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.

Answered by 1 Apollo Doctors

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:

Tobacco toxicity: Raja Khaini contains tobacco, which can cause stomach problems, digestive issues, and other health concerns.

Post-meal consumption: Taking tobacco immediately after meals can exacerbate digestive issues.

Recommended Steps:

Encourage your dad to quit tobacco: Support him in quitting Raja Khaini to alleviate gastric problems.

Consult a gastroenterologist: Schedule an appointment with a specialist to rule out underlying conditions.

Dietary changes: Advise your dad to:

Eat smaller, frequent meals

Avoid spicy, fatty, or heavy foods

Incorporate fiber-rich foods and probiotics

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:

Gastroesophageal reflux disease (GERD)

Peptic ulcers

Irritable bowel syndrome (IBS)

Encourage your dad to prioritize his health and seek medical attention if symptoms persist.

Dr. Dhankecha Suggests...

Consult a Haematologist

Find a Haematologist

Answered 04/07/2025

More Haematology Health Queries

View all

I'm a bit worried about my mean platelet volume being at 14.8. Does that seem unusually high or just slightly above normal? How can I bring it back to a more typical range? Any advice would be appreciated!

yes it will come

Answered by 1 Apollo Doctors

I'm looking at my blood test results, and my lymphocyte count seems to be higher than usual. Is this something I should be worried about, or do I need to get any further tests done?

An elevated lymphocyte count can be a normal response to infection, inflammation, or stress, but persistently high levels may indicate an underlying condition, such as a viral infection, autoimmune disorder, or lymphoproliferative disorder; consult your doctor to discuss the results and determine if additional tests, such as a lymphocyte subset analysis, bone marrow biopsy, or imaging studies, are necessary to investigate the cause of the elevated lymphocyte count.

Answered by 1 Apollo Doctors

I'm wondering if having high MCH and MCV levels could be making me gain weight. Also, could these levels cause any issues with altitude sickness? I'm planning to climb Kilimanjaro next month, so I'm curious about how this might affect me.

High MCH and MCV often indicate macrocytic anemia, which can affect energy levels and endurance, possibly making weight gain harder and altitude sickness more challenging. Before climbing Kilimanjaro, consult your doctor to address this, as anemia may impact oxygen transport in high-altitude conditions.

Answered by 1 Apollo Doctors