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I am taking KOMBIGLYZE TAB 2.5-1000 twice a day. Do I need

 
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  • Answered by:Dr. David
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Customer Question

I am taking KOMBIGLYZE TAB 2.5-1000 twice a day. Do I need to take B12 supplement? What is the maximum B12 supplement dose you can take in a day?

 

Optional Information:
Person's Gender: Male
Person's Age: 40

Submitted: 253 days and 14 hours ago.
Category: Oncology
Value: $20
Status: CLOSED

Accepted Answer

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Expert:  Dr. David replied 253 days and 14 hours ago.


Dr. David :

Hello, this is Dr. David. I have read your question and am ready to help.

Dr. David :

you should get your B12 levels checked before you start taking B12

Customer :

I am taking multivitamin and it already has B12. What is the maximum dose you can take in a day?

Customer :

In the blood test results, my Hemoglobin level is 12.5 and Hematocrit is 36.6

Dr. David :

those are pretty good levels for hemoglobin

Dr. David :

B12 is water soluable, so higher doses just get eliminated in the urine

Dr. David :

recommended adult ranges for B12 intake ranges from 2 to 3 µg per day

Customer :

My multivitamin bottle says B12 as 40mcg, is it Ok

Dr. David :

yes

Customer :

Since I am taking KOMBIGLYZE TAB 2.5-1000b 2 per day, I am consuming 2000 mg of Metformin? Will it lower B12 levels?

Dr. David :

those are fine

Customer :

My hematologist did a blood test. What level indicates B12?

Customer :

I have the result with me

Customer :

Here are the results

Customer :
Result 07/11/12 07/11/12
WBC 7.3
RBC 4.38 4.48
Hgb 12.9 12.4
HCT 37.4 37.7
MCH 29.5 27.7
RDW 14.1 11.9
Plat 290
Lymph# 2.3
MONO# 0.4
Gran# 4.6
Gran% 62.2
Lymph% 32.1
MONO% 5.7
Albumin 4.08
LDH 139
TIBC 368
Ferritin 27
Protein 7.4
MCV 85.5 84
MCHC 33.0
MPV 6.3
Customer :

Do you see B12 level here?

Dr. David :

no B12 there

Dr. David :

B12 level would be on a blood chemistry result

Dr. David :

you gave me the CBC or complete blood cell count result

Customer :

Ok, is my Iron level is OK in this result?

Dr. David :

yes, normal ferritin is : 12-300 ng/mL for males

Dr. David :

MCV is good

Dr. David :

Hemoglobin is good.

Dr. David :

iron level is good.

Dr. David :

let me know if you have other questions

Dr. David :

if done, please click accept

Dr. David :

thanks for using justanswers.com

Expert TypeDoctor (MD)
Category: Oncology
Pos. Feedback: 98.9 %
Accepts: 4291
Answered: 7/31/2012

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