Well my letter came from the hospital and its advising a trial of b12 injections over 6 months at one every three months with no mention of loading doses.
I think I can see why given their test results which were:
Full blood count normal apart from:
Abs. Lymphocyte Count 1.4 10*9/L
Vitamin B12 915 ng/L
Folate >24.0 ng/mL
Ferritin 143.0 ug/L
Bone chemistry normal apart from:
Phosphate 0.69 mmol/L
eGFR 70 mL/min
Cortisol 381 nmol/L
(There are no reference ranges on the letter)
I'd taken sublingual b12 that morning so I'm amazed they even sanctioned the injections with that serum level.
He described loading doses in the consultation but doesn't mention them in his letter to the gp. (That's before the blood tests came back though)
He wants me to stop all oral b12 while trying the three monthly injections.............
Does anyone understand if those results are significant or have any experience of a low ESR please?