Vitamin B12
The skin sensation in the thigh has deteriorated, and the doctor prescribed a B-complex vitamin, but the condition has not improved.
1.
Would a higher dose of vitamin B12 be more effective? 2.
Is it safe to self-purchase and take vitamin B12 1000 mcg (considering I have slightly impaired kidney function)? Thank you.
MAX, 30~39 year old female. Ask Date: 2019/07/21
Dr. Hong Kunyi reply Pharmacology
Hello, sir: If a physician prescribes vitamin B complex but there is no improvement, it is still necessary to consult the physician to determine if other diseases are causing the altered sensation.
Generally, it is advised not to self-administer higher doses of vitamin B12 without a physician's prescription.
If prescribed by a physician and there are no significant effects, it should not be used long-term, and you should consult your physician immediately.
Taking vitamin B12 can sometimes cause gastrointestinal discomfort, loss of appetite, nausea, diarrhea, and occasionally allergic rashes.
There are no significant adverse effects of vitamin B12 on liver or kidney function, but self-medication can still impose a burden on these organs.
It is recommended that you discuss your symptoms in detail with your physician to protect your health.
Wishing you safety and well-being.
Reply Date: 2019/07/21
More Info
When it comes to addressing nerve sensation issues, particularly in the context of Vitamin B12 supplementation, there are several important considerations to keep in mind. Vitamin B12, also known as cobalamin, plays a crucial role in nerve health, red blood cell formation, and DNA synthesis. Deficiency in this vitamin can lead to neurological issues, including numbness, tingling, and sensory disturbances.
1. Higher Doses of Vitamin B12: The question of whether higher doses of Vitamin B12 would be more effective is nuanced. While some studies suggest that higher doses can be beneficial, especially in cases of deficiency, it is essential to approach this under medical supervision. The body has a unique absorption mechanism for Vitamin B12, and excessive amounts taken orally may not significantly increase serum levels due to saturation of the absorption pathways. In cases of severe deficiency or neurological symptoms, healthcare providers may recommend intramuscular injections of B12, which bypass the gastrointestinal absorption issues and deliver the vitamin directly into the bloodstream.
2. Self-Medication with High Doses: Regarding the self-administration of high-dose Vitamin B12 (such as 1000 mcg), caution is advised, especially for individuals with compromised kidney function. While Vitamin B12 is generally considered safe and non-toxic, excessive supplementation can lead to potential side effects, including gastrointestinal discomfort, and in rare cases, allergic reactions. Given your mention of having slightly impaired kidney function, it is crucial to consult with a healthcare provider before starting any new supplement regimen. They can evaluate your specific health situation and determine the appropriate dosage and form of Vitamin B12 that would be safe and effective for you.
In addition to supplementation, it is also important to consider dietary sources of Vitamin B12. Foods rich in B12 include animal products such as meat, fish, eggs, and dairy. For individuals who are vegetarian or vegan, fortified foods or supplements may be necessary to meet their B12 needs.
Furthermore, if you are experiencing persistent symptoms despite supplementation, it may be indicative of an underlying condition that requires further investigation. Conditions such as peripheral neuropathy, diabetes, or other metabolic disorders can contribute to nerve sensation issues and may necessitate a comprehensive treatment approach beyond just Vitamin B12 supplementation.
In summary, while higher doses of Vitamin B12 may be beneficial in certain contexts, it is essential to approach this under the guidance of a healthcare professional, especially considering your kidney function. Regular monitoring of your B12 levels and overall health is crucial to ensure that you are receiving the appropriate care and to address any underlying issues that may be contributing to your symptoms. Always prioritize open communication with your healthcare provider regarding any changes in your health or concerns about your treatment plan.
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