Please advise I'm seeing the doctor's on Thursday
Folate levals: Please advise I'm seeing... - Pernicious Anaemi...
Folate levals
Hi pet-lamb I'm guessing your doctor will say both your B12 and Folate are "Normal" although at the lower end of their scales.
I see you are also on the thyroid community.
Do you have any neurological symptoms? If you do:
The British Society for Haematology guidelines say on the Diagnosis of B12 and Folate Deficiency "In the presence of discordance between the test result and strong clinical features of deficiency, treatment should not be delayed to avoid neurological impairment".
google.co.uk/url?sa=t&rct=j...
Symptoms of B12 deficiency tend to develop slowly and may not be recognised immediately. As the condition worsens, common symptoms include:
Weakness and fatigue
Light-headedness and dizziness
Palpitations and rapid heartbeat
Shortness of breath
A sore tongue that has a red, beefy appearance
Nausea or poor appetite
Weight loss
Diarrhoea
Yellowish tinge to the skin and eyes
If low levels of B12 remain for a long time, the condition also can lead to irreversible damage to nerve cells, which can cause the following symptoms:
Numbness and tingling in the hands and feet
Difficulty walking
Muscle weakness
Irritability
Memory loss
Dementia
Depression
Psychosis
I am not a medically trained person but I've had P.A. (a form of B12 deficiency) for more than 45 years.
I wish you well
for Thursday.
Thanks Clive yes I have several of these symptoms
Tingling tongue and roof of mouth
Light headed
Aches and pains ever where
Cramps in hands feet legs
Brain fog confusion forgetful
Palpitations breathless
Find walking any distance like 1/4 of a mile difficult like pushing my legs through sea water or walking against a strong wind .
I'm tired I lack energy I often fall asleep at least once a day I'm tired when I get up and when I go to bed .
Make a list of your symptoms and present this to your doctor and ask him to treat you according to your symptoms and (perhaps) even start you on loading doses "until there is no further improvement" according to the N.I.C.E guidelines below. Click on the link, then on "Scenario: Management" and scroll down to "Treatment for B12 deficiency"
google.co.uk/url?sa=t&rct=j...
If possible take someone with you who can validate your neurological symptoms as the doctor is less likely to pooh pooh you in front of a witness.
I am not saying that this is an easy thing to do but try to stay calm, write out what you want to say and keep to the script and be confident that you are "in the right" and your facts are correct.
Clive is there a way that I could upload the rest of the blood test photo results for you to look at would that be helpful
unfortunately you can only upload one picture per post - if people have several sets of results then they often do a series of posts - would be good to request that people respond on one particular post though just so everything gets consolidated in one place to reduce the risk of duplication