On the PAS website, I was surprised to read the following: "Even where low levels of B12 is detected, only around half of patients' doctors further investigated the cause of the depleted levels of B12 – the most common reason – “the treatment will be the same whether you have Pernicious Anaemia or not”. I had thought that was a legitimate position until I saw it used on the PAS website as an example of an inappropriate response by a physician.
So.... If it is the position of PAS that the cause needs to be further investigated, how does a patient respond to that general argument from a physician? And should a patient insist on being tested for PA? And what specific reason for PA testing would I give to educate a physician who likely knows very little about B12 or PA?
I've read that PA creates a higher risk for stomach cancer and should be "monitored" for that reason. How is PA "monitored" for the complication of stomach cancer? If B12 injections do not raise B12 levels to normal ranges, does that mean that PA is the culprit behind the deficiency, and that PA is not being successfully treated, leaving the patient more vulnerable to that complication - and perhaps others?
Trying to gain an understanding of a VERY complicated subject!
Thanks, Dopey-Grumpy-Sleepy (aka Jayne)