My Vitamin B12 is 163, which is below the normal range. I am experiencing tingling, numbness, weakness, shortness of breath, fatigue, tiredness, and body pain. I have taken Vitcofol 6, 2 ml injections over the last 10 days. My questions are: Which tests can I do to check iron levels, as I suspect low iron may be causing low hemoglobin? How can I alleviate these symptoms, and how many more B12 injections might I need, considering I am on PPI for GERD, which caused these issues? I may need to continue PPI for a few more months as GERD is almost resolved. I would also like tips to increase my hemoglobin and RBC levels.

Answered by 1 Apollo Doctors

Dr Vasanthasree Nair

General Practitioner

MBBS
15+ Yrs

Consult Now

Check serum iron, ferritin, TIBC. For B12, 6 to 8 injections total may be needed. Eat leafy greens, legumes, jaggery, and iron rich foods. Continue B12 if symptoms persist.

Dr. Vasanthasree Suggests...

Take a Vitamin B12 Test Test or Take a Iron Studies Test Test

Book Vitamin B12 Test Test Book Iron Studies Test Test

Answered 10/09/2025

More COMPLETE BLOOD COUNT (CBC) Health Queries

View all

What is the best way to increase red blood cells?

Answered by Apollo Doctors

My symptoms are similar to restless leg syndrome: tingling sensation under feet, leg pain, fatigue, drowsiness, etc. I have done blood tests, thyroid, kidney, and liver tests and all are normal. Please help me with this as I have been suffering for 2 years. I have used some multivitamin and mineral tablets.

Answered by Apollo Doctors

In summer, my body temperature is normal, but I feel like my face, arms, and feet are burning and uncomfortable. Sometimes there is swelling in my feet. Sometimes my feet, arms, and face feel warm to touch. It feels like heat is being radiated from my arms, face, and feet. I remain tired all day. Pain in the muscles of my legs is always present and increases in the evening. Almost every evening, fluid discharge starts from inside my nose, and I feel pain in my eyes and throat. My nose gets blocked, making it difficult to breathe through it. My CBC is normal. My thyroid is normal. My blood sugar tests are normal. I have had no weight gain or loss in the past few months. I am taking a proper diet. Please suggest a solution for these problems?

Answered by Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.