advice how much b12 should i take very low defiency

[weazle74]

i use orall spray plus b12 of 1.200 two sprays under tonque .. i also have very low vitamin d i use spray of 2000 you think is enough my b12 is 101// normall range 200 /900 and vit d is 8.8 from normall range starts from 20 to 200 pls tell me which brands to use to and how many mg to take

[clivealive Forum Support]

HI weazle74 with Vitamin B12 a lot will depend on why you are deficient.

Anyone at any age, can become B12 deficient. However, certain people are at an elevated risk. They include the following:

Vegetarians, vegans and people eating macrobiotic diets.

People aged sixty and over

People who’ve undergone any gastric and/or intestinal surgery, including bariatric surgery for weight loss purposes (Gastric bypass).

People who regularly use proton-pump- inhibitors. H2 blockers, antacids, Metformin, and related diabetes drugs, or other medications, or infections such as h-pylori that can interfere with B12 absorption.

People who undergo surgeries or dental procedures involving nitrous oxide, or who use the drug recreationally.

People with a history of eating disorders (anorexia or bulimia).

People with a history of alcoholism.

People with a family history of pernicious anaemia.

People diagnosed with anaemia (including iron deficiency anaemia, sickle cell anaemia and thalassaemia).

People with Crohn’s disease, irritable bowel syndrome, gluten enteropathy (celiac disease), Pancreatic insufficiency, or any other disease that cause malabsorption of nutrients.

People with autoimmune disorders (especially thyroid disorders such as Hashimoto’s thyroiditis and Grave’s disease) Type 1 diabetes, vitiligo, lupus, Addison’s disease, ulcerative colitis, infertility, acquired agammaglobulinemia, or a family history of these disorders.

Women with a history of infertility or multiple miscarriages.

Do you see yourself among any of the above "people"?

What did your doctor say about your Vitamin B12 and Vitamin D levels?

I am not medically trained.

[weazle74 in reply to clivealive]

he gave me orall spray 1.200mg twice a day yes have hashimoto hypothyroide