new poster here from the UK. I'm very glad places like this exist so people that are not really clued up on anaemia can get some advice.
I have suspected I have anaemia for over 15 years now; having continuously had many of the symptoms. ( which i won't bore you with)
Anyway, it has recently occurred to me that often the NHS blood reference ranges are not always correct and people have been denied diagnoses and treatment because of this. I was hoping a member on here with good knowledge and experience of this could help me in interpreting my recent blood results.
Serum Iron level: 24.9 umol/L
Serum TIBC: 69.4 umol/L
Serum ferritin: 126 ug/L
Serum vitamin B12: 394 ng/l
Serum folate: 10.6 ug/L
I have been trying to understand these results, and my GP insists as they are all in the reference range there is no need for follow-ups. I hope someone is able to offer a further insight for me, and perhaps even suggest further tests to rule out other things.
Anyway, thanks very much to anyone that can have a look,
Much appreciated,
G
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monkeyboy0211
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Hi monkeyboy0211 it would probably help the more knowledgeable than I on here to answer you if you did list your symptoms and (if possible) showed the ranges <From -- To> of your above test results.
According to the reference ranges I am totally normal, but I have read a lot about certain reference ranges being inaccurate as a basis to diagnose things like anaemia. And with my present symptoms i thought i would be good to get some valued opinions on this forum.
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".
In other words your doctor should be treating your symptoms not just looking at the computer screen.
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
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"
i totally agree with what you've said; i need to see my Gp and get treatment.
As always, the NHS refuse to do more than the very basic thyroid panel which, again, shows up as in the ' normal range'. I will have to be a bit more forceful in getting tests/treatment!
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