Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

Since June I have been going through a series of blood test.

Customer Question
My doctor has been doing...
Since June I have been going through a series of blood test. My doctor has been doing so in order to check my low B12 reading. I have been supplementing with foliate acid every day. Today I went in for my second blood test reading. My doctor said my B12 levels are extremely low. They are at the level of a 80 year old vegan male. He said for some reason my body is not absorbing B12. He said I need to begin getting B12 shots. He wants me to go see a endocronologist to try to figure out the reason for my low B12 readings. What could be the reason for my low B12 readings? What are the side effect from low B12? What would you recommend me do from here? How does this effect your daily life how concerned should I be. I am 30 years old male.
Submitted: 9 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 26 minutes by:
9/5/2008
Health Professional: Dr.Mian, MD replied 9 years ago
Dr.Mian
Category: Health
Satisfied Customers: 399
Experience: Diplomat American Board of Family Medicine
Verified

Hello Vitamin B12 is essential vitamin that is found in foods like meat,eggs, milk, etc and is absorbed in the small intestine with the help of a protein called intrinsic factor( released from stomach).

If there is gastric atrophy , it leads to low or no production of intrinsic factor and ultimatly the absorption of vitamin B12 is impaired which leads to low levels of B12 in the blood.

Low levels of B12 in body leads to many problems . most notable is megaloblastic anemia (low hemoglobin with bigger red cells) and also neurological problems.

There are several possible causes of low B12 like

Strict vegetarian diet Stomach problems.

Problem with absorption in small intestine.

Problem with pancreas

Problem with transport in the blood

Problem with B12 metabolism at cell levels

. Heavy prolonged alcoholism.

You need a complete work up in order to know the underlying cause behind your low B12.

Its low level in blood is associated with anemia( low hemoglobin) Neurological problems like paresthesias or numbness, weakness, gait problem etc. In advance stages it may also cause memory problems.

You should take B12 shots as advised by your physician.

Consume diet comprising of egs, milk, meat etc.

you can also take oral B12 in the form of multivitamins.

Have complete work up by endocrinologist.

In early stages specially treated with B12 shots, it should not effect your daily life.

But as long as you have anemia( low hemoglobin) because of B12 deficiency, you should not be involved in any sternous physical exercise.

Best wishes for your health.

Ask Your Own Health Question
Customer reply replied 9 years ago
Thank you for the reply and we will accept. I just have one last quick question.

I have had 2 blood test done and both times my b12 came back low...and I am scheduled to go see and endocrinologist.

However my doctor who is very thorough...said that most doctors probably wouldn't have caught it but b/c he dug deaper into my blood work he found it. My question is what would of happen if the doctor had not found it. I mean I am going to follow the doctors orders but should I be really concerned or scared now that I am diagnosed with this. I mean is there a chance that the endo will say everything is ok...or are the blood test that accurate. Also I have been working out very hard for 13+ years and I have never had any problems with strenous exercise...so when I read you response to that I was puzzled.

I guess long story short...should this scare me at 30 years old!

Thanks and again I will accept your answer!
Health Professional: Dr.Mian, MD replied 9 years ago

As I said earlier, B12 deficiency is asscoiated with two major problems.

1-Anemia with larger sized red cells

2-Neurological problems like paresthesia, gait disturbance, memory problem, nerve hyper sensations etc.

Once your body stores of B12 will be repleted preferrably with I/M injections, these problems disappear.

Sternous exercise during severe anemia can pose risk to the heart as congestive heart failure because of extra stress on the heart muscles. But it happens only in prolonged and severe cases.

One thing that came to my mind afterwards that there is a parasite called diphylobothrium latum or Fish Tape Worm , can also cause Vit.B12 defeciency.

I read it almost 15 years ago and your question reminded me of that.

Best wishes

Dr.Mian
Category: Health
Satisfied Customers: 399
Experience: Diplomat American Board of Family Medicine
Verified
Dr.Mian and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 9 years ago
Real quick follow up question.

I got to thinking and I did not fast correctly before I did my bloodwork could this of caused an error in my b12 reading being low?

Thanks
Health Professional: Dr.Mian, MD replied 9 years ago

nice to hear from you .

fasting shouldnot have effected your vitamin B12 reading.

