So had a trip to the GP who was reluctant to discuss extra loading doses as I have neurological symptoms and pointed out the nice guidelines and BNF ... He stated but you have already had 18. Felt like I had to beg to get the right treatment. Due to his attitude I decided to challenge him about my previous blood results. In November 2012 I was 125 b12 (I did not know this until July 2016) and having neurological symptoms and have done since. The GP kept saying I had fibromyalgia over the last few years. Bloods were done again in July 2015 and b12 was 212. When challenged today he said I did not need to be treated as I was not aenemic at the time and my haemoglobin was ok. I pointed out that my haemoglobin and ferritin is also ok now .... But I'm being treated for PA so what has changed. So in my view it is clear that he has neglected his duty of care since 2012 ... He then gave in and gave me a month of injections. My question is does other markers have to show in blood work for a PA diagnosis? Also another side issue ... I've been self objecting for 36 days now .. Every other day. I tried to extend the days in between this week and my symptoms came back more acute. Has anyone else experienced this ?? Im fearing that I will never recover ... Thanks in advance for any response.