Following on from: healthunlocked.com/pasoc/po.......
After GP #1 told me my continuing symptoms were all in my head and I should seek counselling and perhaps medication, I went to another GP and sought another opinion. GP #2 was very supportive, as I said in the last thread, saying it was too early to write it off as physcological, and took my symptoms, earlier test results (including the private ones) and would figure out where to go from there.
He said that he would likely have to refer me to specialist(s), but he wasn't entirely certain which ones.
So, he rang me last Sunday (!!) to ask me to head up to the hospital and get some bloods done, as he wanted to see what my calcium was doing as it hadn't been tested since May. But I had it retested in June, I told him. No I hadn't. Apparently when GP #1 retested my B12 and D levels after starting treatment, he didn't bother with calcium, as he assumed that it would rise now my D levels were much improved.
That was news to me. But anyway, off I tootle for tests, and the results were:
24/10/17
Serum Calcium - 2.23 mmol/ (2.2 - 2.6) - was 2.15 in May
Serum Albumin Level - 43 g/L (35.0 - 50.0) - was 44 in May
Serum adjusted Calcium - 2.17 mmol/L (2.2 - 2.6) - was 2.07 in May
Serum Phosphate - 1.04 (0.8 - 1.5) - was 1.26 in May
Vitamin D - 58.9 nmol/L (>50 nmol/L for sufficiency) - was 21.1 in May
Parathyroid Hormone - 3.4 pmol/L (1.95 - 8.49) - not tested in May
Serum Sodium - 139 mmol/L (133.0 - 146.0) was 142 in May
Serum Potassium - 4.6 mmol/L (3.5 - 5.3) - was 4.2 in May
Serium Chloride - 107 mmol/L (95.0 - 108.0) - was 108 in May
Serium Creatinine - 61 umol/L (48.0 - 128.0) - was 64 in May
Serum Urea - 5.6 mmol/L (2.5 - 7.8) - unchanged from May
GFR calculated abbreviated MDRD - > 90 mL/min/1.73m*2 - unchanged from May
Serum C reactive Protein - <4 mg/L (<10) - was 7 mg/L in May
Acute Kidney Injury Warning Stage - AKI Stage 0 – Report Without Alert - unchanged from May
The inclusion of PTH tests this time suggest he was ruling out hyperparathyroidism, which it has, because my calcium is stupidly low and not stupidly high.
Which brings me to the confusion. We assumed the calcium defiency I had in May was dietary, and would resolve itself once my Vitamin D levels resolved. Well they have (though I am still supplementing, to get them even higher), but my calcium levels have barely moved. I am only just into range in Serum Calcium and still under range in adjusted Calcium. Why would that be?
B12 wise, GP #2 has asked that I still not supplement. I'm to continue my scheduled injections as planned, but he wanted to rule out other possibilities before he concentrated on B12 being the culprit. He did agree with GP #1 that my B12 issues were unlikely to be dietary, and that unreliability of tests make it pointless testing to confirm it is PA - I will simply remain on injections for life: the frequency of which is currently up for debate.
What to do next? 
Need some help.
Blood results all "normal" still feel rubbish
