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Heres what we suggest for these patients: Give them high doses of vitamin B12 (1000-2000 mcg) often (daily or weekly) at first Consider Tiaminal B12 injections, which have both thiamine and B12 Watch their symptoms closely and adjust treatment as needed Experts say that High-dose vitamin B12 therapy can lead to significant improvements in neurological function in patients with deficiency-related neuropathy. In short, customizing B12 injection plans for the elderly and those with neurological issues is key
Persistent severe symptoms that interfere with daily activities or lead to dehydration should prompt immediate medical consultation, as medication discontinuation or alternative treatments may be necessary
Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65
This calculator is provided for educational and informational purposes only and is not intended to replace professional medical advice.
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