My journey to recovery: This is a very... - Pernicious Anaemi...

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My journey to recovery

GGourmet profile image
13 Replies

This is a very long piece about my experience. It has a good ending.

This goes back a few years

I was feeling tired and extremely fatigued and had done so for some 6 months. Simple tasks like loading a tumble dryer meant I had to go to bed.

I went to my GP and saw a locum. She ordered a full range blood test and everything came back normal. Except it was not. The lab had failed to flag that the serum B12 was at 173 in a range of 190 to 905. I went back and saw a different GP who ordered the test again. This time the serum B12 was 146. 2 days before that last test, I had consumed the equivalent of 1 kg of seafood in the form of crab, mussels, etc (I have always loved fish and this was nothing all that unusual). He was not all that concerned and explained that the range is only a guide and said there was nothing to be concerned about. Tests for PA and a few others things came back negative. I was gradually becoming more unwell, vision was severely disturbed and on a trip to London, I developed tunnel vision and an inability to process information to the extent that at times I was unable to move, because there was too much information to process.

I contacted the PAS and was stumbling about quite a lot with all of the information available. I spoke with Martyn who managed to help me significantly. I went back to my GP, as suggested by Martyn. This was yet another GP, she agreed to put me on loading doses – hoorah. Yet, at 3pm the same day she telephoned me to say she had spoken with an ‘eminent’ gastroenterologist who told her that men almost never get PA and that I don’t have a B12 deficient and she should not treat me, I asked that she call the PAS but she stated that it was against hospital procedure. I was still unable to function properly despite now taking oral spray from Holland & Barratt – I felt better but it was clearly not enough. I arranged to go back to the GP, this time with my parents in tow and my mother who was a healthcare professional sat in. The only progress we made was a BUPA referral to a neurologist. By the time I got to see the neurologist, I had moved on to sublingual at 6000 microgrammes per day taken 3 times a day and had been taking them for 6 weeks. My neuro symptoms had cleared and unsurprisingly there was not much in the way of neuro symptoms to look at. She said that vitamin D deficiency was very fashionable, whilst I was sat there with a ‘healthy’ summer tan. She chose to perform a brain MRI (all clear) and refer me to a haematologist and it was some time before I got there to the hospital in London. He confirmed B12 deficiency but again could find no cause. He recommended loading doses but no follow-on doses. He said I should have the loading doses once per week for 6 weeks (strange) He suggested to my GP that that would give me sufficient B12 in my liver for 2-3 years and if there were ongoing problems to conduct an active B12 test. My GP knew nothing of this and wasn’t even sure if it was available. Things were looking up because the GP that dealt with this letter was someone I knew I could trust – he spends 1 day a week in palliative care at the local hospice and had treated me in the past for chronic pain with morphine, after all else failed, so he knew I don’t swing the lead when I only need one bottle of morphine a year.

Fate stepped in. Shortly thereafter, I had to go back to my GP. During this period of time something had been happening that I had never thought o associate with the condition. 4 years previously, I became very ill and developed repetitive infections, this after a long run of chest infections and pleurisy, it was decided to remove my tonsils (this was shortly after my appendix had to be removed). I had developed a foot infection which was anaerobic, almost on the heal bone and not responsive to antibiotics. Unable to identify the infection and being almost on the bone, I had to go on a rapid succession of very strong antibiotics, this triggered a C Diff infection and then a course of Metronidazole. Put simply, I had no gut biome left. I was highly vulnerable to another C Diff infection and was recommended to consume large quantities of live yoghourt. I developed a yeast infection which was treated successfully and continued with live yoghourt. Over time an underlying IBS situation was developing.

This was the point of fate stepping in. The IBS was unresponsive to the usual treatment that had always worked and I was developing serious diarrhoea. My GP referred me to a gastroenterologist in London on my BUPA requesting that he also consider the history of B12 deficiency.

