I've been experiencing the typical symptoms of B12/folate deficiencies for over 18 months now, the fatigue, fast heartbeat, dizziness, vertigo, fainting, tinnitus, pins and needles, vibrating body, brain fog etc... to the point when I am gradually unable to carry on with normal life, but as usual, this has been put down to the perimenopause/stress etc... I was referred to an ENT who diagnosed an ear imbalance with symptoms again put down to stress.
My symptoms have got progressively worse but was told that my latest blood results showed no deficiency in B21/folate. However, looking more into it, It came back with a very high marker for MCH, but my GP dismissed its significance (unfortunately, didn't ask the actual result but he did agree that it was very high). This has however prompted me to do some research and what I have read everywhere is that this is an indication of macrotic anemia, the cause of which is more commonly B21/folate deficiency but my GP says that this is not an indication of macrotic anemia. I am so confused. I read the bjh guidelines, and my understanding is that the B12 test alone is not fully reliable and that my levels of MCH and symptoms should warrant my starting on B12 injections and even a referral to a Haemotalogist. My GP has only agree to me having an injection once a month (to keep my quiet I think).
Am I getting all confused in thinkin that the high MCH results along with my on-going symptoms should at least prompt further investigation? I like my GP, I hate being in a position to question his competences, but everything I read (bjh guidelines, summary on this website, NICE guidance seem to indicate a different position to his. I've read how many patients struggle for many months to get a proper diagnosis. I really don't know what to do now. Any advice Thanks