I have been self injecting with Hydroxycobalamin since May this year on alternate days and for a few months I felt really good with the increased energy. However, in the last month or so I have started to feel very tired again, lethargic, muscle aches, headaches, lack of appetite to name a few symptoms. I have been doing some reading and I am wondering if my new symptoms have anything to do with my folate levels not being at an optimal level. In May folate was, 5.1, Normal levels are >4 at my lab. I have been doing some research and have read that for proper absorption of B12, folate needs to be at an optimal level. I believe optimal levels are about 14 or 15?. My ferritin level was just above the normal level too at 23.7, range is 22 - 322. My FBC was in range at 13.3
These blood tests were done in May of this year before I started regular alternate day injections. Could it be that both my ferritin and folate levels have decreased? Again, I have read that B12 calls uses folate and iron to be fully utilised. My question is, should I concentrate of increasing my folate and ferritin levels before digging any deeper into my symptoms and panicking that the hydroxcobalamin doesn't seem to be working any more?
Any commends, advice or guidance appreciated.