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B12 Face symptoms?

BC189 profile image
5 Replies

Hello,

I've been doing some research and it seems like my symptoms tend to be a more rare result of B12 deficiency and was wondering if anyone else has experienced these. I have had the common symptoms of pins and needles and burning in my hands and feet, however, these occur less frequently. My face has been most affected. I get crawling sensations on both sides. At my temples on both sides I get burning, pins and needles, and tingling. Along with occasional numbness. My ears and back of my head occasionally get these symptoms as well. I was wondering if anyone else experienced these symptoms on their face and if B12 injections were successful in treating it. I started injections last week and the symptoms have appeared to get worse over this past week.

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BC189
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5 Replies
Nackapan profile image
Nackapan

Yes I had alot of facial symptoms. Numbness, crawling sensation. Pain behind my ears . Pressure on top of my head. Vision changes tinnitus . Pains up the back of my head. Really bad migraines/ vestibular headaches. Eye socket pain.

Alot of my symptoms got worse before better as the nerves 'woke up'

Sounds as though you have caught it in time.

You are early in your treatment.

Try and go with the flow and hopefully it will resolve . Keep going with the b12 frequently until no more improvements then review frequency. T c

deniseinmilden profile image
deniseinmilden

Yes, definitely.

They can easily get worse before they get better as the nerves heal.

If my B12 isn't working properly, due to malabsorption of my supporting supplements, I still get it sometimes across my forehead.

You may need to have more injections than your Dr is inclined to give you though.

You may well also benefit from a broad spectrum multivitamin and mineral supplement, and may be extra folate, potassium, magnesium, iron and vitamin D, ideally from your diet.

Gen89 profile image
Gen89

I have borderline b12 so am not certain that my symptoms are due to b12 deficiency but I have tingling in hands and feet, calves, shoulders and in my lower face mainly around my lips and nose. The tingling in my hands and feet has improved slightly on my B12 injections but my face has stayed the same so far.

Sleepybunny profile image
Sleepybunny

Hi,

I had all sorts of symptoms affecting face and mouth eg

tingling,

insect crawling sensation (formication) over my face and scalp

pins and needles in my teeth

splits in my tongue

drooping muscles on one side of mouth (ring 999 if this symptom appears as can be a sign of a stroke)

I wrote a recent post about B12 deficiency in the mouth which might be of interest.

healthunlocked.com/pasoc/po...

Symptoms of B12 Deficiency

pernicious-anaemia-society....

b12deficiency.info/signs-an...

b12d.org/admin/healthcheck/...

NICE list of Symptoms of B12 and Folate Deficiency

cks.nice.org.uk/topics/anae...

Symptoms of Peripheral Neuropathy (damage to peripheral nerves)

nhs.uk/conditions/periphera...

Peripheral neuropathy can be associated with B12 deficiency and sometimes with folate deficiency.

Sleepybunny profile image
Sleepybunny

Hi again,

Some more links about PA and b12 deficiency

I'm in UK so some info may be specific to UK.

Risk Factors for PA and B12 Deficiency

pernicious-anaemia-society....

b12deficiency.info/what-are...

b12deficiency.info/who-is-a...

PA tests

Intrinsic Factor Antibody (IFA) test

labtestsonline.org/tests/in...

Parietal Cell Antibody (PCA) test

labtestsonline.org/tests/pa...

PCA is not recommended as a diagnostic test for PA in UK.

It is still possible to have PA with a negative result in IFA or PCA test.

About 50% of people with PA test negative on IFA test.

About 10% of people with PA test negative on PCA test.

PAS (Pernicious Anaemia Society) can offer support and info about PA.

Based in Wales, UK.

pernicious-anaemia-society....

There is a helpline number that PAS members can ring.

PAS members can access useful leaflets/articles on PAS website.

Some can be accessed by non members.

pernicious-anaemia-society....

Link about "What to do next" if B12 deficiency suspected or recently diagnosed.

b12deficiency.info/what-to-...

Support Groups in other countries

b12deficiency.info/very-use...

UK B12 documents

BSH Cobalamin and Folate Guidelines

b-s-h.org.uk/guidelines/gui...

There are useful diagnostic flowcharts in above document.

BNF Hydroxycobalamin

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

NICE CKS

cks.nice.org.uk/anaemia-b12...

Each CCG/Health Board/NHS Hospital trust will have its own local guidelines on treatment/diagnosis of b12 deficiency.

If you're in UK, I suggest you track down the local guidelines for your area of UK and compare them with BSH/NICE CKS/BNF links.

Some local UK guidelines can be very unhelpful. I hope you are not in the area of UK mentioned in blog post below.

b12deficiency.info/blog/202...

Useful B12 books

"What You Need to Know About Pernicious Anaemia and B12 Deficiency" by Martyn Hooper

Martyn Hooper is the chair of PAS (Pernicious Anaemia Society).

BNF treatment info in this book is out of date.

See BNF Hydroxycobalamin link for up to date info.

"Could it Be B12?: An Epidemic of Misdiagnoses" by Sally Pacholok and JJ. Stuart (US authors)

Very comprehensive with lots of case studies.

Unhappy with Treatment (UK info)?

Letters to GPs about B12 deficiency

b12deficiency.info/b12-writ...

Point 1 in above link is about under treatment of B12 deficiency with neurological symptoms present. The link has letter templates that people can base their own letters on.

Letters avoid face to face confrontation with GP and allow patient time to express their concerns effectively.

Best to keep letters as brief, to the point and polite as possible. It's harder to ignore a letter in my opinion.

Keep copies of any letters sent or received.

CAB NHS Complaints

citizensadvice.org.uk/healt...

May be worth talking to local MPs/devolved representatives if in UK about any difficulties in getting treatment.

Vital to get adequate treatment or there is an increased risk of permanent neurological damage.

Neurological Consequences of B12 Deficiency

PAS news item

pernicious-anaemia-society....

PAS article about SACD, sub acute combined degeneration of the spinal cord

pernicious-anaemia-society....

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.

A warning ......

B12 deficiency is not always well understood by GPs and specialists so it pays to be well prepared for any appointments.

I've written some very detailed replies with lots of B12 info eg symptoms lists, causes of b12 deficiency, more useful B12 books, more B12 articles, hints about how to deal with unhelpful GPs etc that you may find of interest.

See links below.

healthunlocked.com/pasoc/po...

healthunlocked.com/pasoc/po...

I am not medically trained.

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