Yes, it is entirely possible. A past stomach infection can sometimes trigger long-term gut changes or low stomach acid. When stomach acid is low, your body struggles to break down food properly, leading to bloating, heartburn, and undigested food in your stool. It also severely hinders your ability to absorb vital nutrients like vitamin B12, causing extreme tiredness. While using Neurobion helps replenish your B12 levels, it is very important to consult a healthcare provider to find and treat the root cause of your symptoms. Rest assured, with the right evaluation, we can help your digestive system get back on track.

Hello! It is wonderful that you are proactively managing your health. Since you are already receiving Neurobion Forte injections (containing vitamins B1, B6, and B12) every other day, adding daily Becosules capsules (another vitamin B-complex) might cause an unnecessary overlap. While B vitamins are water-soluble and excess is usually flushed out, very high doses of certain B vitamins over time are best avoided. I gently recommend discussing this with your doctor. They can review your blood levels and guide you on the exact duration and whether combining these two is necessary for your specific needs.

With daily Neurobion Forte and a B12-rich diet, it typically takes about six to twelve weeks to bring your vitamin B12 levels back to normal. Since Neurobion Forte has a modest amount of B12, a faster-acting alternative is a higher-dose generic vitamin B12 supplement (such as methylcobalamin) or prescription vitamin B12 injections. Injections bypass the digestive system for rapid, direct absorption. Please discuss these faster-acting options with your doctor to find the best and safest approach for your body.

Since you suspect your body isn't absorbing Vitamin B12 from food, consulting a gastroenterologist (stomach specialist) is an excellent step. They can investigate underlying causes of malabsorption, such as celiac disease or pernicious anemia. However, starting with a general physician is also a great option to run comprehensive blood tests and coordinate your care. Please be reassured that B12 deficiency is highly treatable, though it can take multiple generic B12 injections or specific doses to feel better.

Dealing with persistent IBS-C, poor sleep, and weakness is incredibly draining, especially when your tests are normal. Since Nexito and Prothiaden haven't fully relieved your symptoms, your doctors might consider adjusting your regimen. For anxiety and gut sensitivity, switching to other generic options like selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs), such as duloxetine, can help manage both nerve pain and anxiety. For sleep and bowel habits, optimizing your evening dosulepin (Prothiaden) or adding gut-directed therapies like cognitive behavioral therapy can provide relief. Please consult your psychiatrist and gastroenterologist before making any changes to ensure a safe, coordinated transition.

You can safely take your oral contraceptive, Mercilon (ethinylestradiol/desogestrel), alongside Neurobion (vitamin B-complex), Conzace (multivitamins/zinc), and MX3 (mangosteen extract). None of these dietary supplements interfere with how Mercilon works, so your contraceptive protection remains fully effective. To help prevent any mild stomach upset, you might want to take your birth control at one consistent time and your supplements with a meal.