Hello, I have been having a whole host of symptoms since November 2017 including neurological (pins and needles, stabbing pains, muscle spasms and burning sensations), tachycardia, weight loss, hair loss and generally feeling unwell.
My GP diagnosed anxiety so I consulted a private neurologist. He ordered tests and I have raised MMA in both my blood and urine although apparently not enough in the urine to point to an inborn error of metabolism. The neurologist asked me to retest for serum and urine MMA as well as homocysteine and methionine. I'm waiting for the results.
In the meantime I pleaded with the neurologist to ask my GP to trial B12 injections - I had my fifth and final today but the GP will not give me anymore for 3 to 6 months because my serum B12 tested at 386 and he says my symptoms are too varied to point to B12 deficiency. I do feel a little better - more energy and less wakeful nights plus the whites of my eyes are losing the yellow tinge that appeared around Christmas.
I think I have nothing to lose by self injecting while awaiting the results of the second line tests and a firm diagnosis.
Does any of this sound familiar to anyone? Will I be wasting my breath arguing with my GP to follow the NICE and BNF guidelines where a patient has neurological symptoms?
And finally is there any evidence to show whether IM is better than SC?