Review on B12 with my Gp

[Cb1963]

Does anyone have any idea if I should ask for another blood test regarding B12 issues, I feel like the injection does not last long enough, I get a top up every 3 months, but I feel they they aren't lasting me enough, I have noticed a constant high pitch whistling /ringing in my ears and getting more pins and needles in my hands, although I've got neuropathy in my feet and legs I just feel weak, and getting more muscle spasms, so I'm due an injection next week, would it be worth my while asking to see what's happening with my levels, or would it be better to wait a few weeks to get a realistic levels, I'm getting fed up sometimes as my GP is not following up on this condition, and feeling tired every day is not much fun, thanks guys for any advice.

[fbirder]

Don't retest. Unless you're willing to wait many months you will have high levels.

Just ask to be treated as recommended in the BNF (Your doc has access) - injections every 8 weeks.

[Cb1963 in reply to fbirder]

Thanks for the advice, much appreciated

[clivealive Forum Support]

Hi Cb1963 as fbirder said above here is a link to show to your doctor if he can't find it.

See highlighted section.

bnf.nice.org.uk/drug/hydrox...

Indications and dose

For HYDROXOCOBALAMIN

Prophylaxis of macrocytic anaemias associated with vitamin B12 deficiency

By intramuscular injection

For Adult

1 mg every 2–3 months.

Pernicious anaemia and other macrocytic anaemias without neurological involvement

By intramuscular injection

For Adult

Initially 1 mg 3 times a week for 2 weeks, then 1 mg every 2–3 months.

Pernicious anaemia and other macrocytic anaemias with neurological involvement

By intramuscular injection

For Adult

Initially 1 mg once daily on alternate days until no further improvement, then 1 mg every 2 months.

I wish you well.