What to Do With High B12 Levels
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- เผยแพร่เมื่อ 15 ก.ย. 2024
- In this article, we will look at what to do with high B-12 levels. For instance we will look at what approaches you can take to find out:
How you can think about what's going on in your body to create high B-12 levels?
Whether or not you actually have excess B-12? Should you be checking your white blood cells, kidneys, liver etc. What test should you to be doing?
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The first thing you want to look at when you have high B-12 levels is to find out why you have high B-12 to begin with. In previous 2 articles;What Does A High B-12 level Mean?
Causes of High B-12 Without Supplementation
we discussed this in some detail. Still it is essential to find this out before you go on and start planning what to do about it. One of the problems with finding out you have high B-12 is that the serum B-12 test gives limited information. It is not the best at showing your true functional B-12 status. In other words, sometimes your tissues and cells do not have enough B-12 and it does not match the results of the high serum test.
This may seem strange that your tissues do not have enough B-12 but the B-12 blood test shows that you are high in B-12. However, you will get a get an appreciation for this as the article progresses. The main point for now is that the serum B-12 test is not the best way to understand your B-12 status. Neither are some of the functional tests like methylmalonic acid and homocysteine.
If you do have adequate B-12 levels, how do you know that there are not other problems with your white blood cells, with your kidneys, liver, etc? How do you know this is not a signal that's something deeper is going on with your tissues?
The first thing I recommend you do if you have a high B-12 level, is find out if your cells are getting adequate B-12 levels to begin with. To do this, you want to run two tests called methylmalonic acid and homocysteine. If these two test are normal (and the serum test is high) then you could likely assume that you do have adequate B-12 levels. By normal, for simplicity sake, we can use the lab reference range for normal. So if normal, then you do have adequate B-12 levels. Keep in mind that there can be problems with these tests too, but all in all, if normal there is adequate B-12.
Another way to look at this is to distinguish if you do or do not have B-12 deficiency symptoms, regardless if you have adequate B-12 level per lab values. If you have symptoms of B-12 deficiency and your methylmalonic acid and homocysteine levels are high, then it's clear you want to treat for B-12 deficiency. However, you still should dig deeper, try to find out why the B-12 level high and make sure that there's nothing more going on. On the other hand, if your homocysteine and methylmalonic are low (or normal) but you still have B12 deficiency symptoms, you may still want to treat for B12 deficiency. There are various ways to go about that. However, in the case that your labs are showing normal homocysteine and methylmalonic acid, then use more caution using B-12 and focus more on finding the cause (see below). The main reason for this distinction is that the symptoms of b-12 deficiency can have many different causes.In the first case you have elevated B-12, high homocysteine, high methylmalonic acid with B-12 symptoms. Here you will be you're treating for B-12 deficiency. In addition you want to make sure your white blood cells, your liver, your kidneys are al normal. This could be done through some simple standard labs called a CBC and Chemistry panel. If it's way outside the range, then there may be a problem there and you need to look a little closer. If it all looks looks fine then probably there's nothing going on with these organs and tissues currently. Regardless if it looks fine now, you should still be following a doctor and still looking at these tests on a regular basis. While the levels could be normal now they may become abnormal later.
If all tests are normal and you avoid extra B-12 supplements for 6 months, you could start supplementing with B-12. For both these scenarios, there are other test you can do to possibly uncover another layer of information. There is a test called holotranscobalamin.
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Thank you. Greatly appreciate this very helpful and well-done presentation.
You're very welcome!
My B12 was 1600. I have all the elevated B12 symptoms. Elevated B12 makes you feel horrible. All CBC normal. I take no supplements. I eat no poultry. I am on a strict liquid diet due to pancreatitis and chrons. I should have B12 deficiency. I am concerned. I barely eat at all. Thank you for the information.
What symptoms do you have?
Hi! Thank you for caring enough about strangers, to post videos like this! Turns out I have elavated B12 (976) along with elavated S-CRP (11.7) and B-Leukocytes (9.0). I found out after going to the Dr, due to tingling and numbness in my legs. I feared it was MS, because my immune system is bonkers already (alopecia). Symptoms started in a right big toe and then went overnight into all right leg, then left - but lesser degree. Itching, tingling, numbness. I don't have the other typical MS symptoms. Now I'm hoping this is caused by something as silly as having overdosed on B vitamin (took supplements + was following the Keto diet with lots of beef and fish...!) I also have tendonitis in my hand, as of a few months... Trying to sort myself out and I'm in between UK and Swedish healthcare right now... Neurologists have 4-6 months queue to see them - private ones are not taking new patients. The GP said he couldn't help. I should go to the A&E or wait (6 months!) for the neurologist. I pasted the test results from the Dr I saw earlier if you have a sec (it's in Swedish but the words are very similar to English). I just hope my strange symptoms are something relatively harmless - not MS... I would be so grateful for some advice about what I should do with this!
B12 does not cause these symptoms or cause elevated CRP. Whatever is causing the elevated crp (not easy to say what that is) is the likely cause of your symptoms.
@@swintegrative Thank you! It's a bit better now, but I'll keep trying to figure out what it is, until I my appointment with a neurologist, in July (finally a private neurologist here in Sweden agreed to see me. Crazy shortage of appointments... I'll try all I can think of to lower the crp & inflammation - in terms of what I eat (anti-inflammatory diet) + I decided to take some diclofenac while I'm waiting.
