the Impact of High Vitamin B12 on Dizziness and Headaches - Oncology

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Occasional dizziness and headaches; elevated vitamin B12 levels?


Hello, my recent blood test results are as follows: Complete Blood Count I (eight items) RBC 4.64, Complete Blood Count I (eight items) PLATELET 496, Complete Blood Count I (eight items) MPV 8.9, Complete Blood Count I (eight items) P-LCR 14.8, Complete Blood Count I (eight items) PDW 8.6, Serum Creatinine eGFR (M) 52.62, Serum Creatinine Crea 1.4, Vitamin B12 Immunoassay Vitamin B12, 1215.
The highlighted values are in red.
I have previously experienced dizziness and have consulted both an otolaryngologist and a neurologist, who found no issues.
Currently, I experience intermittent dizziness and headaches.
Could these values be affecting me? Thank you.

alex, 50~59 year old female. Ask Date: 2024/05/03

Dr. Hu Ziren reply Oncology


1.
If platelet count is elevated (>400K), it is recommended to follow up in 3-6 months.
If it remains elevated (>400K), it is advisable to consult a hematologist.

2.
Elevated vitamin B12 levels do not cause headaches or dizziness.

3.
If kidney function is impaired (elevated creatinine, decreased eGFR), it is recommended to see a nephrologist.
Note: If there is chronic kidney disease (elevated kidney function), along with hypertension and other metabolic abnormalities (such as electrolyte imbalances), it may lead to symptoms such as dizziness, headaches, weakness, and general malaise.

Reply Date: 2024/05/03

More Info


Vitamin B12 plays a crucial role in maintaining neurological health, and its deficiency can lead to various cognitive issues, including memory loss and confusion. In your case, with a reported Vitamin B12 level of 1215 pg/ml, which is above the normal range (193-982 pg/ml), it is important to understand how this might relate to your symptoms of dizziness and headaches.


Understanding Vitamin B12 Levels
Vitamin B12 is essential for the production of red blood cells and the maintenance of the nervous system. While deficiency is commonly associated with neurological symptoms, excess levels of Vitamin B12 are less understood. Generally, high levels of Vitamin B12 are not considered toxic, as the body typically excretes excess amounts through urine. However, elevated levels can sometimes indicate underlying health issues, such as liver disease or certain types of blood disorders.


Potential Causes of Dizziness and Headaches
Your symptoms of dizziness and headaches could be multifactorial. While high Vitamin B12 levels are unlikely to be the direct cause of these symptoms, they may be associated with other underlying conditions. For instance:
1. Dehydration or Electrolyte Imbalance: Dizziness can often be linked to dehydration or imbalances in electrolytes, which can occur if you are not consuming enough fluids or if your diet lacks essential minerals.

2. Blood Pressure Fluctuations: If you have a history of high blood pressure, fluctuations in blood pressure can lead to dizziness and headaches. It’s important to monitor your blood pressure regularly.

3. Anxiety or Stress: Psychological factors can also contribute to physical symptoms like dizziness and headaches. Stress and anxiety can lead to tension headaches and feelings of lightheadedness.

4. Other Medical Conditions: Given that you have already consulted with ENT and neurology specialists, it may be worthwhile to explore other potential causes, such as vestibular disorders, migraines, or even side effects from medications.


Recommendations
1. Consult Your Healthcare Provider: Given your elevated Vitamin B12 levels and ongoing symptoms, it is essential to follow up with your healthcare provider. They may recommend further testing to rule out any underlying conditions that could be contributing to your symptoms.

2. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in diagnosing the issue.

3. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins and minerals. This can help mitigate some symptoms and improve overall health.

4. Lifestyle Modifications: If stress or anxiety is a contributing factor, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

5. Regular Check-ups: Regular follow-ups with your healthcare provider can help monitor your Vitamin B12 levels and overall health, ensuring that any changes are addressed promptly.


Conclusion
While high levels of Vitamin B12 are not typically harmful, they warrant further investigation, especially in the context of your symptoms. Dizziness and headaches can arise from various causes, and it is crucial to work closely with your healthcare provider to identify the underlying issue. By taking a proactive approach to your health, you can better manage your symptoms and improve your quality of life.

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