I'm new to this forum- just wanted to clarify a couple of things that are confusing me.
I had a blood test last week- my serum b12 was 165 (don't know the reference range but GP said this was low).
He didn't really seem to know what to do next- googled it during the appointment which made me a bit sceptical of his advice.
Also- Last year I had iron deficiency anaemia (Hb was 10.1 and Ferritin was 2). I supplemented for about 6 months and was no longer anemic and my Ferritin went up to 35 (September). My Ferritin has now dropped back down to 9 (but my hb is normal). I am also slightly deficient in vitamin D.
GP advised that I take oral b12 and iron supplements for 3 months and then have my levels retested. He has said they can do a pernicious anaemia test in 3 months as well. The GP didn't seem to think there was any connection between the deficiencies and said several times that it is likely diet related, however I eat a healthy diet including meat and dairy. I am concerned that this would indicate some kind of malabsorption.
My questions are-
- is oral supplementation effective of should I be offered injections?
- Would supplementing b12 affect the accuracy of a pernicious anaemia test (or are these unrelated)?
Thanks in advance