Hi I have iron deficiency and folate deficiency and pernicious anaemia, also Hashimotos. I have been given just one B12 injection and this was given at start of June 2017, how many should I be getting please? Symptoms from B12 deficiency page are
Tinnitus
Tremor
Paresthesia - numbness, tingling and pain
Confusion / disorientation
Weakness of legs, arms, trunk
Impaired vibration - position sense
Abnormal reflexes
Unsteady or abnormal gait / falls
Ataxia (Neurological disorder affecting balance, coordination and speech)
Balance problems
Difficulty walking
Dizziness
Restless legs
Visual disturbances / decreased-blurred vision
Forgetfulness, memory loss
Dementia / intellectual deterioration
Paralysis
Impaired fine motor coordination
Muscular spasticity
Bladder or bowel incontinence
Impaired pain perception
Nocturnal cramping
Disturbance in taste and smell
Confusion/disorientation
Psychosis
Hallucinations
Memory loss
Delusion
Depression
Suicidal ideation
Mania
Anxiety
Paranoia
Irritability
Apathy
Personality changes
Violent/aggressive behaviour
Schizophrenic symptoms
Sleep disturbances
Insomnia
Changes in taste, smell, vision, and sensory/motor function which can be mistaken for psychiatric problems
Anaemia
Macrocytosis (large red blood cells)
Generalised weakness, fatigue
Breathlessness
Pallor / jaundice
Chronic fatigue
Vascular Problems
Orthostatic hypotension/ Postural hypotension (low blood pressure when standing, which can cause fainting and falls)
Postural orthostatic tachycardia
palpitations
Female
Infertility
Loss of appetite/weight loss or anorexia
Epigastric pain (poor digestion, bloated feeling after eating small or normal sized meals)
IBS - Irritable bowel syndrome
Constipation
GERD - Gastric reflux disease - ulcers / mouth ulcers
Decreased stomach acid
Gastropareisis
SIBO Small intestinal bacterial overgrowth
Malabsorption syndromes - Crohn's disease, coeliac disease etc)
Dry cracked corners of the mouth
Premature greying
Glossitis - swollen / sore tongue, geographic tongue
Fainting/light headedness
Nominal aphasia - difficulty recalling names or words
Radiculopathy - chronic pain disorder
Increased susceptibility to infections
Poor wound healing
Malnutrition
Skin hyper pigmentation or hypo pigmentation
Results are below thank you
May-2017
Ferritin - 74 (30 - 400) taking 1 ferrous fumarate tablet a day for iron anaemia diagnosed in 2013, iron infusion corrected it in 2016
Folate - 2.35 (2.50 - 19.50) taking 1 folic acid tablet a day for folate anaemia diagnosed in 2016
Vitamin B12 205 (180 - 900) given B12 injection for pernicious anaemia diagnosed in Feb 2017
Total 25 OH vitamin D 68.8 (50 - 75 suboptimal) taking 6000iu D3 for vitamin D deficiency diagnosed in 2013, been taking the 6000iu since 2015