I've was diagnosed with PA 3 years ago, gp started loading jabs according to NHS guidelines then I was having jabs every 4 weeks for a year then went to every 8 weeks as gp wanted to stretch it out. Now I'm told that after my gp has retired I have to go in for a review-I'm guessing they will want to stretch it to 3 months now-I won't cope with that! Worried and now thinking of going down the private route or self injecting. I had neurological damage when diagnosed- in the guideline British medical journal it does say that if neurological damage b12 should be every 8 weeks. Anyone got any adv, seeing Gp on 25 Jan. TIA
Sarah
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SarahFerguson
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Hi SarahFerguson Your "new" doctor should adhere to the guideline paragraph which reads:
The BNF advises that for Pernicious anaemia and other macrocytic anaemias patients presenting with neurological symptoms should receive 1000 μg i.m. on alternative days until there is no further improvement, then 1 mg every 2 months.
Do you know what your Folate level is as this is essential to process B12?
Thank you Clive. My folate was low at time of diagnosis not sure what level thou. I'm assuming that neurological symptom they mean shaking and brain fog etc.
Wow Clive just read your story. I find it staggering that the GP's don't know a lot about how we feel on a day to day basis. I'm only 46 obviously quite young to be dignosed, I've also got vitilgo, however, there is a family history on my Dads side - he had duodenum stomach ulcer. I have two sons one has gone thru some tests as he's having stomach problems aged 18. He's had an endoscopy test just before Xmas but all they said was he had some inflammation on stomach lining and is taking ppi as treatment omeperazole I'm not convinced! All his blood tests have come back satisfactory but on the low end of satisfactory, not sure now what to do for him. He's taking buscopan and ranitidine to elevate symptoms at the mo.
1) "BSH Cobalamin and Folate Guidelines" These Uk guidelines came out in 2014 but some Gps may not have read them. Info on UK B12 treatment is about a quarter through document.
b-s-h.org.uk/guidelines/ click on box that syas "Diagnosis of B12 and Folate deficiency" should be on page 3 or put "cobalamin and folate guidelines" in search box.
2) Pinned posts on this forum. I found fbirder 's summary of B12 documents very useful when faced with medics who haven't done their homework on B12. link to his summary in third pinned post (last link in list)
No it's not a PPI, it's an antispasmodic treatment. I don't know much about those but the link I gave u above has a lot of info on there and Dr Mercola is excellent.
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