I would like to hear the experiences of others with PA regarding lingering cognitive issues and also share some of the links and reports I found during my research on this topic.
Just before I was diagnosed with PA I had most all the associated neurological symptoms, lack of balance, could hardly walk, slurred speech, and the peripheral neuropathy (whole body right side numbness and pain. After a year of B12 injections (Methylcobalamin) most all of those symptoms resolved with the exception of some brain fog (I think that’s what it is anyway). I started noticing things about a year ago after I was already on B12 injections. Little things like I cannot do simple math in my head any longer. The old multiplication tables like 9 x 6 = ??? I cannot come up with the answer and that equation is just foreign to me. That was so embarrassing for me because I own an engineering company and that being such a huge part of my life, I find myself, all of a sudden with this handicap. Thank God for Cell phone calculators!! : ) At least my atrophy is stopped now that Hcy and B12 are normalized. I am told by my neurologist that the atrophied part of brain will never come back but that the brain will compensate and start using other unused parts. So just requires me to relearn a few things like what the heck is 9 x 6 ! Lol.
Anyway, I had come across a few reports in my recent research regarding brain atrophy and high level of Homocysteine which of course can be translated to low B12 and Folate.
mdpi.com/2072-6643/14/7/149...
pubmed.ncbi.nlm.nih.gov/249...
Homocysteine-Lowering by B Vitamins Slows the Rate of Accelerated Brain Atrophy in Mild Cognitive Impairment: A Randomized Controlled Trial
ncbi.nlm.nih.gov/pmc/articl...
ncbi.nlm.nih.gov/pmc/articl...
foodforthebrain.org/campaig...
Here is a very recent report from New England Journal of Medicine that I found interesting regarding how they may be redefining brain health in neurological and psychiatric illnesses.
catalyst.nejm.org/doi/full/...
Hope is helpful, Rex