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Vitamin B12 Deficiency with Paresthesia

Endocrine Health
ThomasGender: MaleAge: 47 years (Adult) Chronicity: 10 months

Presenting Complaints & History

  • Tingling, burning, and pins-and-needles in fingers and toes
  • Mental fatigue, brain fog, and forgetfulness during work
  • Unsteady balance when walking or turning in dark
  • Sore tongue and physical tiredness

Clinical Assessment

Experienced progressive sensory neuropathy linked to B12 deficiency. Desired natural nerve support and absorption regulation.

Diagnostic Investigations: Serum Vitamin B12 low at 135 pg/mL; blood counts normal.

Homeopathic Therapeutics & Management

Focused on supporting nerve sheath regeneration, improving gut mucosal absorption, and resolving fatigue.

Selected Constitutional Remedies: Hypericum Perforatum and Phosphoric Acid

Lifestyle & Nutritional Support

Balanced diet incorporating dairy, eggs, and fortified items; avoiding excess alcohol; daily walking for balance.

Clinical Outcome

Follow-up Period: 6 months
  • Serum B12 normalized to 340 pg/mL
  • Complete resolution of tingling and pins-and-needles in limbs
  • Resolved brain fog and mental fatigue with restored focus
  • Sustained improvement in walking balance and daily stability
Medically reviewed by Dr. Navaneeth K. Unni
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