Due to feeling unwell with loss of appetite, feeling of being full, chronic fatigue, shortness of breath, impaired vision with floating black dots - i could go on! and already knowing i was anaemic, I asked the GP for a bit b12 blood test, this came back as normal but I have low serum iron and positive intrinsic factor antibodies. My GP doesn’t seem to understand what a positive IFAB test means and sugested to day that that meant it was in standard range! I have asked for an MMA test but have been told that this is not available in primary care. Does anyone have experience of taking the blood results to a private GP to get a B12 injection prescription or has anyone got any tips for explaining the PA symptoms and IFAB test to the GP as I seem to be getting no where. I should also point out that I already have an auto immune disease. Thanks
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4daughters1971
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It sounds very much like B12 deficiency, I suggest you get a print out of your blood test from your surgery, that way you know exactly how low B12 is. You have positive IFAB test that indicates P.A. if I'm not mistaken. I am sure someone will correct me if not.Sleepybunny posts will enlighten you on further information.
You need B12 Injections, also check folic acid results.
Have you been put on Iron medication (best to take with apple/orange juice (vitamin C))
Welcome by the way, if you have further trouble please come back, Plenty of support here !
If you click on "project documents" then on "consultation comments and responses" it gives a good insight into current issues around diagnosis and treatment.
More on local B12 deficiency guidelines
I found out recently that CCGs (Clinical Commissioning Boards) have been replaced in July 2022 by Integrated Care Systems (ICS) and I do not know how this will affect local treatment guidance produced by CCGs.
Local guidelines are reviewed every few years and treatment guidance can change (not always in a helpful way) so keep an eye on them.
Normally I'd write a very detailed post but too tired today.
Links to forum threads where I left detailed replies with lots of B12 deficiency info eg causes and symptoms, more UK B12 documents, B12 books, B12 websites and B12 articles and a few hints on dealing with unhelpful GPs.
Some links may have details that could be upsetting.
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GP says it’s low B12 Level but not PA
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Measuring B12 levels after PA diagnosis 
Next steps on my GP journey - advice please!
