I am after some help with interpreting blood test results. It has taken me over a year of to get access to them all. But I cannot have a sensible conversation with a GP or consultant about them'
Following a GP spotting that I have low B12 (114) in March 2013 I have been trying to find out the cause. That GP told me I required B12 jabs for life.
A gastroenterologist has written to me on two occasions stating that a test for intrinsic factor was rejected twice. In another letter I was told I have been screened for pernicious anaemia twice and the results were OK.
According to a nurse at my surgery the test for intrinsic factor was never done. It weas rejected by the lab.
At an appointment in December 2014 the gastroenterologist stated that because the other test results are fine I do not have pernicious anaemia and do not require a test/ screening for PA as the other tests show I do not have it. He went on to state that I have all the symptoms of depression and mental illness and that I am just ‘latching on to B12’ as the cause (e.g. numb hands and feet, dizziness etc.). He previously told me my symptoms were due to low B12 which was diet related. According to the consultant my low B12 has self corrected and the higher reading of 540 in March 2014 is nothing to do with me receiving B12 injections for 12 months. He has also decided that my diet was fine.
My B12 injections were completely stopped. I am now self treating with B12 injections bought online.
After a year of asking to see test results I managed to get them from a nurse at my new surgery. Below are results from March and October 2013, and March 2014. Does anyone know which of these relate to pernicious anaemia testing? Or if any of them are significant.
TESTS in March 2013
Serum ferrin level (XE24r): 115.9ng/mL
GFR Calculated abbreviated MDRD (XaK8y): 60mL/min
Blood haematinic levels:
Serum folate level (45U5) 7.4ng/mL
Full blood count:
Haemoglobin concentration (Xa96v): 128 g/L
Total white blood count (XaldY): 6.2 10*9/L
Platelet count – observation (42P..: 280 10*9/L
Red Blood cell count (426..) 4.32 10*12/L
Haematocrit (X76tb) 0.394L/L
Mean cell volume (42A...) 325g/L
Mean haemoglobin level (XE2pb) 29.7pg
Mean cell haemoglobin concentration (429...) 325 g/L
Mean platelet volume (42Z5) 8.9fL
Neutrophil count (42j...) 3.57 10*9/L
Lymphocyte count (42M...) 2.08 10*9L
Monocyte count – observation (42N...) 0.47 10*9/L
Eosinophil count – observation (42K...) 0.05 10*9/L
Basophil count (42L...) 0.06 10*9/L [0.0 -0.2]
Renal function tests 451:
Serum sodium level (XE2q0) 140 mmol/L
Serum potassium level (XE2pz) 3.9 mmol/L
Serum creatinine level (XE2q5) 79 umol/L
Serum Ferritin level (XE24r) 115.9 n/gmL
GFR calculated abbreviated (XaK8y) >60mL/min
Liver function tests (X77WP)
Serum total bilirubin level (XaERu) 9umol/L
Serum total protein level (XE2e9) 68g/L
Serum alanine aminotransferase level (XaLJx) 28iu/L
Serum alkaline phosphatise level 59u/L
Thyroid function tests:
Serum level TSH (XaELV) 1.82
Serum free T4 level (XaERr) 8.7pmol
Erthrocyte sedimentation rate (XE2m7) 5mm/h
Serum calcium level (XE2q3) 2.25 mmol/L
Serum albumin level (XE2eA) 41g/L
Corrected serum calcium level (441C) 2.27 mmol/L
Tests in October 2013
Tests in March 2014
Serum B12 540
Serum folate 6.1
Serum Ferrin Level 126.8
AA Tissue Panel:
ANTI mitocrondrial antibody Negative
Anti smooth muscle Negative
Anti gastric parietal anti body Negative
Anti LKM antibody negative