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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Off Vitamin B12 Deficiency?

I am 45yrs old,suffering from diabetic2 last 15 yrs,uric acid,having chlorestrol.from last 2yrs have a vit B12 deficiency.Advice me to take best suitable medicine&vitamin supplement.I m taking GLIMP 1,ZYLORIC,ATORVA 5mg,METHYL COBALMINE INJ&RECONIA lp for vit. supplement
Wed, 27 Jan 2016
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Dietitian & Nutritionist 's  Response
Hello! Welcome to HCM!
First of all, you may have to continue with vitamin B12 supplements for quite awhile. You are getting vitamin B12 shots right now and I would continue them per doctor's advice and then he should transition you to a pill supplement. A deficiency of B12 cannot be corrected by a multivitamin. The correction of the B12 deficiency may help lower your lipids as the two have recently been shown to be indirectly related. A low B12 often preceeds signs of diabetes according to 2014 research.

Also, it is important that your folic acid be tested as treating a B12 deficiency without testing for and treating a folic acid deficiency can be dangerous.

With statin medications I follow patients for their calcium intake, vitamin D, magnesium. Avoid grapefruit and citrus. Supplement with 1 g vitamin C per day per drug nutrient interaction with Atorva according to my clinical resource.

Designing a supplement regime may be complex and would require a full assessment, nutritional diagnosis and the development of a Personalized treatment plan. Also, if we can include foods instead of supplements, that is the preferable way to go.

Please do not design your own supplement plan as supplements can also interact and there are preferred times of the day for each one and some you can't take with others.

With your statin drug it is recommended to monitor for muscle pain as it can deplete Coenzyme Q10.

This is general advice. I recommend a full consult with a dietitian to let her help you design a meal plan.And, verify that you get your blood tested for folic acid. Good luck!Kathryn Shattler, MS,RDN
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Dietitian & Nutritionist Kathy Shattler's  Response
Good Morning, Let me try to guide you through the answers to your questions. I congratulate you for asking them as more people should seek awareness of these matters, such as you are.

First of all, a vitamin B12 deficiency is quite common in individuals with high lipids, high blood sugar and particularly anyone on Metformin. I suggest a B-complex tablet with a high level of B12. Continue with your injections until you are repleted or told differently by your physician.

The medication list you provided was run through my professional database and it seems like the nutrients of concern other than what we have already discussed would be vitamin E and riboflavin (a B vitamin found in the B-complex supplement I suggested).

Furthermore, keep in mind that even if you follow a perfectly balanced diet per the USDA 2016 guidelines, there will still be a vitamin D, vitamin E, potassium and choline deficiency. So, I suggest consideration of vitamin D, E, choline supplementation in your multivitamin. Do not take potassium by itself, but if part of a multivitamin you should be okay.

I do hope I have answered your query. Regards, Kathryn Shattler, MS,RDN

In addition to taking B12,
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Dietitian & Nutritionist Kathy Shattler's  Response
Hello. You will probably be on some form of B12 the rest of your life. After repletion, talk to your doctor about switching to a Bcomplex as taking B12 alone may mask a folic acid deficiency.

You may want to come in for a direct consult with me over your drug/nutrient interactions so I can answer your questions on vitamins. Any dietitian you consult with will want a sample day's current eating plan, supplements, all meds, labs, diagnosis, likes, dislikes, height, weight, weight goal and age. Designing a supplement program is entirely personal.

Without that full assessment, recommending supplements may cause more harm. "Above all, do no harm" is an oath I abide by.

Good luck and remember to seek qualified advice. Regards, Kathryn Shattler, MS,RDN
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How To Get Rid Off Vitamin B12 Deficiency?

Hello! Welcome to HCM! First of all, you may have to continue with vitamin B12 supplements for quite awhile. You are getting vitamin B12 shots right now and I would continue them per doctor s advice and then he should transition you to a pill supplement. A deficiency of B12 cannot be corrected by a multivitamin. The correction of the B12 deficiency may help lower your lipids as the two have recently been shown to be indirectly related. A low B12 often preceeds signs of diabetes according to 2014 research. Also, it is important that your folic acid be tested as treating a B12 deficiency without testing for and treating a folic acid deficiency can be dangerous. With statin medications I follow patients for their calcium intake, vitamin D, magnesium. Avoid grapefruit and citrus. Supplement with 1 g vitamin C per day per drug nutrient interaction with Atorva according to my clinical resource. Designing a supplement regime may be complex and would require a full assessment, nutritional diagnosis and the development of a Personalized treatment plan. Also, if we can include foods instead of supplements, that is the preferable way to go. Please do not design your own supplement plan as supplements can also interact and there are preferred times of the day for each one and some you can t take with others. With your statin drug it is recommended to monitor for muscle pain as it can deplete Coenzyme Q10. This is general advice. I recommend a full consult with a dietitian to let her help you design a meal plan.And, verify that you get your blood tested for folic acid. Good luck!Kathryn Shattler, MS,RDN