@@Hanna-yn5ou hey did you figure out what was wrong , i too have an elevated b12 level (1498) and the numbness and tingling in the legs
@@yourneighbourhoodclownwith8490 Hi! No it's still going on... I've seen a neurologist who didn't know.. and took some more blood tests. Nothing that would be causing this was present. The one blood value that is missing, is B6. It can give neurological symptoms both if it is too low, or too high. I'm getting that tested - I just manage to organise it. The neurologist has set up for me to do a test of the nerves using electrical shocks. I'm doing that on 1 Aug. I'm beginning to realise I'm on my own here! I've done lots of research. The neurologist simply said "these things happen sometimes with no clear reason". The other doctor got hung up on me losing weight and doing Keto. I've had some terrible problems with autoimmune diseases - I just want to be sure that this condition is not progressive, or autoimmune, such as Multiple sclerosis. It flares up sometimes, and sometimes subsides to just the underside of the feet. I'm hoping it's something silly like vitamin shortage/overdose. It's very distracting and is constantly on my mind. My CRP, which SW Int. Medicine commented on, has reduced, but the SR (other inflammatory value) remains at 20 - too high. I plan to take antibiotics and maybe some cortisone for a short period - just to rule that out too.... Bought it online since the Dr won't approve of taking it just as an experiment.. It's a mystery and it just came on overnight - for no reason I can understand. Other than this problem, I'm feeling better than ever! I'm clearly not sick. Let me know how it goes for you! Good luck and God bless!
Anna V
Very thorough and helpful indeed. Thank you. The absorption level is key. The fact that B12 is water soluble is also comforting.
Thanks Fred
Oh hi Dr. I would love some feedback from a trusted source like yourself I recently got my blood work back and I tested high B 12 sitting around 798 and my red blood cell count was low sitting at 3.90. Is this normal? What steps would you take to fix this? My thyroid is also sitting at hypothyroid levels 2.12
Many thanks again for your videos, very informative and nice follow up, i did really benefit from it as many doctors here never heard of the case high b12, it is for them always low b12. mine dropped on its own from 1470 to 1140 in a month so i think ill recheck after another month or so. thanks again.
Hi Hadi, that's good to hear and a good idea to keep an eye on it.
Thanks doctor. I keep watching your videos to learn more about B12.
Great to hear! There are more B12 videos coming.
thanks for this video, you're about the only youtube dr covering it.
i wonder if many of the people here were symptom free then had ibs/sibo that led them to high b12 and paradoxical deficiency symptoms.
my story is 2018 food poisoning, 2019 sibo onset, candida, dybiosis, and one finding of giardia, and then an onset of crepitus, then knee pain, tmj, knee atrophy, tendonitis, ankle pain, then pain and atrophy spreading to all limbs and hands. have a great deal of muscle wasting in distals, and now pins and burning sensations are setting in, after all other testing the one remainder is neuro. i'm still dealing with ch4 sibo, lipopolysacharides likely leeching into the blood for a long time, and other barcterial gases i've read can be neurotoxic. i've had serum b12 creeping up to 1500pgml last count, and bilirubin has also climbed 5 points over ref. it's hard to tell if my issue is overproduction of b12 at the illeum or mitochondrial shut down from the endotoxic stressors, the carriers inbetween or a wild mixture. other bloodwork is normal, homocystein came back within range on standard lab tests, i await mma via organic acid tests. in the meantime i battle to reverse sibo, because it all started 2 years ago.
Hi Johnline, thanks for the comment. Bacterial overgrowth or SIBO can increase serum B12 levels and yes it can be a struggle to get SIBO in check. I do have a few videos on SIBO you may find helpful. Good luck!
@johnline
I’m wondering if any doctor ever resolved or explained any correlation between elevated high B-12 levels and neurological symptoms. (tingling/pins and needles sensations). I’ve ready many comments to this video, including yours detailing these symptoms. I’m struggling with something similar.
@@Alex-ml2hbGonna guess it's because it's not entering the cells due to mthfr
Thanks for yhis video Doc. I was just told today I have high b12. I recently stopped drinking two monsters a day but my liver levels are ok like the ALT and the other two. I don't have any signs of liver problems except pain sometimes.
Hey doctor ! I have a question for you and I hope you see this… I have been having neurological symptoms since 2018 with no explanation.. I’ve seen a neurologist, hematologist, rheumatologist, etc and all of my testing is normal EXCEPT my b-12 is very elevated… and my bilirubin is elevated as well.. not all the time but sometimes it is elevated along with the b-12. I’ve had liver scans, liver functioning panels and have been told it’s Gilbert’s syndrome and nothing is wrong. Great… the only issue is that my neurological symtoms which are pins and needles in my feet, burning feet and hand, numbness and tingling in the right side of my face, oral sores, etc has not gone away. I am negative for any autoimmune disease at this time.. and my b-12 levels are usually about 1200-1500… I have a mma test done and a Homocysteine test done which was normal, but my b-22 binding capacity test was very very low, so low that it was marked as unreadable… less than the reference range. What do I do??? My family doctor said it could be Transcobalin deficiency causing a functional b-12 deficiency but I don’t know. My hematologist is stumped and said to self inject B-12 and see if my symtoms subside. With mma and homocysteine being normal I am confused why my b-12 binding would be so low. Please comment back if you can. Thank you so much.
Your symptoms are likely not from B12 deficiency with these results. There are other ting that can cause neuro sx. However , it would not hurt to try the B12. Also your might consider a urinary MMA as it is more accurate. You need MS/LC for MMA urine test.
Hi Skylar, I know someone with suspected GS ( not tested yet) and his b12 is above range. He has been advised to take molybdenum, b2, thiamine and selenium with iodine ( test those levels before you do) to bring it down. I believe it’s based on the b12 protocol as cofactors are required for b12 assimilation.
@skylarrodgers5629
Hi; I’m wondering if any doctor ever resolved or explained any correlation between elevated high B-12 levels and neurological symptoms. (tingling/pins and needles sensations). I’ve ready many comments to this video, including yours detailing these symptoms. I’m struggling with something similar.
I just had labs done. My b12 is off the charts. At least 2,000 they said stop those supplements come back in 4 months to retest.
Sounds good if u are taking B12.
Does he say somewhere in this video how to lower your b12 numbers? I don't have time or the desire to watch a 15 minute video with a lot of needless talk.
hi doctor! i am 28 yrs old, and have slightly elevated vitamin b12 at 1177..also a small stone in left kidney(4mm) that is being treated with Vit B6 supplement..However,last month, I had an USG that showed mildly enlarged liver with normal ecotexture..my liver function tests(includes albumin,globulin) are normal..urea,creatinine,cbc,hemoglobin normal...total wbc normal..only mildly raised eosinophils (6.20%)..and i am allergic for past 1 year..also i developed a long viral infection 5 months ago,that affected my lungs and also caused fever for 1 month.That is gone now, but even at night I often feel feverish with temp ranging between 98 F and 98.6 F. I feel very tired and no vit B12 supplements have been taken.But,I am beta thalassemia trait.My ESR is also normal.
