B12 levels too high?
1000mcg daily seems high... My doc said to take 500mcg 4x/week. Of course, THAT's the one that I don't take daily... figures, when it's the best tasting of the bunch! You could switch to a lower dose and take it a couple of times a week, then check at your next labs how your levels are. If your doc said once every two weeks, I'd probably ask why he wanted you to take a high dose that infrequently, rather than reducing the dosage and taking it more consistently.
How often to take it depends partly on your labs and partly on what dose you have. The ASMBS recommends 350-500 mcg daily. Now, if you have 2500 mcg tablets, you could take it just once a week. If you have 1000 mcg tablets, you should take it every other day. That's unless your labs indicate you need more.
Kelly
Kelly
1000 mcg daily is a minimum dosage and most find when they get there labs back, that they need much more. The problem is with the doctors and surgeons. They read the labs as if we are normal people without malabsorbtion that never had surgery but that isn't the case. We did have surgery and we do have malabsorbtion. The normal range for people without surgery is 200-900 but if we have numbers that low it can be dangerous - below 500 and we can get nerve damage and if left that way long enough it can become permanent. We need our levels to more like 1200-1500 and can actually go up to 2000. So, her level of 1400 is perfect. I actually try to keep my level as close to 2000 as possible. There is no danger in a high level, you just pee out the excess but there is severe danger is a low level
I am sorry but your surgeons nurse is wrong. Your level is perfect. Please don't cut your level back to once every 2 weeks, all that is going to do is cause your level to plummet. Keep doing what you are doing. You want your level to be atleast 1200-1500 and can go as high as 2000. I try to keep my level as close to 2000 as possible