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  5. My vitamin B12 level was 100 pg/mL five months ago, so I received weekly vitamin B12 injections for 8 weeks and then continued with one injection every 3 months. My recent B12 level is over 2000 pg/mL. My doctor advised me to stop the injections and start Brilical XT tablets. Should I take the tablets despite my high B12 level? I also have hypothyroidism and take levothyroxine 25 mcg daily. My current TSH is 4.2 mIU/L. Could my thyroid condition affect my vitamin B12 levels or treatment, and is this management appropriate?

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My vitamin B12 level was 100 pg/mL five months ago, so I received weekly vitamin B12 injections for 8 weeks and then continued with one injection every 3 months. My recent B12 level is over 2000 pg/mL. My doctor advised me to stop the injections and start Brilical XT tablets. Should I take the tablets despite my high B12 level? I also have hypothyroidism and take levothyroxine 25 mcg daily. My current TSH is 4.2 mIU/L. Could my thyroid condition affect my vitamin B12 levels or treatment, and is this management appropriate?

Asked by Female, 30 · 13 days ago

A vitamin B12 level above 2000 pg/mL is common after receiving vitamin B12 injections and usually reflects recent treatment rather than a health problem. If your doctor has advised you to stop the injections, it is generally appropriate to follow that advice. Whether you should take Brilical XT tablets depends on why they were prescribed. They may help maintain normal vitamin B12 levels after injections are stopped. Do not restart injections unless your doctor recommends them. Hypothyroidism does not directly raise vitamin B12 levels, but people with thyroid disorders can sometimes have a vitamin B12 deficiency due to associated autoimmune conditions. Your TSH of 4.2 mIU/L is close to the upper end of the normal range, and your doctor may decide whether any change in your levothyroxine dose is needed based on your symptoms and repeat thyroid tests. Continue regular follow-up and take your medications exactly as prescribed.

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