Can my high vit B12, kidney stone and slightly large liver be indications of chronic leukemia or MGUS (a condition before myeloma)?? i have afraid,because when i was diagnosed with high vit b12 last month,i was having symptoms of allergies,body itching, and dizziness.Can you please advice as to what I should do now?
I have had B12 levels of 2,500 for over a year and my doctor has told me not to worry about it because it is a water soluble vitamin. I don’t take any supplements and I’m a vegetarian, I eat eggs, and some dairy. Should I be concerned?
Hi Lourdes, if it remains high, I would press the issues a little bit. The doctor may not be aware of all the implications. Seeing a blood specialist (hematologist) may be appropriate.
@@swintegrative Great! Thank you very much for your reply!!
@@louphoenix9477 Hi did you find out what caused high b12?
another great video! if i have high b12 and folate, but normal iron / ferritin and normal RBC (maybe even slightly high) - would you think this is more of an issue of b12 getting inside the cells? i have a slow metabolism so i suspect my body cant process it quick enough, therefore building up in the blood but why is the metabolic function slow, cell membranes?
It is hard to say from the limited info I have about you. Supporting cell membranes with fatty acids and phospholipids and the latter being more important. Something like this could help geni.us/RhaqAz (affiliate link)
My B 12 is very high 2000 pg, ferritin is 40 iron is low as well. I eat beef liver every day and beef as well, could it be because of diet( I am carnivore) or I have blood disorder? I developed itching in my face snd neck recently. Gosh I don't know what happened to me, never had that itching before and some days I am very fatigued. Can you direct me in the right direction of thoughts. Thanks
Liver is very high in B12 and animal protein is relatively high as well.
Hi! Did you get an answer to your question? I'm 4 kobth on Keto diet and my b12 is high too.
Thank you very much for your informative videos on high B12. I have high B12 for over 2 years now. roughly about 2000. Got all liver tests done and seem ok. however, no other doctors would look into it why it's high. I also have several autoimmune illnesses and heart valve regurgitation. I continue to pursue researching and saw your video. It's surprising to find that it's an underestimated anomaly viewed by doctors. My doctors all said 'don't worry about it'. Based on my research, I initiated going to see a hematologist next. Through several blood tests, found out that I have MGUS: IgA kappa monoclonal protein. Since it's not high, i'm being monitored every six months. I'm still in search of the cause. I'm in the NY area. Would you be able to recommend someone I can see? or should I contact your office? Appreciate your help!
Hi Carni, interesting case. I don't know anyone in NY area but feel free to reach out to our office for a consultation.
@@swintegrative Thank you so much for responding. I will be in touch.
I was diagnosed of mgus ,monoclonal gamapathy too and my b12 has always been high ,I am having a lot of anxiety, I wish I can remove my mind off it
My liver and other blood work c I mes up normal except the high b12
Its called paradoxical deficiency. You will actually be low in B12. You need B2, iodine, selenium and molybdenum to support recycling
I am going to a heamatologist,she never write me MMA and homosysteine level tests..,even the second one,as I have folid acid low level..
any clear answers how to lower B12?
No slam dunks. Check out my book though for some detailed options.
I wonder if Covid 19 vaccine May cause the elevated b12 since I had the first shot of vaccine 6 days before the blood test.
Hi Maurina, I think it is possible but it would only be temporary and depend on your immune response to the vaccine.
I got the v as well and now my B12 levels are high...
Hi, can low folate acid and high vitamin b12 related doctors say I have high vitamin b12 I don't eat dairy but have meat and fish
I’m 64. My whole life I’ve been told B Vitamins flushed out of the body and not stored. Can someone agree on anything.
My B12 is 4750. I previously had high liver enzymes, high iron and pre diabetes. With a keto diet that is all better now. But B12 went up to 4750 from 1200 when liver enzymes and iron were high. I have numb feet Dr says its the B12, Naturopath says it was blood sugar of 113 but now that my blood sugar is 93 I still have numb feet. Naturopath wants me to take injections of B vitamin and I do on and off. I'm 70.
Hi Chris, could the B12 have gone up from the injections?
@@swintegrative , it could be but it had been a week or so since my last injection when I had blood drawn.
With injections it can take 4 plus weeks for levels to normalize depending on how often you get them.
@@swintegrative , Thank you. I will quit them and see how my next labs look.
😂 I get a good laugh when I see someone make a statement like "my blood sugar was 113"... Normal is 80 to 120. I'm a type 1. My endocrinologist is quite happy if mine averages 150. If I could run a 150 without insulin I would never take another injection. I would be very happy with a 150. Whoever told you that 113 is high should lose their license if they have one. 113 is a great number.
I’m nervous and confused. The lab where my b12 was done had upper bound of 1245 and mine was 1265. My doctor wrote in the notes i have b12 deficiency. No real liver or kidney abnormal tests, same with CBC Concerned when I read solid cancers can cause b12 elevation. I just realized I was accidentally supplementing b vitamins because they’re in my water drink enhancer and I drink it all day…a lot of it..
I had low level vit B12, I was not feeling well with some symptoms related to deficiency, doctor ran bloodwork, I started vitamin B12 and had 1 shot of vit B12 2 months later I had bloodwork done and vitamin B 12 is way to high? I only took vitamin for 1 month. How can it change drastically?
thats normal with a shot
I took too much B-12 a week ago.. like.. 5000mcg one day.. then i stopped.. left it alone.. had to stop B1 as well.. didn't realize i was gonna damage anything.. i just need to get it out of me before it does and permanent damage.
