You could also mention the BSH guidelines which say "In the presence of discordance between the test result and strong clinical features of deficiency, treatment should not be delayed to avoid neurological impairment".
I have an awful lot of symptoms on this list I didn't realise.
Breathlessness
Vertigo
Shoulder bumps
Vitiligo
Brain fog
Confusion
Arthritis
Tingling and numbness in three fingers on my left hand dr said it was probably a trapped nerve
Sleep disturbances dr sent me for sleep apnea tests, all negative
Total exhaustion
Palpitations
I've just looked at the list three times and I've forgotten again the dr said my poor memory is because I take statins
Oh I've just been diagnosed with erosive gastritis after having an endoscopy
So shall I just keep on with the same tablets I've taken for the last five years and hope it improves or see my doctor again? At the moment he is saying I have anxiety and is not interested, but everyday is a total struggle
a) write to GP with list of symptoms and, if you are UK based - refer them to the BCSH guidelines on diagnosis and treatment of cobalamin and folate deficiency which they can find on the BNF but you can find here
(except it seems to be down for maintenance for part of the weekend)
particularly the following
- serum B12 used as a single measure will miss 25% of people who have B12 deficiency and pick up 5% who don't
- if there is a discordance between symptoms and test results - they should go with the test results - particularly if there are neurological symptoms (which would include the vertigo and the numbness
- the gastritis is likely to be affecting your ability to absorb B12
b) follow up with an appointment and take a friend/relative with you to help you as communicating is probably quite difficult at the moment.
what is the strength of the tablets you are taking - if they are 50mcg and you have an absorption problem they are unlikely to affect anything?
I'm really confused because these were results from a test I had done through the doctor. I had already done some through blue horizon because originally the dr was unwilling to test so I basically had two lots done within a week. Literally have just got the blue horizon ones back they don't seem to agree with each other
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