rosacea and b12

Hello,
I am 42, female with rosacea, worse on my nose,  I recently found that I am low in iron and deficient in b12 - my number was 190.  My Doctor has prescribed 1000 mg of sublingual b12, however I am concerned about developing rosacea fulmanins, I believe it is rare, but nonetheless is a possibility with high doses of b12.  I am feeling the symptoms of the low b12 though and do need to do something to treat it.  Can you advise me? thank you for your time, sincerely, Sara

[Bhupinder Kaur, MD]

Hello,
It is true that some cases have been reported for rosacea fulminans which have been triggered by vitamin B 12 ingestion. In such a case, it will be better if you start with dietary intake of vitamin B 12 first. These include meat products like liver, oysters, beef, lamb, fish, cheese and eggs.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.