My b12 is high my prolactin levels are high my cholesterol is high .. I just lost 70 pounds had Vsg 1-15-21 .. I have been taking 2 centrum multivitamins a day so my doctor said high b12 could come from that.. I have been extremely tired lately no energy at all no desire to do anything. As soon as I get out of bed I want to get back in it. I don’t like this at all and my hair has thinned out a lot. I don’t know what to do to help myself.
This helped me somewhat. I'm not a doctor. I do have high b12(1124) high iron (175) I'm not sure how to eat to bring them down.
Hi Kathy, it is often not what you are eating that causes high B12. It could be though and the things that are highest in both are animal products.
@@swintegrative Thank you for getting back to me .I see my Dr in a couple of days. I was in the hospital 9 months ago. My Dr has done a lot of test on me but still don't know what's going on with me. I guess time will tell. Thank you for your time.
@@kathyrollings2474
You may want to consider having a blood donation or two to bring down your iron levels if they are high. You want to pay attention to the ferritin value. North of 150 ug/L is of concern.
@@carl8568 thank you
@@carl8568 looked back at my blood test taken 6 months ago on my terrorism . It was 114
Great information! Thanks Doctor
your welcome
Hi
Can a multivitamin elevate serum b12 levels please? Thank you
Yes, absolutely it can.
@@swintegrative thank you so much, that's a relief so very much appreciate your reply, thank you.
Hello, I am currently undergoing chemotherapy (breast cancer) and my blood values (leukos currently 2.6) are not that good. But Liver and kidney, vit d etc. values are normal. But I'm particularly worried about the vit b12 value. This is increasing more and more (>2000)-without supplements.The holo-tc test showed 26 - an absolute deficiency in the cells. The cause with cancer and chemo lit is also clear. However, I urgently need vitamin b12 for the next treatments (blood formation) and the chemo also affects my nerves. But how do I get vit b12 into the cells? What can I do to mitigate the impact? And do you know if it goes back to normal afterwards? none of the doctors noticed or knew about it. I'm really worried about the consequences. Thank you once again for your answer
There are a lot of contextual things that I do not know about you. So we his is not advice to you specifically. However a low holo-tc would mean you are lacking or low on the transporter. This could happen for genetic reasons or simple low wbc’s. Either case not sure there is a known solution. A high dose of b12 may diffuse into the cell.
@@swintegrative thank you so much. That helps me and i will discuss it with my dr. And Yes the wbcs are really low..also the chemotherapy is toxic for the liver and kidney…I wasn’t sure if the high dosage could be more toxic for that.
Hello! I’ve recently been tested for B12 and it came back pretty high :1700 ( max Lab level is 900). I’ve been suplimenting it with oral 500 mcg for three months before test and also tooked it the day before test. Can This cause high levels on the test! How long should i wait before repeating the test ?
About 1-2 month with no B12 and re-test.
Thank you for your replay and for all your content . I’ ve retestare after 3 weeks and it went down from 1700 to 1100. So, it’s probably the suplimentation effect
My b12 is 1666 .i was worried i gone to doctor he done lots of blood test of my liver kidney and cancer also but everything came good. My doctor didn't know why is high because everything came good. Im comfused what to do and why is high even I didn't took any supplements or injection for this .can you help me please ?
My new book on B12 (in description) it goes into detail on this. I think it will be helpful.
Thank you doctor I will have it hope I will find my answers
@@swintegrative
How can we get your new book on b12 dr
@@favourchidiebere6811check the description
👍@@swintegrative
hi! thank you for these videos. i’ve been watching them.. back in august they found that i had slightly low b12 (around 300) and slightly anemic. i never took any supplements for either issue. yesterday they did another blood test to see how everything was ( i did not eat or take anything 10+ hours before my draw) a doctor has not gotten back to me yet but my b12 has increased to 1,200. and also my lymphocytes have increased above “normal” ( i am not sick, and have no infections). when comparing my results from august to now i noticed that my RBC’s have all SLIGHTLY increased. WBC’s have all slightly decreased ( besides lymphocytes which are above average) and my platelets have increased a little. i haven’t had any symptoms that i’ve noticed besides been napping a little more often, some night sweats & the pst 2 weeks felt very full after a small amount of food.. but i figured this was nothing related. i have no pain or anything though. i’m only 21. so i feel like i’m fine. but my doctor has not gotten back to me and it’s causing me now to stress out.. what do you think about this?
Hi Keana, there are a lot of variables so it is hard to say from just this information what is going on with you. The main thing is I would not be too concerned about these results but I would not ignore them either. As a start, you should re-check your b12 level and wbc's. WBC's can fluctuate a lot from one test to the next.
Southwest Integrative Medicine okay thank you. my doctor has been out on materinity leave till january. the doctor filling in said it’s from “eating foods with b12” and that nothing else further needs to happen. i’m not comfortable with that since i don’t even eat foods with a lot of b12 hence why i’ve always been low. i requested he refer me to a hematologist just to be safe instead of brushing me to the side saying there’s nothing further to do.
They will probably be more likely to re-do the test then if still off send to hematologist. Either way though you should re-check.
Southwest Integrative Medicine they referred me straight to hematologist and will have an appt with them soon. thank you for these gideos
@@KeanaConyers how did your test go ? Is everything ok ?
I'm 30 and have started experiencing burning and tingling of the legs my bilirubin is 1.8, cholesterol 228 and b12 1472. Do I have anything to worry about and what can I eat or avoid to lower them?
Hi.My B12 is the same now.How yours now ? Is gone down?Many thanks 😊
@@halad2864 now my B12 is low but I'm still feeling the tingling and burning
@@jessknotty Thank you for reply.I have had a burn 🔥 on my feet and hands ,after skin come out( I thought it was fungus).Doctor to exclude neuropathy send me for a blood test and B12 high.Good ,your normal now .Hope your burn will go away too 🙌
Hi sir my B12 level is 949.7 is there any kind of worry??My urine is yellow when I wake up in morning I have done all test and it shows normal?? Sir with so much hope I am commenting u..my right arm pit is always like burning sensation..is there any kind of worry??
Hi Farida, It's hard to say with any certainly since I don't know your whole story. Generally a B12 levels of 949.7 pg/ml is fine.
