Patient's question:
Patient Age: 24Detailed Medical Condition and Purpose of Consultation: I have been taking the birth control pill Marvelon orally, and I often feel dizzy, especially when I'm on a bus.
Medical History: No medical history
Previous Diagnoses and Treatment History and Outcomes: No diagnosis
Ancillary Examinations: Not examined
Doctor's answer:
Hello, birth control pills can change a woman's demand for certain nutrients. Therefore, experts recommend that women taking birth control pills long-term should pay attention to supplementing vitamins regularly. Of course, this is mainly done through diet.1. Vitamin B2 (also known as riboflavin). Oral contraceptives can increase the required amount of vitamin B2. If supplementation is not provided, it may lead to vitamin B2 deficiency, such as angular cheilitis, glossitis, conjunctivitis, and seborrheic dermatitis. Foods rich in vitamin B2 include dairy products, animal liver and kidneys, egg yolks, eel, carrots, mushrooms, cauliflower, mushrooms, wheat, soybeans, and dark green vegetables. When necessary, vitamin B2 can be taken orally, 5–10 mg per time, 3 times a day, with meals or after meals.
2. Vitamin B6. Long-term oral contraceptive use can accelerate the metabolism of tryptophan, increasing the body's demand for vitamin B6. A lack of vitamin B6 can lead to symptoms such as excitement, restlessness, hyperreflexia, convulsions, and peripheral neuritis, and may even cause depression. The richest sources of vitamin B6 are the outer layers of grains and cabbage. Others include wheat germ, milk, liver, meat, and soybeans. When necessary, vitamin B6 can be taken orally, 20–40 mg per day, which may help alleviate symptoms.
3. Vitamin B12. Birth control pills can lower the concentration of vitamin B12 in the blood, affecting the body's hematopoietic function and causing megaloblastic anemia similar to that caused by folic acid deficiency, often accompanied by neurological symptoms such as limb movement coordination disorders. The main sources of vitamin B12 include meat, liver, dairy products, egg yolks, fish, shellfish, and crabs. Long-term use of birth control pills...