Tests were conducted for Crohns and SIBO which took some time to complete. He concluded that my condition was the result of a compromised gut biome, but there was little research to back up such a diagnosis but it was all that was available to him. He prescribed a course of Symprove probiotic. He write to my GP confirming B12 deficiency and an ongoing 2 monthly course of B12 shots.

Before I could order, let alone start the course of Symprove, I had collapsed at Victoria station in London and found myself in St Thomas’. It was nothing serious, vagus type 2 and global transient amnesia, but I was kept in overnight. Fate stepped in again. I was referred by the gastroenterologist to a cardiac specialist in London because he was concerned that there could be something more malign going on. I underwent numerous heart tests and scans, including breathing test and then a brain MRI. All came back clear. The MRI was the last test just in case the underlying B12 was a result of a pituitary tumour that had grown. A year earlier the previous neurologist had also undertaken a brain MRI without any issues shown, but the neurologist needed to be sure because although even rapidly growing tumours rarely develop from nothing in 12 months to symptoms there was no knowing if the previous neurologist had missed something. He confirmed that the B12 course should continue and confirmed that I had clear evidence, through symptomology, of neuro damage from B12 deficiency.

Well, that is it. I was now on a course of Symprove which I have now been on for around 10 months. I continued with daily sublingual, now at 2000 microgrammes each morning, to control visual disturbance and mouth sores. Every now and then I forget my sublingual and by around 11am the visual disturbance retuned together with mouth sores. Throughout the last 12 months however, I have noticed that I can go further before the visual disturbance cuts in. 1 months ago an underlying yeast infection was suspected and treated. Since then, I have been able to go more than 2 days without visual disturbance. I quickly take this when remembered so haven’t yet gone any longer.

What does this mean?

I think it would be presumptive, in the light of a recent PAS report on the gut biome to assume that this research is directly in line with my experience. However, correcting the gut biome and removing a yeast infection appears to have had a very significant impact on what previously was a need to take doily sublingual’s.

As a foot note. The gastroenterologist who told my GP that men almost never got PA resigned 2 weeks after I telephoned the Chief Executive office outlining that I was going to make a complaint against him and the reasons for doing so. Since discovering he had resigned, I actually never got around to making the complaint.

Throughout all of this, I have been director of regulatory compliance at my firm and have now moved on to setting up 2 new firms. I think this is testament to the huge progress that has been made in my recovery.

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GGourmet
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13 Replies
clivealive profile image
clivealiveForum Support

An impressive history GGourmet Thanks for sharing.

GGourmet profile image
GGourmet in reply toclivealive

Thank you Clivealive. Good news stories hopefully give hope to others. Especially in my case where there was no diagnosis.

lulu2962 profile image
lulu2962

Your story sounds a lot like mine in which finding a reliable cure for the symptoms is very hard. I am b12D.

I had a whole in my stomach In 2000.

I have been on Protonics for this and esophagus problems as well.

The results where b-12D and prior findings where I am allergic to any foods that contain yeast. Amongst a lot of other Anaphylactic allergies.

Pro biological and yeast treatments have maintained that part and avoiding certain foods.

My allergies to all trees most plants and animals find me in serious conditions in the spring and fall. Now I have developed deterioration of discs. Had a cervical fusion

Arthritis, carpal tumor in both wrists and a pinched nerve in my back. Nerve damage in my foot and planters fisciitis. Also an inoperable knee problem of that it becomes dislocated at certain movement.

I have MRI that showed white spots.

I get migraines , dizziness blurred vision and extreme fatigue.

Been on B 12 injections for two years with some relief but when it wears off I can tell for sure.

I also sleep all day after my morning injections.

The trouble i have is joint pain, old injuries and surgeries that seem to have come about.

It saddens me to think about how I was so healthy in my late forty’s and physically active and now I’m run down in my 50’s on simple tasks. Ughhhh

GGourmet profile image
GGourmet in reply tolulu2962

I think too just how healthy I had been.