Vit b12 is stored in liver and is continously poured in blood to meet body needs.

Fasting or non fasting should yield same results.

best wishes for your health

Ask Your Own Health Question
Ask Dr.Mian Your Own Question
Dr.Mian
Dr.Mian
Dr.Mian, MD
Category: Health
Satisfied Customers: 399
399 Satisfied Customers
Experience: Diplomat American Board of Family Medicine

Dr.Mian is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I have a platelet count of 438. All of my other blood work
I have a platelet count of 438. All of my other blood work came back completely in the normal tange … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,078 satisfied customers
I'm having a scapular nerve block done on Wednesday and the
I'm having a scapular nerve block done on Wednesday and the MRI on Monday and it's going to be done with cortisone the shot will that interfere with my MRI test results … read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,299 satisfied customers
My husband feels like he has something stuck in his stomach
My husband feels like he has something stuck in his stomach and every few minutes he gets a pain. What can I do?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Dr I have this painless bump below the opening of my penis,
Dr I have this painless bump below the opening of my penis, and it's grey there. Is this normal?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I swallowed a small Zoloft pill without water prior to going
Hello I swallowed a small Zoloft pill without water prior to going to bed and feel like it is stuck in my throat. I've tried drinking water, made myself vomit by coughing and ate food. Nothing has hel… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,285 satisfied customers
My 4 year old has been puking liquids and loose since this
My 4 year old has been puking liquids and loose poops since this morning. … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
I m wondering how it takes tame fkunti completly clear you
Hi. I m wondering how long it takes tame fkunti completly clear you system. Having someone me and cramping and other symptoms that i think are due to the med not the flu … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,078 satisfied customers
My daughter keeps getting pinworm infections, she also has a
My daughter keeps getting pinworm infections, she also has a gecko. My husbans thinks that she is getting it from the gecko. I have been reading online and found mixed answers about whether or not hum… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
Been having Flu like symptom for close to a year now, until
Good day. Been having Flu like symptom for close to a year now, until recently I started feeling nauseated, fulness, loss of appetite and constant burping.. really don't know what am up against.. kind… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
I am wondering if a blood pressure of 156/97 will 81 pulse
I am wondering if a blood pressure of 156/97 will 81 pulse is need for alarm? This was at resting and had onset of headache and heaviness. 40 year old female not on blood pressure meds. Thank you. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I have had chills, muscle aches, no appetite for the last 5
I have had chills, muscle aches, no appetite for the last 5 days. Usually better in the morning, but worse in the afternoon and evening ( extremely fatigued as well). No runny nose, slight cough, ear … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,078 satisfied customers
I have a lump in my throat after violent vomiting. It's not
It's not visible, and since last night after the episode of vomiting … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I was bitten by a cat yesterday. I am taking Augmentin and a
I was bitten by a cat yesterday. I am taking Augmentin and a Medrol Dose pack, which I started yesterday. I was also given Percocet for pain. I take Klonopin 2mg every night. I took Percocet at 6 PM a… read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,078 satisfied customers
Arun A while back I pulled my hamstring (muscle behind the
Hello doctor Arun A while back I pulled my hamstring (muscle behind the knee, bellow knee) so I started wearing brace all summer long in a day time only of course, I do not wear it any longer as of 4 … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Every night I wake up dizzy, bathed in sweat and then throw
Every night I wake up dizzy, bathed in sweat and then throw up. My dr thinks I have gastroparasis. Could what I experience at night be part of gastroparasis? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Well i forgot to mention that im of on my holidays to New
Hi doc..well i forgot to mention that im of on my holidays to New York on Monday doc.and im looking forward to it big time... yesterday was a good day.. today untill lunch Time ok.but then i started f… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I was preparing macaroni salad and had all the ingredients
Hi. I was preparing macaroni salad and had all the ingredients on my table. I left for literally 20 seconds max to check my phone. When I got back to the kitchen, my cat was nibbling on a portion of t… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,383 satisfied customers
1) Is it healthy to eat grilled chicken when it's grilled
Hello,1) Is it healthy to eat grilled chicken when it's grilled with charcoal? Some people say it's not healthy.2) In general, what's the healthiest option to prepare chicken?… read more
Dr. Scott
Dr. Scott
Doctor
1,029 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x