I'm a 32-year-old male, and during a comprehensive test I found out that my Vitamin B12 level is at 1892 pgml. For the past 7 years, I've been taking a combination of methylcobalamin 1500 mcg with pyridoxin and folic acid because my homocysteine levels were high at 15.55. Can you help me understand why my Vitamin B12 level is elevated? Is it okay for me to keep taking these tablets, or could there be any issues with high Vitamin B12 levels? Everything else in my reports looks good. Would love your advice on this.

Dr Dhankecha Dineshbhai

General Practitioner

• MBBS
• 6+ Yrs

Consult Now

Sorry to hear that your dad is experiencing gastric problems and body pains. _Raja Khaini (Tobacco) Concerns:_ 1. _Tobacco toxicity_: Raja Khaini contains tobacco, which can cause stomach problems, digestive issues, and other health concerns. 2. _Post-meal consumption_: Taking tobacco immediately after meals can exacerbate digestive issues. _Recommended Steps:_ 1. _Encourage your dad to quit tobacco_: Support him in quitting Raja Khaini to alleviate gastric problems. 2. _Consult a gastroenterologist_: Schedule an appointment with a specialist to rule out underlying conditions. 3. _Dietary changes_: Advise your dad to: - Eat smaller, frequent meals - Avoid spicy, fatty, or heavy foods - Incorporate fiber-rich foods and probiotics 4. _Alternative digestive aids_: Consider natural digestive aids like ginger, ajwain, or digestive enzymes. _Persistent Symptoms:_ If your dad's symptoms persist or worsen, consult a doctor to rule out underlying conditions like: 1. _Gastroesophageal reflux disease (GERD)_ 2. _Peptic ulcers_ 3. _Irritable bowel syndrome (IBS)_ Encourage your dad to prioritize his health and seek medical attention if symptoms persist.

Answered 15 days ago