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Should I Start Medication I Have Found Vitamin B12 Is Too Low(93 Pg/ml)?

Posted on 1 day ago

Question: Hi Doctor,

I have done routine blood checkup and have the following observations.

I have done my first check and found vitamin b12 is too low(93 pg/ml).screenshot attached.

To cross check the result i have done the b12 test from another lab and got result as 44.5 pmol/L which is normal value.Attaching screesnshot.

Are the both results same?..Or should I start medication?

Answered by Dr. Dr. (1 hour later)

Brief Answer:
As explained below.

Detailed Answer:
Hello,

I have gone through your query. I think we can consider laboratory value of vitamin B12. They are reliable. We can wait and need not start medicines.

I hope this helps you. Please feel free to discuss further.
Regards.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. (3 hours later)

Thanks doctor.

Are both test results same..I can see the units different in both results?

.Both test results are taken in last two weeks.I am a non vegetarian with no history of vitamin b12 deficiency.

Answered by Dr. Dr. (44 hours later)

Brief Answer:
As explained below.

Detailed Answer:
Hi,

Yes, both are same but the method of doing the test varies and hence the unit. pmol/L is picomoles per litre and pg/mL is Picograms per milliliter.

1 pg/mL = 0.272405 pmol/L

We need not worry about the units, we need to see if they are within range. I would suggest you wait and repeat vitamin B12 result in same XXXXXXX laboratory after 3 months to compare. If it is normal then need to start on any medicines, if not we can start on supplements.

I hope this helps you. Please feel free to discuss further.
Regards,

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. (2 days later)

Hi,

Healthian doctor said that.

1.Healthians report is total b12 count.

2 XXXXXXX health lab report is active b12

so that means active b12 count is normal and inactive count is low?..

Qsts:

Is the above statements true?

if true and my inactive b12 is low ?.Will it have any issue?

Answered by Dr. Dr. (18 hours later)

Brief Answer:
As explained below.

Detailed Answer:
Hi,

Sorry for the delay in reply.

We always consider active b12 level only as that is what is readily available for our body to use. Total b12 is pound to a protein and cannot be used by our body. So as your active b12 is normal, you need not take any additional supplements.

I hope this helps you. Please feel free to discuss further.
Regards,

Above answer was peer-reviewed by : Dr. Kampana