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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anemia, Breathlessness, Chest Compression, Gastritis, Headaches. Prescribed Vitcofol. Suggestions?

I am a 54 year old male and do not consume alcohol and vegetarian

My 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 like

Anemia - (Hb - 12.9)
breathlessness and chest compression
gastritis
slight giddiness
Unexplained head aches

Investigations:
------------------
CT Angio is normal with a clacium score of 0 and no vascular stenosis
Brain MRI is also normal
Thyroid hormones are normal
USG Abdomen shows fatty liver grade 2 with mild hepatomegaly
Gastroscropy revealed gastritis, mild deuodinitis and Inlet patch

Question:
------------
Is the prescription for B12 good enough or should I alter this?

Sundar
Thu, 9 May 2013
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Hematologist 's  Response
Hi Sundar,
You seem to be having a low B12 level, but since the haemoglobin 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.
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Anemia, Breathlessness, Chest Compression, Gastritis, Headaches. Prescribed Vitcofol. Suggestions?

Hi Sundar, You seem to be having a low B12 level, but since the haemoglobin 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.