As I've posted before - my dr sought advice from a haematologist because my symptoms had returned before the 3 months - in fact before end first month. The result - as I didn't have IF and therefore not PA (their words) I wasn't to have any further treatment.
I wrote a letter quoting guidelines and articles I had read and included references to useful reading material. I got called into the surgery to find two doctors seeing me! Am I a stroppy patient I asked? Reason given was training GP needing occasional oversight - really?!!!
Long and short, I've been referred to a haematologist but cannot have treatment before. Appt they do follow NICE guidelines but have to follow what they were advised and yes - there is always a risk to any injection! (I'd asked for one in meanwhile and after all what risk was there!) told to not raise voice - I said merely being assertive....I wasn't shouting, just a bit louder lol.
They would of course offer oral meds if I wanted....er no thanks - I've sourced my own active version...just to get me moving during day...
They refused to do antibody checks on thyroid as TSH and FT4 within range (I knew they wouldn't do T3) but agreed to my request for mineral checks - well, said electrolytes so hopefully that includes ca and mg.
Anyhow, I have splurged out on private testing with Blue Horizons - a comp female profile II from ZRT which includes everything I wanted - all thyroid, adrenal, sex hormones (been on HRT for years). And then got carried away - joint credit card after all - and paid for genetic testing through 23andme....😊
I hope it all gives answers.