Thank you, Extremely HELPFUL, SINCERELY ROSY POWER!!!
You're very welcome!
HI, AGAIN, I WOULD GREATLY APPRECIATE IT IF COULD EXPLAIN WHY 6 YEARS OLD CHILD WITH RESENT DEVELOPMENT OF DIABETES TYPE 1, HAS A VERY HIGH VITAMIN B12, WHAT IS THE CAUSE????? VITAMIN 12 STAY OVER ONE YEAR AND NOT LOWERING?? BUT INCREASING!!!! BELIEVE IF, VITAMIN 12 CONTINUE INCREASING SHE COULD DEVELOPE LUKEMIA!!! PLEASE ADVISE, AS FOR YOUNG????CHILDREN??? CASE...??? Sincerely Grandmother Rosy Power and Thank you!!!!!
I have problems with low ferritin and b12 high ...my last blood work results are ferritin 24 and B12 1580 ..my b12 has been up and down it can lower to 1200 then go up to 1500 again ..plus i have low vitamin d also ..i'm not taking no b12 supplements just iron everyday and vitamin d once a week
Same here! High b12 (1100-1230), low ferritin: 15 (I took supplements everyday and the bloody result is still the same) and low vitamin D
@@delphinehadjadj1279 do you know why your vitamin b12 is high?
Your laundry is done!! Lol. I heard that sound and for a split second I was like I need to change out the laundry then realized I was at work 🤣🤣 my washer and dryer must be the same as yours hahaha
😂
Bingo! MCAS🌟🗽🫶
Yes, I think that’s an under recognized cause for high B12
Hi doctor, my nice she is 14 has hig b12& low iron. Every iron suppliments has b12.what to do?
Try this one. amzn.to/3cyrMQc
I wish you were my doctor. My doctor just told me I have osteoarthritis and B12 levels through the roof.
how high is your b12 and how long have you had it for?
Doctor taking b12 1400 and some times 2000 mg per day since 1 year for nerve pain. Tested recently was high 850 (normal maximum 650 pmol), Can I still take at least low dose 100 mg of it now for nerve pain or I have to stop it ?
My b12 is always very high and I am not supplementing ,my other blood work is all normal ,my doctor said they don't know why.i don't know if it is because I was diagnosed of mgus which my doctor said it is not progressing ,please do do have idea ?
Hi Stella, Yes it probably is related to mgus.
will this feeling ever go away ?
Mine is 1,219 pg/mL is that something to worry about?
Hi, It's hard to say for sure. You should re-check the levels and make sure you are not taking any extra B12 when you do it again. If still as high, consider seeing a blood specialist, hematologist. Some people are genetically more prone to having, high B12 levels but you should rule out any other serious issues.
My active b12 seems ok but I’ve had consistently high serum cobalamin for 4 years now at 1200-1500 ng/l. I have M.E/CFS and wonder if any tests should be done to explore my high serum cobalamin. Any ideas please?
First I assume you don't take extra B12? If the answer is no then yes it is a good idea to do some tests. Some of the same reasons people have a diagnosis of M.E. and CFS can cause high TCN -1 and TCN-3 (B12 carrying proteins). In coordiation with your health care provider you should do a MMA and homocysteine to see if intracellular b12 if low (along with liver, kidney and white blood cell tests).
Hello i am from india..i want to ask i have my gall bladder removed in 2006 but now i am in 20s i have high b12 levels around 644.40 so how can i bring it down i some times tale b12 supplements wheb i feel loss of strength in me and i have vit d deficiency so can i take calcium carbonate and vit d supplement containg b12 also? I also have fatty liver frade 1 but i have mild anemia also.
One more thing i want to ask i have my root canal of wisdom tooth done and previously one normal tooth also so will it have any effect on brain as i don have my gall bladder?
my b12 came out 1700 and MCH came back elavated (33.2). Do you think some serious problem could be going on?
Thanks so much for this information. I just being diagnosed to have fatty liver after a blood test. Although, the iron levels in my bloodstream is said to be normal but my ferritin is high (452ug/L) and my B12 is also high (216pmol/L). Could my fatty liver be responsible for these?. Because I have never at any point taken vitamin B12 supplements. Thank you
Yes it can be. Although the B12 level you listed does not look high according to references ranges here in US. Maybe you made mistake on unit or something? Your liver may also be damaged from the high iron. Ask your doctor about this. You may also want to check out this video. th-cam.com/video/MKmq2wS7z5w/w-d-xo.html
I was told this by my doctor today that I have high b-12...... Instead of low.......I should cut down on my liquid
Hi Dawn, I can't really tell you that as I am not familiar with your full health picture. It's probably high because you are taking it and that is generally not a problem.
My blood results showed that I have slightly raised vitamin b 12 but everything else is normal. What should I think?
So if someone has high b12 level, what should he eat and do?
The Amazing Programmer, there is no specific diet for high B12. I did give some suggestions on what to try for high B12 in the video.
Dear doctor,
How is it possible that an oral multivitamin can affect the levels of b12 ?
I understand that the injections may have an impact however I don’t understand how the oral way can affect it since the body should excrete any excess.
My result came back at 1490 and I have been taking 600 mcg of b12 since the last 5 months.
Really appreciate your feedback.
It doesn’t excrete all of the excess some is stored. Also it takes time to excrete it. So if u take it at 6 am and you have your blood drawn at 8 or 9 am there is not enough time to excrete it.
@@swintegrative So just to update and help anybody facing the same situation. My level after stopping oral supplementation went from 1490 to 1024 in 3 weeks. I have retested now after 2 months of my 1490 mark and I am at 825.
Best Regards
@@eduardogomezgarreaud9480 sounds about right. thanks for sharing
Hi.just got my test results that shows my b12 range is 1.789 and seems too high to me witch it supposed to be between 411-955 but my doctor tells me its in a good range.confused!
Tina you mean it was 1,789? It can be high if you re taking it and that is ok.
Thanks,sorry for my late respond.
