Hi. You all seem so knowledgeable and helpful. I am hoping you can help me feel a bit more hopeful about things. I have been feeling unwell for more than a year now but my symptoms have been worsening more quickly in the last few months. I have the usual fatigue, pains in hands, feet etc. I also struggle to think clearly and generally feel that I am falling apart both physically and mentally. Both my Grandmother and Aunt were diagnosed with PA and I also had to have B12 injections during both of my pregnancies. I also suffer from psoriasis which I have researched and see is an auto-immune disease with possible links to PA.
My GP agreed to do some tests but the B12 serum results were 251 so she said there was no way she would consider treating me as it is above normal range. Haematocrit is 0.365 which is just below normal range but she did not mention this. None of the other indicating factors seemed to interest her and she said I must be suffering from stress. After much persuasion she agreed to test me for intrinsic factor but has said that the lab may reject the request due to normal B12 levels. She virtually guaranteed me that the tests for intrinsic factor would come back normal and then I would have to accept that it is simply stress and depression causing the problem.
All of the information I have read seems to suggest that GPs are supposed to treat and not wait for test results as they are unreliable but what are you supposed to do when you come up against a wall of opposition like this?