Vitb12 deficiency?

[Lulubobs]

Hi can anyone tell me if my blood test shows deficiency. Be so grateful. I've copied and pasted it.Full blood count

Haemoglobin concentration 136 g/L [120.0 - 150.0]

Total white blood count 7.1 10*9/L [4.0 - 10.0]

Platelet count - observation 278 10*9/L [150.0 - 410.0]

Red blood cell count 4.82 10*12/L [3.8 - 4.8]; Above high reference limit

Haematocrit 0.389 L/L [0.36 - 0.46]

Mean cell volume 81 fL [83.0 - 101.0]; Below low reference limit

Mean cell haemoglobin level 28.2 pg [27.0 - 32.0]

Mean cell haemoglobin concentration 350 g/L [315.0 - 345.0]; Above high reference limit

Neutrophil count 3.6 10*9/L [2.0 - 7.0]

Lymphocyte count 2.5 10*9/L [1.0 - 3.0]

Monocyte count - observation 0.6 10*9/L [0.2 - 1.0]

Eosinophil count - observation 0.5 10*9/L [0.0 - 0.5]

Basophil count 0.1 10*9/L [0.0 - 0.1]

Nucleated red blood cell count 0.0 10*9/L

[Nackapan]

Was b12 tested ?

[Lulubobs in reply to Nackapan]

Not this time X booked in 30th for it

[Orchard33]

I'm interested in your MCV number. Just had new bloods done and my MCV still slighter higher than it should but better than it was over a year ago before injections began. This only very slow improvement may be why I feel I'm only recovering slowly also. My understanding is that an increased MCV(mean corpuscular volume) means that the red blood cells are still too big and therefore inefficient.

[FlipperTD in reply to Orchard33]

Scientist, not medic. You say your MCV is high. How high? Bigger red cells will still work very efficiently, and should eventually return to 'normal' if you've had a treated deficiency.

Just as an aside, horses and donkeys have rather smaller red cells than humans. Likewise elephants and mice, from my recollections. Goats have tiny red cells, typically around 30-40 femtolitres and they manage!

[Lulubobs in reply to FlipperTD]

Well that's good then, but I haven't been managing with all the symptoms x

[Lulubobs in reply to Orchard33]

Thank you I never knew that, it's good to know x

[FlipperTD]

Scientist, not medic.

That's about as normal an FBC as I've seen in a long time. Firstly, you're not anaemic, as your Haemoglobin is well into the reference range. Your MCV according to whoever processed it is borderline low, but your MCHC is slightly raised. These are so close to normal I wouldn't worry, but to keep your mind at ease, get this repeated sometime [no urgency at all] because the analysers we use are very precise, and if the results have changed from last time then that might be an indicator of something, but to be honest I'd doubt it.

Don't worry. It's not an FBC that would suggest B12 deficiency, but that's not always indicated in the FBC anyway.

[Thrones12 in reply to FlipperTD]

wish I could bottle you flipper and keep you in my fridge for when I need guidance lol.stay well!

[FlipperTD in reply to Thrones12]

If it's a big fridge and you've got a big bottle, I'll give it a go!

[Lulubobs in reply to FlipperTD]

Thank you that helps x

[Ritchie1268]

As a reference for you, here are my results from when my GP told me I had Pernicious Anemia with a B12 level of 104, (if I remember correctly), Folate deficiency and Macrocytic Anemia.

Results

[FlipperTD in reply to Ritchie1268]

That'd do it! Makes perfect sense to me.

[FlipperTD in reply to FlipperTD]

I meant to add, it's yet another one where we see macrocytosis but a normal Haemoglobin, so whilst not actually anaemic, it doesn't stop it being PA!

[Lulubobs in reply to Ritchie1268]

Thanks my friend, I'll compare. I'm really learning about it x

[Bellabab]

Where your results are outside normal ranges its only a very small difference so very likely not significant. Its worth repeating those tests after a few months.

[Lulubobs in reply to Bellabab]

Thank you Bellabub x

[Sleepybunny]

Hi,

Have you got recent results for serum B12, folate , ferritin and other iron tests?

It can be harder to interpret a FBC (Full Blood Count) if a person has a mix of B12 deficiency , folate deficiency and iron deficiency.

Link about "What to do next" if B12 deficiency suspected

b12deficiency.info/what-to-...

Unhappy with Treatment (UK info)

Letters to GPs about B12 deficiency

b12deficiency.info/b12-writ...

Blog post about being symptomatic for B12 deficiency with a normal range serum b12 result

b12deficiency.info/your-ser...

Are your symptoms consistent with those of B12 deficiency?

UK guidelines suggest that people with the symptoms of B12 deficiency should be treated even if serum B12 is normal range.

Symptoms of B12 Deficiency (folate deficiency also mentioned)

pernicious-anaemia-society....

b12deficiency.info/signs-an...

b12d.org/admin/healthcheck/...

b12-institute.nl/en/symptom... (B12 Institute Netherlands)

NICE CKS guidance B12 deficiency and folate deficiency

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

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.

Some of the info will be specific to UK.

healthunlocked.com/pasoc/po...

healthunlocked.com/pasoc/po...

healthunlocked.com/pasoc/po...

Thread about Patient Safety, has useful links for those having difficult health experiences.

healthunlocked.com/pasoc/po...

I'm not medically trained.

[Lulubobs in reply to Sleepybunny]

Hi that's brilliant info thank you. Sleep bunny, sorry took me a while to reply. Really appreciate your time taken writing your message. Apparently I had low reading last year in January but they didn't retest me this time. All my symptoms have improved since I started high strength Vitb12. Still not right though x

[Hockey_player]

If you want to know if you have a b12 deficiency, you should take a test for B12. Make sure you have not taken any B12 supplements recently.

[Lulubobs]

Thank you very much everyone your all very helpful thank you ❤️