Hi there, my vitamin B12(active) is 172pmol/L should I worry? Because in the laboratory which I have done the test the normal range is 25-165 pmol/L. I have read many bad things, and worry. Should I retake next month to see is it decrease?
Hi Cris, Yes that would be a good start.
hey doctor so I did go get my levels checked and it has been brought up that my levels of b12 have been high, I did in the past take b12 vitamins more than too many and I have been experiencing such strong symptoms that I have never felt in my life and it does make me feel like im not myself and my body hasn't been functioning the right way as I searched up the symptoms of having a high level of b12 intake and I experience all of those brought up. It has been difficult for me and I hope I can manage through this.
Hi what r u doing to lower it please help ?
My B12 level is high but I take vitamins for 12 what do I do ? ,
Hi Doctor. I recently had a B12 test results that flagged high over 1000. But my iron count is on the low side. Usually about 11-12. In March of last year I had to have a blood transfusion, iron down to 7. I've had tests done on my stomach and a colonoscopy. All good,but sedimentation rate is high. Is there a correlation between these 3 factors? Looking for answers to why I had to have that transfusion. I'm also diabetic and have neuropathy and a lot of trouble sleeping.
yes there is. see videos on ferritin and other videos on high b12
Hi ,i did a blood test i had b12 level 640 the ref range for the lab (138-625 pmol/l) its is still high ? Im not getting any supplements.thank you
I have vb12 level 908 pg/ml, and serum blood test also normal range..should i worry about this results doctor
Dear doctor , my daughter B12 is high 1067 and normal range is 967 . And her iron level coming very low . Please advice
Hi Rubina, you should see a local doctor so they can track her. 1067 is not that high but you need a doctor to look at the whole picture. Thanks
Thank you .
Sir I have interjected 500mcg b12 and now I'm facing stinging sensation all over my body and it has damaged my liver . Kindly help me how I cleanse my liver from b12
Hi I would ask I did blood test back in March it was 1400 b12 I retested few months with Genova organic acid test and it was low and retested Again via blood it was 1200 what is the most accurate way to test test b12
Thank you 🙏
Sounds interesting. The organic acid test typically looks at methylmalonic acid which is more sensitive way to check for B12. A high MMA indicated a deficiency. It is possible to have high serum b12 and low intracellular B12. You can get more details about this in my book amzn.to/3jVGvZf
Hi i am from France... sorry for my english. my b12 was 133 pmol/l or 181 pg/ml in novembre 2021. i have taken 500mcg of b12 everyday for 2 months (january and february) i didn t do blood test again but i am affraid that my b12 will be too high. i am not vegan but must i stop eating meat for low my b12 ? and i stopped to take b12 how many months my b12 will be normal ?thank you i am so affraid...
It’s ok to have high B12 if you are taking it. B12 itself does not cause issues. The problem is when u have high b12 and u r not taking it.
@@swintegrative OK thank you so much..
@@swintegrative OK thank you so much..
My b12 is high but is it possible that having a high b12 disrupts sleep, and do you have any advice for me to decrease It.
No I don't see how high B12 will cause ongoing sleep disturbance. Sometimes when people take b vitamins it can interfere with sleep. This is temporary and not too common with B12.
false@@swintegrative
Hi , My test was 887 PMOL/L
Is it normal ? If not what can I do ?!
same what your doctor said ?
Hello,
Please can you help. I have raised b12 levels. I have been a vegetarian for years and I do not supplement or have injections. I have all of the symptoms of B12 levels and have felt very unwell for over 2 years. I am in the UK and doctors won't listen to me and blame the way I feel on being depressed but I know my body better than anyone. Is there anything I can do to make them listen or do you have any info I can send them? Thanks so much.
Hi Laura O'Reilly, I recommend following up with the doctors and doing repeat testing of the B12 levels to show it is high multiple times. You can also ask for urinary methylmalonic acid test and homocysteine tests. The B12 being high does not cause symptoms and there is not definitive treatment for it. The reason B12 levels are high (whatever it is in your case), does cause symptoms. To find this reason, you have to be persistent and patient and find a doctor that is as well. In other words its a clue not a diagnosis.
Hi There, thank you for this video, which I found very helpful. I am 55 year old male, living in London, UK. ı consistency have slightly elevated B12 (around 850s) and my GP both in UK and in Turkey (home country) are not much concerned about it. I am however a bit concerned and that is why I watched your video. My question is that I have also slightly high iron level around 250 and my white blood cells are also slightly high. Do I need to concern about these markers? What advice would you give me please?
I wold be a bit concerned but context is king. Check out my videos on high iron. If WBC are consistently high (more than 2 tests and depending on how high) you might see hematologist. There are just too many scenarios to go into what to do. All these things may be related too which is why a hematologist may be helpful.
@@swintegrative Thank you very much indeed. According to most recent blood test I had only two weeks ago, the iron come slightly normal level, but B12 is even higher. My GP thinks it is to do with my diet and supplements - apparently a supplement I tak has some B12 in it. I will double check this again soon. Thank you again.
My b12 is 400. I never had a follow up . I’m located on United States. I do have fatty liver disease should I ask for another test to find out about any other test
400 is low not high?
1560 ng/mL and all but confirmed PCOS. Tingling feet are driving me up the wall literally and figuratively. Liver and kidney function “normal” according to the lab but some of these seem on the high end?
WBC 6.9
RBC 4.77
HEMOGLOBIN 14.3
HEMATOCRIT 42.8
MCV 90
MCH 30.0
MCHC 33.4
RDW 12.1
@sadieesther9721
Hi; I’m wondering if any doctor ever resolved or explained any correlation between elevated high B-12 levels and neurological symptoms. (tingling/pins and needles sensations). I’ve ready many comments to this video, including yours detailing these symptoms. I’m struggling with something similar.
My b12 level is 1850 pg what can i do??
Hi Karen, Did you check out the suggestions in the video?