My first serious illness was in my mid 30’s and the episodes of infections, etc continued into my early 40’s. Each infection cycle would start around October every year. Now at 48 I feel somewhat cheated of life but thankful I am still here and comparatively healthy.

Fatigueisme profile image
Fatigueisme

Very interesting read.

I have been treat with Metronidazole for MRSA and was on its for over 6 months at one point a couple of years ago, I was teat again for MRSA symptoms a few months ago and was treat this time with Doxycyclene, both obviously very strong antibiotics.

I felt ill at the end of last year, feeling faint, whistling in my head, stressed but put it down to too much work, I also do a lot of work in regulatory areas and often study very hard on some cases. I started feeling better and got to the gym regularly and then about 3 months ago I started to feel so fatigued, couldn't think straight, depressed, anxious, continuous whistling noise in my head and couldn't focus on work.

I've just been diagnosed as VB12 deficient today and put on Folic acid, told to monitor blood pressure for 2 weeks and then that I'll need B12 supplement, my reading was 87 on what I was told should be a scale of over 100 upwards. I'm now thinking there may be a strong link between my long courses of strong antibiotics and my bodies inability to absorb B12 based on what I'm reading.

Thank you for your story, most helpful.

GGourmet profile image
GGourmet in reply toFatigueisme

After all other diagnoses fail, antibiotics appear to have some significance in the remaining cohort. I wonder if PAS have any correlation in their membership.

What an inspiring story GGourmet. Thanks for sharing. Incidentally, how did you treat your yeast infection? I suspect I have one and all my reading around this points to it being very difficult to shift. You seem to have done it quite well though. What was your treatment regime?

GGourmet profile image
GGourmet in reply to

There is a treatment available over the counter called Fluconazole. Available as a single tablet treatment for around £2.50. It’s an antibiotic of sorts which, based on my past, I was extremely reluctant to take.

in reply toGGourmet

Thanks. I might give it a go. The alternative is a hugely restrictive diet and herbal antibiotics. Had no idea you could buy an antifungal over the counter. I hope I’m able to recover like you did. Hope your good health continues! Best wishes

GGourmet profile image
GGourmet in reply to

It’s the same one used to treat thrush. Don’t get the branded version as it’s over £10. Lloyd’s Pharmacy I think sell this. Clearly I can say what you should be doing, as I am not a medical practitioner but that does appear to have helped me, I experienced changes after a few days.

Thanks again. Understand completely.

Cherylclaire profile image
CherylclaireForum Support

Lovely, GGourmet , there aren't enough people out there telling us about what success feels like.

It is slow and imperfect, but after a while, you can look back and say "I haven't had an afternoon nap for months!" or " I almost never wake up with stiff painful joints in the morning", and realise that your self-treatment regime is working. And that a blip is just a blip and not a descent into hell !

You have been through an awful lot, and I don't know how you managed to keep working through all of this.

I have often complained that it is unlikely that a man would be offered antidepressants five times instead of being believed, or that gastroenterologists would be far less likely to diagnose a man with IBS without any tests. It never occurred to me that a different type of sexism might come into play. My eyes are now opened and I apologise for that presumption. Strangely, one of the nurses once said to me that she found it strange that I never complained about the injection being painful.... and then added that it was probably because all her other B12 patients were moany old men (!)

Here are some of the most valid points to be gleaned from your story I think:

- Ask for copies of all your blood test results (I even copy down what has been tick-boxed or added to the original hospital blood test request form if possible) and check them. Then check them against previous results for the same tests.

- If an expert (however eminent the consultant) says something that sounds ridiculous, call them out: ask them to produce the research document or other proof. "Men almost never get PA" indeed ! What did Martyn Hooper make of that, I wonder ?

Hats off to you, GGourmet, and glad that for you, sublinguals seem to be working, along with the Symprove. Onward and upward !

Sleepybunny profile image
Sleepybunny

Hi,

Apologies as I only just read your story, must have missed it 3 years ago. Very inspiring and I am sure will give hope to others.

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