Help appreciated in interpreting my results - could I have PA?

[HashiHolly]

New member here - hi everyone! I posted a question on Thyroid UK as I have been recently diagnosed with Hashimoto's and a few of the the responses directed me here. Reading through the info I have quite a few of the symptoms of PA - particularly the tingling in my hands and feet which is often worse at night. My GP hasn't said a lot but has referred me to a Neurologist - I have a copy of my blood tests results, some of which are as follows with the ranges in brackets:

Folate - 31.2 - (>6.0)

Active B12 - 59 - (23-100)

Total B12 - 241 - (200-700)

VITAMIN D - 38 - (50-250)

Iron - 19 - (5-30)

TRF - 2.4 - (2.0-3.2)

TRF SAT. - 32 - (10-45)

Ferritin - 98 (30-500)

Haemoglobin - 142 - (115-160)

Hct - 0.46 - (0.35-0.47)

RBC - 5.0 - (3.7-5.2)

MCV - 93 - (80-100)

MCH - 29 - (27-34)

MCHC - 308 - (310-360)

RDW - 12.8 - (11-17)

Platelets - 234 - (150-450)

White Cells - 4.5 - (4.0-11.0)

Neutrophils - 2.5 - (2.0-7.5)

Lymphocytes - 1.6 - (1.0-4.0)

Monocytes - 0.3 - (0-1.0)

Eosinophils - 0.1 - (0-0.5)

Basophils - 0.1 - (0-0.3)

ESR - 3 - (5-20)

TSH - 0.96 - (0.5-5.5)

FT4 - 14.0 - (11.0-22.0)

FT3 - 4.3 - (3.1-6.4)

TgAb - 355 - (<115)

TPOAb - 15 - (<35)

Any comments or feedback would be most welcome as I'm so tired of feeling unwell and the dizziness and tingling extremities is quite stressful and often interrupts my sleep I'm located in Melbourne, Australia so if anyone down under knows of a helpful Neurologist that would be great as my GP had to look one up! Confidence inspiring not!

Wishing good health and knowledge to all - Holly

[Shash23]

Do u feel DIZZY 24/7 ? AND nt able to walk straight up ?

[HashiHolly in reply to Shash23]

Gee that was quick Shalinee! The dizziness comes in waves - I sometimes liken it to feeling like a tree in a strong wind. I know my feet are on the floor but my head feels like it's about swaying. My gait is okay but I can find myself weaving around instead of walking in a straight line sometimes.

[HashiHolly]

Thanks for your comments Eaoz - I was taking B12 but I'm not sure of the dosage as I can't remember the brand or anything about it other than I took it sub lingually

[Wowo23]

HashiHolly. I agree with Eaoz. It doesn't look like PA. But, I would refrain from any b12 supplements and ask my doc to rerun some tests. Ask for b12 and check instrinic factor. Also your D is low. That could cause symptoms similar to PA. Maybe check D3. Also your MCV is good. High MCV is a tell tale sign of PA. Lots of things could cause your symptoms if it turns out not to be PA. But worth rechecking

[HashiHolly]

Thank you Wowo23 - I know it sounds crazy but I was kind of hoping my symptoms were indicative of PA as some of the alternatives don't bear thinking about!

[Highland49]

Hi HashiHolly,

To further test for b12 deficiency, the Methylmalonic Acid test is more accurate if they have that test in Australia. I wouldn't rule out b12d though as you don't want to risk permanent neurological damage but as previously mentioned, it could be vitamin D. If only these things weren't so complicated!

I've had problems with walking in a straight line and swimming head sensation but much better after taking hydroxocobalamin sublinguals.

Good luck with your tests and referral.

[HashiHolly]

Thank you Highland 49 - I'll discuss your suggestion with my doctor. Hopefully they have that test here. Hope it's a lovely day wherever you are in the world - I'm guessing you're in Scotland?!?