Great information but how are you meant to test CNS levels of B12? I'm pretty sure testing the spinal fluid of MMA and Hcys is the only direction. Once the brain is depleted then it has been proven to be extremely difficult to resaturate the CNS. MMA can come back normal in blood as the CNS and body can have completely different levels
Hi DanHambo, there is no perfect test for B12 deficiency. you may find this video helpful as it discusses neurological manifestations of B12 deficiency th-cam.com/video/hr2FnA_oHLU/w-d-xo.html You are correct there is no way to test for tissue specific B12 deficiency. However the initial blood and urine samples should show some indication of deficiency. It is up to the doctor to determine when the tissues have been saturated and stop the supplementation.
Hi Dr. Can h pylori be the cause of high b12? If so, can you plz explain how? Thanks in advance
No not that I know of.
Thank you so much for all your hard work and effort making these videos. I have symptoms of B12 deficiency. Fatigue is one of them. Also I have coldness, tingling, pain and numbing sensations is my feet. I have been tested for possible nerve damage and blood circulation issues, however those tests came back normal. Is it possible that I have a B12 deficiency problem even though my B12 blood test came back abnormally high? After watching this video Im thinking I should be tested for methylmalonic acid and homocysteine, is that my next step ?
Yes Edward this is possible and these two tests, if high, would confirm this. Even if not high it is still possible to have deficiency even with high serum level.
@@swintegrativeThank you, I will book an appointment and have the blood tests done. So just so I understand, elevated serum levels of vitamin B-12 can be accompanied by signs of deficiency as well. This can be caused by defects in tissue uptake and action of vitamin B-12 at the cellular level. My question then is, if my tests come back as abnormally high meaning I truly have a vitamin B12 deficiency then how can this issue be treated? If vitamin B12 is abundant in my bloodstream but not at my cellular level or the tissues, can supplementing with high doses of vitamin B12 still be beneficial?
Hi Edward, The actual treatment for this issue is not the same for all. I do think adding more B12 can help. However you have to be under care of doctor to make sure no other serious issues are the cause of high B12. You can for instance have high homocysteine MMA and B12 and still have a liver issue or white blood cell issue. Once these have been ruled out, raising B12 may help drive more into the cells.
Hi @Edward. I have tested high b12 level as well for two years now. My doctor just ignores it. I have some of the same symptoms you mentioned: tingling/twitching, cold feet and hands, plus others. How are you doing five months later? What has helped lower the levels and the symptoms? Thx.
@Edward-ko9pn
Hi; I’m wondering if any doctor ever resolved or explained any correlation between elevated high B-12 levels and neurological symptoms. (tingling/pins and needles sensations). I’ve ready many comments to this video, including yours detailing these symptoms. I’m struggling with something similar.
Can high b12 cause heart palpitations and dizziness?
In some people it seems to amplify those symptoms but usually there is something else as the cause. It’s not black and white
@@swintegrative thanks for your reply. This would be after several b12 shots were given so the cause of the high b12 is known
@@avacelesteare you feeling better now? I got 1 b12 injection and am experiencing anxiety and high heart rate. Wondering how long this last
Hi there! Generally have ok blood tests excluding iron which is sometimes low. However My B12 came back as high in 2018 at 965ng/l and was told to stop taking supliments (they didn’t beleive me when I said I take no supliments and never have taken anything for b12 and usually don’t take any pills) . Just did a blood test recently (2022) and b12 is still high at 960ng/l - what do you advise as I don’t take any pills and my diet is moderate and don’t over eat certain foods
Look at my other videos on high B12 and consider getting my book more details there.
My b12 level is 1590 I have been taking daily supplement of 2500 mcg for one month. Is it normal to be high since I took it the day before the blood work.
Yep
My b12 lab results is 2000pg and I have been taking b12 supplements 5000 . Is it worrying and what can be done to reduce it . Thank you
same, any update what your doctor said?
Finally, someone explaining about high b12 and it is a great presentation, my blood serum b12 is very high with and without supplements while everything is normal except low d3 and platelets level, I have tried different supplements and diet to fix my symptoms, my vitamin d3 level is in the normal range while platelet is still below the normal range with some degree of improvement. what can I do to solve my issues, any suggestion would be great?
I also have same problem
Hi Abdu Kedir, it is hard to say why your platelets are low as there are many causes. In addition when you say everything is normal, that does not mean it actually is. Some lab reference ranges are too high or too low. Take a close look at your liver function. Problems here can lead to low platelets.
@@swintegrative I have tested my liver function and it is normal, is there anything else I should check?
What are you considering normal?
@@xyz8853 what did you do and how are you feeling now?
Is high uric acid level linked to high b 12 levels
Hi Ajith kumar, the answer is no. Not that I know of.
Thanks
Thanks for this great video, I leave in Vietnam, I was checking my blood last week my b12 was high 1190, I been always suffered from low b12 but last two blood check, they higher than normal, I will check Iron level case I know here in Vietnam there is very high level of Iron in the ground and it contiminiate all the food we eat including plants and meat. In my blood test my liver and kidney function came normal, it make me warry about CLL.
I'm suffering also from Paresthesia syndrome in the last few year, is there any connection to the high levels of b12? How can I conform it?
Hi Gonen, Do you or have you been taking b12?
@@swintegrative thank you very much for your support, related to b 12, I'm on a keto diet the last few month(from November), so I stop taken b12 supplement(i was taken b12 until November).
Only at the last 2 weeks before the blood test I was using multi Vietnam and mineral product, and it have 100 mcg of Vietnam b12, I don't think this can cause such an elevated b12 in blood, but I was eating before the test a lot of red meat , maybe combination can cause elevated b12?( I don't believe) any way yesterday I done again the test plus blood counts, I didn't take any supplements in the last one and half weeks), I will update when I will have results.
Thanks again have a nice weekend.
It's probably high from taking the B12 in the recent past. It sometimes takes months for it to normalize. We will see.
@gonenh2
Hi; I’m wondering if any doctor ever resolved or explained any correlation between elevated high B-12 levels and neurological symptoms. (tingling/pins and needles sensations). I’ve ready many comments to this video, including yours detailing these symptoms. I’m struggling with something similar.
regarding the methylmalonic acid and homocysteine. do both need to be high in order to treat for B12 deficiency? what if one was high and one was normal? does it still mean B12 deficiency?
