Concerned in Ohio: Hello everbody, I'm... - Pernicious Anaemi...

Pernicious Anaemia Society

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Concerned in Ohio

Mpvivo profile image
8 Replies

Hello everbody,

I'm new to this web site and I'm very grateful that I found the PA society.

I've been living with PA for a little over 18 months. I give myself injections every 2 weeks. Once a month wasn't cutting it fir me. My B12 is in the 700 range but I'm still having many issues. The muscle twitching is driving me crazy. I still get heaviness in my legs and balance problems time to time. I have memory issues and brain fog once in awhile also. I'm just really concerned and overwhelmed right now. I have been getting treated at the Cleveland clinic and my neurologist just released me and said I more than likely have permanent nerve damage.

Does anyone still have the same symptoms that I'm going through?

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Mpvivo
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8 Replies
Sleepybunny profile image
Sleepybunny

Hi,

Welcome to the forum.

I'm in UK where many people struggle to get adequate treatment for B12 deficiency from NHS.

Do you think you're getting enough B12?

Some forum members find they need injections weekly or even daily.

Some forum members report that they respond better to a particular form of B12.

NHS tends to use hydroxocobalamin,.

I believe in US, cyanocobalamin is more commonly used and there's also methylcobalamin and adenosylcobalamin.

Have you got recent results for folate, iron and Vitamin D as forum members sometimes find they have these deficiencies as well as B12.

Have you got any recent thyroid results?

It's quite common for people on this forum to also have thyroid issues.

I suggest you put any thyroid results on Thyroid UK forum on HU.

Just curious as to whether you have a confirmed diagnosis of PA.

Did you have an Intrinsic Factor Antibody test?

The term PA (Pernicious Anaemia) is used as a general term for B12 deficiency in some countries and there are many causes of B12 deficiency.

Some links I post may have details that could be upsetting.

PAS (Pernicious Anaemia Society) membership is separate to membership of this forum.

pernicious-anaemia-society....

They have a few members in US and a recent PAS news letter mentioned a PAS support group starting in Chicago area. They are always willing to hear from people who want to start new groups.

PAS (Pernicious Anaemia Society)

Based in Wales, UK.

pernicious-anaemia-society....

There is a helpline number that PAS members can ring and an online contact form.

Testing for PA

pernicious-anaemia-society....

B12 Deficiency Info website

b12deficiency.info/

B12 Awareness (US website)

b12awareness.org/

US link about PA

rarediseases.org/rare-disea...

Stichting B12 Tekort (Dutch website with English articles)

stichtingb12tekort.nl/weten...

B12 Institute - Netherlands

(Has useful lists of causes and symptoms)

b12-institute.nl/en/home-2/

Two 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).

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

Very comprehensive with lots of case studies.

Films and videos about B12 deficiency

PAS conferences

pernicious-anaemia-society....

Films about b12 deficiency

b12deficiency.info/films/

B12 deficiency is not always as well understood by health professionals as it should be.

B12 article from Mayo Clinic in US

ncbi.nlm.nih.gov/pmc/articl...

Table 1 in above article is about frequent misconceptions (wrong ideas) about B12 deficiency that health professionals may have.

Misconceptions about a B12 deficiency

(From Dutch B12 website - units, ref ranges, treatment patterns may vary from other countries)

stichtingb12tekort.nl/engli...

Diagnosis and Treatment Pitfalls

(From B12 Institute in Netherlands - units, ref ranges, treatment patterns may vary from other countries)

b12-institute.nl/en/diagnos...

Sally Pacholok the author of "Could it be B12?" book has written several online articles so may be worth searching online for her articles.

US article about B12 deficiency

nhlbi.nih.gov/health/anemia...

The article above uses the term B12 deficiency anaemia (spelt anemia in US) but I'd point out that many with B12 deficiency do not have anaemia. See links about Misconceptions in this reply.

US newspaper stories about B12 deficiency

chicagotribune.com/lifestyl...

pernicious-anaemia-society....

UK B12 Blogs

Martyn Hooper's blog about PA

martynhooper.com/

B12 Deficiency Info blog

b12deficiency.info/blog/

You may find it helpful to search for forum posts written by other people from US.

I am not medically trained.

Mpvivo profile image
Mpvivo in reply to Sleepybunny

I was definitely diagnosed with PA. Tested for MS and Myeloma and was cleared.My hematologist at the Cleveland Clinic is monitoring me every 3 months. I am also taking iron pills along with vitamin D pills and folic acid pills. My thyroid test all came back in normal range.

2561 profile image
2561

I'm in Indiana. Have same symptoms. I look at like if all diseases, this one is very manageable. I take lozenges (methylcobalamin) under the tongue between shots. You will assimilate this better. Also take magnesium powder for legs twitching & heaviness. Dr Gilliams.

Mpvivo profile image
Mpvivo in reply to 2561

Thank you

Cherylclaire profile image
CherylclaireForum Support

If you are giving yourself B12 injections every two weeks, I am surprised that your B12 serum level is still only 700 (ug/L or pmol/L ?) I would have expected it to be at least double that. If there are neurological symptoms present, then in the UK, the medical guidance is that you have every other day (EOD) injections until no further improvements can be had (not until doctor thinks you've had enough, or nurses are getting fed up with jabbing you !)

The sad truth is that this rarely seems to happen. Nerve damage can take a long time to repair. If you have nerve damage, you would want to continue repair work until absolutely certain that nothing else can be gained by EOD injections. Being told that it is "more than likely" permanent is not helpful.

So why not try ? It would be useful, but not essential, to have a supportive doctor who can monitor results of a trial. If only to ensure that one more medical professional has seen with their own eyes that frequent B12 injections can make more difference, long after they would have called a halt to them !

Mpvivo profile image
Mpvivo in reply to Cherylclaire

Thanks for responding. I guess I should have been more clear. I was seeing the neurologist to rule out MS. I do see my hematologist every 3 months. I'm going to reach out to her and see if I can give myself more frequent shots.

Cherylclaire profile image
CherylclaireForum Support in reply to Mpvivo

Good idea. I wish you the best of luck. It can take a long time to see recogniseable progress. Hard to keep going sometimes when nothing appears to be happening...... but it will, hopefully and eventually, so the sooner you start the better.

Let us know.

B12life profile image
B12life

Hello, I'm in UT. I do daily injections. It's the only thing that worked. What was your b12 level before the injections? I don't test the b12 anymore as when you inject, it goes to your blood stream which means the test will always be skewed/high and inaccurate. That tests what is in your blood stream not what you absorb. Get needles and b12 from Canada: canadadrugsuperstore.com/

They only have cyanocobalomine, but it has worked for me. I tried both hydroxo and cyano and stuck with the cyano. I have never tried methyl.

Also watch this: youtube.com/watch?v=m3DopqT...

I went to that guys web site and bought his B1 dosing guide, it's well written and based on the research of the original docs that figured all this out.

B1 got me past the brain fog and helped with energy level but it is tricky to do high doses. I'm on keto so I already do all the b1 high dose protocol of high sodium, potassium and magnesium intake; thus I never had any problems dosing b1.

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