Hello there, I have low b 12 (145) with a barage of neurological symptoms that have come on the past two weeks. So i started administering a 100 mcg doses of cyanocobalamin (b12 shot in Canada) for myself which i intended to give myself everyday this week, as im in more of a rush to limit neurological damage. Any advice? What quantity and frequency should i be administering? Is Methylcobalamin a more effective B12 shot i should be taking? Im new to this. Also im being sent to get a test to confirm my PA diagnosis which i suspect. Will the fact ive started to taking shots effect the results? Is there a b12 nasal spray just as effective as the b 12 shots that can go to the bloodstream? Sorry for all the questions. Im just a little overwhelmed, trying to find the most effective way to treat and limit damage. Thanks
Questions from a newcomer?: Hello there... - Pernicious Anaemi...
Questions from a newcomer?
The regime in the UK is every other day for 2 weeks or until neurological symptoms settle. Then every 2 months . Some need a higher frequency.
Cynocobalamin is a good source and I know easily available in Canada.
If there Is a high serum b12 level it can affect IFA test but they are more reliable now so I shouknt worry at the moment. Important thing is getting the b12 in you.
It depends on the reason for your deficiency
If dietary tablets and sublingual s work.
If not injections are needed for life.
Hope your respond well to them.
There are many more on here with .much more knowledge than me
Stick with it TC
Also get your folate ferritin iron vit d thyroid checked on next bloods.
Initially eat more potassium rich foods potatoes bananas coconut water ect
Many posts to look through if you use the search magnifying glass ( I only state this as I'm not techy and missed it!
I'm guessing that 100 mcg is a typo and you meant 1000 mcg, which is the standard amount.
After 7 days of injections I would carry on with one every other day, until your symptoms stop improving.
After that I would switch to once a month, increasing the frequency if symptoms start appearing.
No, methylcobalamin is no better, and possibly worse, than cyanocobalamin.
The test for PA (antibodies to Intrinsic Factor) is notoriously unreliable. About half of people with PA test negative. Try to leave a few days between your last injection and the test.
If your deficiency is caused by PA then no form of oral B12 (including nasal sprays) can help. Otherwise tablets will be just as good as a spray.
If, after a few weeks, there is no change to your neurological symptoms you must see a neurologist. Indeed, I would see one anyway. There are many possible causes of neurological symptoms. Guessing that they're caused by B12 can waste valuable time.
Thankyou for responding and sharing your knowledge. I ll book an appointment with a neurologist for sure.
Don't have huge expectations about a neurologist knowing anything about b12.
I got my appointment due to suspected trigeminal neuralgia, and I found out I was b12 deficient at the same time.
I told him my b12 shots had most likely healed the nerve issues.
He was having a GP shadow him in the appointment. He said he rarely if ever sees people with b12 deficiency. Laughing. They must be too busy masquerading as his MS, dementia and trigeminal neuralgia patients.
He also suggested I eat more food high in b12.
So crossing my fingers for you but please don't get your hopes up.
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I am in Canada. Just want you to know that Wal-Mart has the cheapest cost for vials. But they usually only carry Sterimax. There are two suppliers. My doctor's office uses Sandoz vials. Which is what most pharmacies carry.
I find Shopper's Drug Mart the most expensive.
Many on here are against using multi-use vials. But I have had no issues. I simply throw them out around 28 days, no matter how much is left.
All the best.
As a newcomer , you may not be aware that you cannot overdose on B12 , which is a good thing to know . You can overdose on folic acid . It’s not good to take large supplementary doses , only under medical supervision . A 400 mcg is a reasonable daily dose, and even that’s not 100% necessary if you have a good dietary intake "
Appreciate that tip thankyou!
Go Gluten free and your supplements will work, but as long as you feed your body with a gluten, expect more or the same issues. I take my own B12 and Folate supplements, I am at week 6 and no longer walk around like I am drunk, my memory issues have cleared up quite and bit, my muscles don’t hurt as much. If you must have an official diagnosis, try just getting a blood test at a testing facility such as LabCorp or Quest, this is how I knew my folate was low, but B12 anemia and Folate anemia, mirror each other. I saw immediate results from going gluten free with my other symptoms that you haven’t listed here. Make no mistake, I take high amounts while my body heals, folate has been able to dimish after the first month, but my B12 is still needed, as well as the Vit D, Calcium that I take. My back doesn’t hurt as much, sans in the morning when everything has worn off, and that speaks to the amount of damage gluten has done to me. It takes time to get ill, and it takes time to fix it. Don’t dispare, correct it yourself and let your body tell you what you need, just for reference I take 65mg of iron 2x a day, b12 is 5,000 mcg x 6, Vit D 10,000 IU 2x per day, and Folate 800 mcg 2x per day, ALL of these were doubled in the first 30 days, and I just simply forgot to take some of it as I would only take a supplement when I felt bad, this is how I figured out my needs, I am certain yours will vary from mine. Also, of a notable point, I have heart palpitations or anxiety like you wouldn’t believe, it becomes manageable when I have been up for four hours and the supplements are working, but it returns as soon as they wear off. I think you already know the path you’re on, I just hope you will consider my personal opinion and either contact a nutritionist, or go to forums where people just like me are, or have suffered similarly to yourself, and what they did to fix it, without the need of expensive tests, or the ignorance of most practitioners out there.
Hi,
Some links that may be of interest
B12 books I found useful
"What You Need to Know About Pernicious Anaemia and B12 Deficiency" by Martyn Hooper
Martyn Hooper is the chair of PAS (Pernicious Anaemia Society).
"Living with Pernicious Anaemia and Vitamin B12 Deficiency" by Martyn Hooper
Has several case studies.
"Could it Be B12?: An Epidemic of Misdiagnoses" by Sally Pacholok and JJ. Stuart (US authors)
Very comprehensive with lots of case studies.
B12 websites
PAS (Pernicious Anaemia Society)
Based in Wales, UK.
pernicious-anaemia-society....
There is a helpline number that PAS members can ring.
Overseas members can use online contact form.
B12 Deficiency Info
B12 Awareness (US website)
Stichting B12 Tekort (Dutch website with English articles)
stichtingb12tekort.nl/weten...
UK B12 Blogs
Martyn Hooper's blog about PA
B12 Deficiency Info blog
B12 article from Mayo Clinic in US
ncbi.nlm.nih.gov/pmc/articl...
Table 1 in above article is about frequent misconceptions about B12 deficiency.
Article suggests ....
1) No proof that oral b12 is a good at treating B12 deficiency as B12 injections
2) Many current tests eg serum b12, active B12, MMA, Homocysteine, are not totally effective as diagnostic tests for B12 deficiency.
3) Successful treatment should not be stopped
I am not medically trained.