After 18 months of significant symptoms of B12 deficiency taking metformin, having hypothyroidism and asking my GP if they would draw blood so I could send them away and pay private she agreed to a vitamin B12 test. This was on 4/4/17. I called for results on 7/4/17 and told my B12 was 132 and to make a routine appointment. Thinking nothing off this I said I was due to see GP within the next 2 weeks which was about the earliest time I could get a "routine" appointment. Over the weekend I checked what the normal levels were and was horrified to find out how significantly low my levels were bearing in mind I was very symptomatic extreme fatigue, brain fog, having difficulty with my speech and a noticable deterioration in my cognitive abilities, developed a swallow problem that I had an endoscopy for.
As you can imagine I was furious and I called the gp first thing Monday morning last week to be told the GP had noted a routine appointment only and the first available appointment was 19/4/17. Too exhausted from battling with my symptoms and the treatment I was getting I had to put the phone down. I managed to compose myself and called back demanding I be seen. 2 minutes later a GP called me saying he wasn't aware of the results and I needed to go in. In tears I reiterated how poorly I had been feeling, the symptoms I had. I was having a brain MRI later that day for a suspected prolactininoma and the GP didn't think it advisable to start my injections until the next day. Aware of the BNF and NICE guidance I expressed my unhappiness that I had been told to make a routine appointment and that given my levels of 132 ( folate was 3) and that heamatology advice should have been sought as well as immediate injections given I had nurological symptoms.
I had my first injection last Tuesday and a second on Thursday. GP spoke with me advising he had contacted the heamatology department and that I was to be prescribed folic acid for 4 months in addition to injections and tested for coeliac disease. I was also told the surgery was closed for Easter so my 3rd injection would be Tuesday next week, 5 days after my second injection. Feeling very poorly, racing heart, pins and needles etc I called nh24 to ask if I could attend the local out of hours to have my injection to be advised 5 day Gap is ok and if I felt I needed B12 to buy it at the chemist until my next injection! Last night I felt I was dying I could feel my pulse all over my body including my head and lips and my pulse was faster than normal 80 rather than the usual 65.
Am I being unreasonable in thinking I need this injection? I feel like going to A&E