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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Neurology
Satisfied Customers: 45206
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I have some sleep issues and possible other issues due to

Customer Question

hi I have some sleep issues and possible other issues due to high b12 levels
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: I had been diagnosed with b12 in 2004 and was recommended b12 shots ...
JA: Anything else in your medical history you think the Doctor should know?
Customer: no this is the primary issue m looking to solve m now trying to stop injections and let the b12 levels fall on its own wondering if that is the correct approach
Submitted: 13 days ago.
Category: Neurology
Expert:  Dr. Arun Phophalia replied 13 days ago.

I am sorry, your question was unanswered for long.

A high B 12 level due to B12 shots will fall on its own with the discontinuation of it.

No active treatment is required.

Your sleep issue may be due to it or maybe investigated in the sleep clinic if you feel there are concomitant causes.

Was this information helpful to you?

 

Please feel free for your follow up questions.

I would be happy to assist you further if you need any more information.

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Expert:  Dr. Arun Phophalia replied 13 days ago.

Physical illness is uncommon with the sleep issue. An off and on sleeplessness need to dig the cause for underlying anxiety, depression or other related issues. A thorough evaluation by history is done to reach a conclusion. Accordingly, medical treatment is commenced. The precipitating factors can be;

 

1) depression,

2) anxiety,

3) sleep-wake schedule changes,

4) medications,

5) other sleep disorders,

6) medical conditions

7) work-related issues

8) family problem,

9) health events.

 

All these in isolation or in combination play problems in sleep issues. Good sleep cycle, handling the specific problem, counseling, cognitive-behavioral therapy, medications are employed for the treatment.

 

Following measures are helpful;

 

1) Avoid if you do;

a) caffeine or alcohol use,

b) environmental noise,

c) inappropriate room temperature,

d) watching TV in bed.

e) avoid large meals at dinner.

 

2) Relaxation techniques

 

3) Acupressure and acupuncture.

Wishing you a speedy resolution and all the very best in life.

 

 

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Expert:  Dr. Arun Phophalia replied 13 days ago.

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