I've been diagnosed with PA since 1998, and have fought over the years to have injections more frequently than the usual 3-monthly interval. At last, I have managed to have it at 8-week interval! This came about being diagnosed as having osteoporosis and a risk factor increased as I had a hysterectomy at a young age. Also, diagnosed as Coeliac in 1998, as a result of which the osteoporosis is quite severe, although I am refusing the usual meds for this and opting for K2 and D3, plus other support. I also managed to get 'permission' by my surgery to have a homocysteine blood check once every 2 years (due to a familial line of Alzheimer's, so I am somewhat concerned to avoid this!). I have a form for the homocysteine blood test, but I'm tempted to do a sneaky 'tick' on other bloods, (I haven't had any bloods done for over 2 years now of any description, despite being coeliac and PA etc.). I think the MMA goes hand in hand with the homocysteine so think I will 'add' that in to the form. (I'll probably be banned from the surgery, but think I have little to lose as their help is so poor!). What would others recommend I 'tick' please? Folate? Be grateful for any help.