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May 17, 2006

does vitamin b-12 help my platelets, or there remedies I can use.

Response from Dr. Wohl

Vitamin B12 will not boost your platelets. Low platelets (also called thrombocytopenia) can occur during HIV infection and is often due to the abnormal creation by the body of antibodies which can destroy these cells. In other cases, a large and overactive spleen may be clearing platelets from the blood. Low platelets accompanied by low red and white cells may indicate a bone marrow problem as all three of these are made in there.

Sometimes prednisone, a steroid that lowers immune function, is used to slow the anti-platelet antibodies and other immune causes of low platelets. In severe cases, removal of the spleen is performed. There have been some reports on the benefit of the antibiotic Dapsone in increasing platelets. Dapsone is often used as an alternative to sulfa medications to prevent PCP.


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