I have a PA diagnosis and inject every 3 weeks. My last bloods showed a reading around 400ish when receiving 4weekly shots. Im currently experiencing pins and needles in my hands and my fingers swell when I go on long walks, say 5 miles plus.
Does anyone else experience this? Is it PA related?
Wishing everyone well. X
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doityourself
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If symptoms improve and then return before the next injection that suggest that you need injections more frequently. Keep a diary of your symptoms to establish the frequency of injections.
As you know Nackapan discussing with doctors and nurses about no need to retest and treatment lead by symptoms is like banging head against a brick wall.GP will only give every 8 weeks. I get rest elsewhere. Gp even said they were low for 8 weekly. Didnt dare tell him 400 was at every 4 weeks. Just no point, soul destroying. Im not convinced my body is able to utilise the b12 once injected even. Same sad story as too many others.
"Im not convinced my body is able to utilise the b12 once injected even. Same sad story as too many others."
I am not a trained clinician, but here is my outlook:
Inject more than body can use: No harm (B12 is not toxic at any level), but assured that body is repairing damage as quickly as possible.
Inject less than body can use: at worst, additional harm; repair of damage less quick than possible, or repair takes much longer than it would take if body had all the B12 it can use.
The medical field lacks useful research regarding treatment of nerve damage resulting from B12 deficiency, so we are all flying in the dark when it comes to treatment. What we do know is that B12 is not toxic at any level, and the greatest risk associated with B12 deficiency is under treatment.
Again, I am not a trained clinician, and I welcome correction of any errors.
Yup - you're not alone doityourself I have needles and pins all over the place in the run up to my next injection. In fact I think I was the inspiration for the song by "The Searchers" in the mid 1960s
My wife Valerie and I were newly weds when that song was out and she used to give me "needles and pins" for all sorts of other reasons for 27 years and my second wife Gill (of 26 years so far) just gives me "the needle" - every three weeks loaded with B12
I read your bio Clivealive at 81!!! You're a real trooper for sure. You're an inspiration that life does go on for us. Beautiful wedding photo. You must be a great guy to have two wonderful wives take care of you so well. 😊
I met Valerie at church on her 15th birthday and our "eyes met across a crowded room" and met I Gill in a crowded Tesco across the conveyor as she worked on the checkout. She worked out that I was a man living alone (with a cat) and I decided that "I could live with that" young lady as she wore no rings so at Christmas after months of coincidentally joining her queue I gave her a card inside I'd written
Now in this season of peace and goodwill
It's time to remember the girl on the tillShe chats as she wraps and she tots up my bill
And although I'm not certain - I think her name's Gill
That is so sweet Clive! What a gentleman. My dad is 90 and he makes up poems exactly like yours. He can write them about any subject off the top of this head. He writes one in every card he sends.
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.
Many thanks and thanks for re typing message!I was diagnosed 10 yrs ago when b12 level was 76 and I was half dead. Gps had constantly diagnosed stress!
Full loading dose as to guidlines then every 12 weeks. I got every 8 weeks after making a fuss a few years ago. I Decided this wasn't sufficient but GP not able or willing to increase. Folate not been tested for sometime but i suppliment.
Just need to increase injections I think but can't quite manage SI.
Do you mean you had 6 loading injections over two weeks or did you have loading injections every other day until your symptoms stopped improving (probably for several weeks)
If you had neuro symptoms prior to treatment starting then my understanding is that you should have had loading injections every other day until your symptoms stopped improving (probably for several weeks).
Pins and needles are usually considered a neuro symptom.
Do you have other neuro symptoms?
Symptoms of B12 Deficiency (folate deficiency also mentioned)
Thank you so much. I only had 6 loading injections. They ignored my request to be seen by neuro on initial diagnosis and I was too ill to fight. Ended up giving up job as a teacher. You cant teach with no memory ! I suffer from depression, fatigue and headaches but the headaches stopped and memory improved when I started injecting every 4 weeks. Depression gets blamed on other events happening in my life by gp. Cant get through recepionists to see gp only get a dismissive phone call from gp. This just then adds to very low state.
My wife used to think nothing of a long walk, but now with PA, she is lucky if she can get 500 yards before she literally seizes up, and that walking slowly.
Anybody else here in the same boat?
Enjoy your 5 mile walks while you still can, fat fingers or not!
You might even be deficient in the other vitamin B’s No amount of vitamin B12 is going to take away symptoms if you haven’t tackled the Deficiency in vitamin B2 First. Then don’t forget all the other cofactors…
I agree with other comments that you most likely need more frequent injections with the pins and needles symptoms. I inject every three days to keep symptoms at bay and manageable. If I go longer then symptoms come back. You mention long walks...returning to more consistent exercise is how I ended up on the plan of injecting every three days. Weekly was somewhat working when I was not feeling well and still recovering/healing from the beginning of all this; however, as I gained more energy and drive, the weekly injections couldn't keep up. It's like my body burns through the B12 quickly. Thankfully I have a doctor that listens and doesn't discount what I saw because he agreed to prescribing more frequent injections.
As far as the hand swelling...mine typically swell on long walks and always have; however, I had a period of them swelling while sleeping and that seemed to clear up as my ferritin raised. Have you had your ferritin checked?
Thank you for taking the time to reply . I think what you say about as exercise increases so do b12 requirements.Wish I had your doctor but SE london GPs dont seem so enlightened.
I also take your point about Ferritin levels and puffy fingers. I must remember to ask for test next GP visit.
Not all doctor’s here are knowledgeable about B12. I credit my PCP for knowing to test for B12 deficiency based on my symptoms but she didn’t really understand my need for injections vs oral. She did refer me to an incredible neurologist though that does get it.
Same as the majority here. Shouldn't be tested once on the treatment. I would always go from clinical symptoms anyway. If you are very active you probably just need more. I have the same symptoms. Good luck
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