picograms per milliliter (pg/mL). Between 200 to 300 pg/mL is considered borderline and your doctor may do more testing. Below 200 pg/mL is low and more testing is needed.

What happens when your B12 levels are too high?

However, supplementing with excessively high levels of B12 has been linked to some negative side effects. Several studies have shown that megadoses of the vitamin can lead to outbreaks of acne and rosacea, a skin condition that causes redness and pus-filled bumps on the face.

What causes extremely high B12 levels?

Usually, excess vitamin B12 is removed in the urine. Conditions that can increase B12 level include: Liver disease (such as cirrhosis or hepatitis) Myeloproliferative disorders (for example, polycythemia vera and chronic myelogenous leukemia)

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What does high B12 mean in blood test?

Elevated levels of serum cobalamin may be a sign of a serious, even life-threatening, disease. Hematologic disorders like chronic myelogeneous leukemia, promyelocytic leukemia, polycythemia vera and also the hypereosinophilic syndrome can result in elevated levels of cobalamin.

How long does B12 deficiency take to correct?

Recovery from vitamin B12 deficiency takes time and you may not experience any improvement during the first few months of treatment. Improvement may be gradual and may continue for up to six to 12 months.

What is normal level of vitamin B12 in elderly?

A serum vitamin B12 level between 200 pg/mL and 900 pg/mL is considered normal, but a threshold of 300 to 350 pg/mL is recognized as a marker for a desirable status in the elderly. The laboratory diagnosis is usually based on low serum vitamin B12 levels or elevated serum methylmalonic acid and homocysteine levels.

Is B12 deficiency an autoimmune disease?

Pernicious anaemia is the most common cause of vitamin B12 deficiency in the UK. Pernicious anaemia is an autoimmune condition that affects your stomach. An autoimmune condition means your immune system, the body’s natural defence system that protects against illness and infection, attacks your body’s healthy cells.

What is the best B12 supplement?

The best B12 supplement

  • Best B12 supplements of 2020.
  • Jarrow Formulas’ Methyl B12: A previous favorite that’s held onto the top spot due to its special methylcobalamin formulation that’s easier to absorb than other types.

What is considered severe B12 deficiency?

Patients with B12 levels between 200 and 300 pg/mL are considered borderline, and further enzymatic testing may be helpful in diagnosis. Patients with B12 levels below 200 pg/mL are considered deficient. However, a low serum B12 level does not determine the etiology of the deficiency.

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How often should vitamin B12 levels be checked?

In mild vitamin B12 deficiency, we recommend repeat measurements of serum vitamin B12, homocysteine, and methylmalonic acid levels two to three months after initiating treatment.

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