What the title really should read is 'should b12 deficiency be re-classified as a neurological illness?'
We have the situation at the moment where once the b12 deficiency has been acknowledged patients are clearly presumed to be fit and well when the serum b12 levels have been brought back into the normal range.
But, as recent developments have shown, this is probably because the haematologists are generally considered the experts in this condition relative to the haematological symptoms.
However since it appears they have not been taking into consideration the fact that the neuro damage appears before the blood changes, should it be a case of all b12 deficient patients with remaining being referred not to haematologists but to neurologists?
Of course these same neurologists would have to be aware of the significance of damage caused when a patient is deficient and up to this point they appear to having been relying on the haematologists to tell them there cannot be neuro damage - when there clearly can.
I know it's a "Confused, you will be!" post, but everyone knows now that serum b12 levels are returned to normal very easily and it seems a bit unprofessional to keep referring people to haematologists who are confirming their blood levels are normal. A referral to a good, well informed neurologist would seem to make a lot more sense.