First B12 blood test was back in March this year, catergorises as ‘LOW’ with a reading off 177.
Doctor refused to medicate me for this even though I was showing nuro symptoms too! After months of going back and forth and not getting anywhere, I have recently moved doctors surgery completely!
New doctor done new blood tests, categorised as low again with a reading off 165.
Since then today I have received my last loading injection and now will be having them every 3 months.
Have anybody else been refused even though through the guidelines it states low? I will attach old and new blood results. First image March’s results, second photo August results
Written by
Hayleyjel
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Hi Hayleyjel well done for taking your health and well-being into your own hands by finding a doctor that is treating you - sadly they appear to be a bit thin on the ground in places.
Were you given folic acid as this works with iron and B12?
I am not a medically trained person but I've had Pernicious Anaemia (a form of B12 deficiency) for more than 46 years.
I think you will need to open another post for your second set as only one photograph per post is allowed. Either that or "photoshop" the two together and edit your original post. Please don't ask me how to do it as I'm just a 77 year old technophobe
Are you able to eat plenty of leafy green vegetables - sprouts, broccoli, asparagus, spinach, peas, beans etc as these are the natural source of Folate. You will also find folic acid fortified into many breakfast cereals
UK B12 treatment info can be found in links below. Emphasis in recent B12 guidelines is that patients who are symptomatic for B12 deficiency should be treated even if B12 is within range.
There is a useful summary of mainly UK B12 documents in third pinned post on this forum.
What does GP think is causing the B12 deficiency?
Have you been tested for PA (Pernicious Anaemia)?
In UK, test for PA is an Intrinsic Factor Antibody test but it is not always reliable. It is still possible to have PA even if IFA result is negative. BSH Flowchart above shows when PA and Antibody Negative PA can be diagnosed in UK.
Your GP may not be aware of the BSH Cobalamin and Folate Guidelines which were published in 2014.
Do you eat plenty of B12 rich foods eg meat, fish, shellfish, eggs, dairy? If yes then diet as a cause becomes less likely and it becomes more likely that there is an absorption problem in the gut.
Coeliac disease
NICE guidelines Coeliac Disease (2015 version) recommends that anyone with unexplained B12, folate or iron deficiencies should be tested for Coeliac disease.
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Blood Test results 
Blood Results 
Blood results