Hi Sorsara78, This is a good question. Either being high suggests B12 deficiency. Methylmalonic acid is more specific to B12 though. Nothing is absolute but a high MMA is almost always B12 deficiency. High homocysteine can be other things. Normal or low MMA does not mean normal B12 but means there is not severe longstanding deficiency. Hope that helps.
@@swintegrative yes thank you
I recent had gotten blood work & it’s damn near at 2000 from taking high dose supplements (about a month). I was told that I might have b12 deficiency by a pharmacist. How can I naturally reduce my b12 levels & how long will it take?
Hi. I have the same issue. Taking injections of B12 2500 dose now my B12 is 1503. How to reduce it fast?
Did you figure out a way to reduce your b12 levels?
Good morning doctor, so Ive been sick with weird symptoms that come and go like muscle weakness on arms and legs , tremors headaches and fatigue , for 10 years now and every time i get checked by doctors they do all this extensive lab work and my vitamin b12 always comes out high , sometimes it goes down a little and sometimes stays high but they tell Me is nothing to to be concerned about because all other lab work is good. It worries me because all the hidden issues like cancer or liver issues , i have taken in the past complex B injections but not regularly , just recently I got a lab work done and they said everything is great and my vitamin b12 was above 2000. Please advice what I can do .
Hi Fernando, I can't give you specific advice bc I don't know your whole story. I can say that if you are 2-3 months since the b complex injection then that should not be contributing much. You can ask to see a hematologist to rule out these other problems. If they can't find a problem this is good. You can also see a functional medicine doctor that has knowledge in this space.
My b12 is 2000
Thanks
Your welcome
Thx. I have been taking supplements of b12 1400mg per day since 1 year, today I tested b12 was 850 (around 250 elevated). Have done full regular blood work though was normal but b12 was 850 . Any suggestion to reduce it ? Can 1400 mg per day cause that ? Using it for nerve pain
Yes it can cause that.
@@swintegrative why would most sources online say that supplements do not increase b12 level ? Thx
@@samoo8933 I don't;l even know what that means. please provide a source
Thank you so much for the useful info. I was tested high in B12. I followed what you mention here and tested for Methylmalonic Acid and Homocysteine. My Methylmalonic Acid came normal in the lower limit, and my Homocysteine came normal in the upper limit. I have a lot of the symptoms of b12 deficiency. Any suggestions? Again, thank you.
Hi Felix, B12 symptoms can overlap with a lot of other things. It would be best to confirm that it is high with multiple tests and if so find the source.
Can you please help me?! B12 if’s over 2000! Is it possible to get a consultation from you?
Yes sure. Email drt@swintegrativemedicine.com
My b12 is 2000 I have numbness weakness lighthead
What do you of different form of b12. I heard that our genes determine which form is mpre appropriate. My health store has hydroxycobalamin so I wonder if I should take it. My test was high a year ago and I dropped b12 but get about 333 mcg from my b complex.
Hi Rachidasister, this is a good question and I may do a separate video on this. From clinical experience most people do well methylcobalmin. If you are deficient in B12 any kind will work. There are a few genetic things that can make adenosyl and methylcobalamin more appropriate.
Hi sir mi B12 has gone to
I have same symptoms ...you're now covered ??? How?
@@kinzamalik336I have same symptom...did u recover . please reply?
What’s a too high b12 to worry about?
It's not that simple. Anything that is above your lab reference range should cause you to be suspicious (if you are not taking b12). I have a step by step process to follow in my book amzn.to/3upWGnd. The simplest thing is just re-check it. If stays high, see hematologist.
Mine is in my blood. I take no supplements, it is 12,752. I just got my results. I am sick all the time
What symptoms do you feel? Mine is elevated too and I’ve been having numbness and tingling sensations on my extremities.
That is very high, you must have different units then I am use to seeing.
Thanks a lot doctor my b12 is very high it is 2800 and I test my kideny and liver the both are normal but I am very sick and warry about this result and I hope that it does not mean a cancer
That sounds pretty high make sure you follow up with your doctor so they can do all the tests needed to determine what the issue is.
I have been running high on vit b12 since the doctor found out in 2018 and I have been having anxiety , he said all other blood work looks normal but I have been having issues with my stomach and anxiety since 2018
So having high b12 really means nothing to worry about?
Well if it is high and stays high and you are taking B12 then it is something to be concerned over. One test being high is not worrisome.
I took a multivitamin with a lot of b12, the next day I had a protein shake with a lot of b12. The next day I was tested and b12 as 1600. I wonder if the 1 vitamin pill and the 1 protein shake could have had any effect on the b12 test results. Thanks.
depends on how much is in it but yes it will have some effect. The higher the dose the bigger impact.
Will After taking vitamin 12 immediately b12 test will show accurate result or false high b12 levels ?
Even my father he is 57 years old 2 mo th before he had 400 b12
Now he has some cracked tongue so doctor prescribed b12 with out test 1500mcg daily 2 for one week but after one tablet I want to check my father's b12 only one pile his b12 is 800 I was shocked to see this result he doesn't used any gitins tablets before only this one tablet I think after taking b12 immediate test results or false
Please doctor tell me weather I should continue my father b12 vitamin should I stop them
Does Vitamin E control b12..
Depending on the situation it may help but the context really matters.
Ive been drinking protein shakes for months im going to stop i hope that helps. Look at the label and it has a ton of b12. Hopeing i didnt mess myself up
It's not likely.
OK thanks for the reply
@@kfaith4673 How did you make out? Have you resolved your issues? Did you have specific symptoms?
I actually felt much better. Maybe to much of a particular vitamin on top of my daily vitamins. Or protein overload 🤷♀️. Sorry for the late reply and Thank you for your response.
Hu doctor, do you consider vitamin b12 of 930ng/ml to be hight? Im a 22 year old male
No
@@swintegrative hi doctor please answer
My b12 level is 1046 is it considered as high?
I took a spoon of sesame the night before test. Also I was taking magnesium carbonate supplement