It’s ok to be deficient if you inflic... - Pernicious Anaemi...

Pernicious Anaemia Society

31,973 members23,121 posts

It’s ok to be deficient if you inflicted it upon yourself..

MorningMist profile image
24 Replies

Has anyone sought an explanation from their gp as to why if you have caused b12 deficiency by the deliberate use of nitrous oxide that the NHS sanctions the use of b12 injections. Self administered. Daily!! Even providing an instruction video to show how easy and convenient it is to do.

I can only say I am staggered by the hypocrisy of this and think we should all shout it from the rooftops. I am not saying nitrous oxide users do not deserve to have treatment for the damage they’ve caused to themselves but it makes it obvious that the NHS does really understand the problem of b12 deficiency and is gaslighting the general public.

Next time I see my gp I will certainly ask what their response is.

Written by
MorningMist profile image
MorningMist
To view profiles and participate in discussions please or .
Read more about...
24 Replies
wedgewood profile image
wedgewood

Can you please give the link that contains these directions from the NHS ? I want to print it out and add to my collection of B12 information. Thank you . I’ve googled and can’t find it !

It is indeed more than strange when you think how many of us have suffered from lack of treatment , and total disregard even with a positive IFAB test result .

helvella profile image
helvella in reply to wedgewood

I posted on my blog as I knew I would forget...

How to self-inject intramuscular vitamin B12

helvella.blogspot.com/2024/...

wedgewood profile image
wedgewood in reply to helvella

Thank you helvella .

helvella profile image
helvella in reply to wedgewood

Just edited my blog to include a PDF of the guidance so that it can readily be downloaded in that form - even if the guidance is taken down from the website.

wedgewood profile image
wedgewood in reply to helvella

Thanks again helvella 👍

Budsa profile image
Budsa in reply to helvella

I have read these instructions for self injecting. Can you explain why they bother to prime the drawing needle before removing it and replacing with the injection needle?Also, why they only insert the needle half way in? I use 30mm needles and go the full depth. Is this wrong?

helvella profile image
helvella in reply to Budsa

Afraid I have no idea at all. I just copied and posted - and don't inject myself.

I hope someone who does understand will reply.

MorningMist profile image
MorningMist in reply to Budsa

I think it’s so that you don’t damage the needle tip on the glass. Most people tilt the ampoule at the same time as they draw up the fluid, but I have never mastered that so I use a filter needle and it touches the bottom.

Budsa profile image
Budsa in reply to MorningMist

I'm referring to how they push on the syringe to expel air from the needle after they have retrieved it from the ampoule. It seems pointless when they are next going to replace the needle.

MorningMist profile image
MorningMist in reply to Budsa

I was referring to your question about inserting the needle half way in (to the ampoule, I thought).

Priming the needle just shows that air has been expelled from the syringe and once done changing the needle won’t make any difference.

MorningMist profile image
MorningMist

I had trouble finding it again. It was on YouTube so I saved it in my b12 deficiency file.

Technoid profile image
Technoid

I think it was:

guysandstthomas.nhs.uk/heal...

MorningMist profile image
MorningMist in reply to Technoid

Thank you for the link.

Orchard33 profile image
Orchard33

How can we and our representative bodies use this information as leverage. I'm due to see my MP some time soon about B12D and I will certainly use it when I see her. Likewise when I next see my GP and my haematologist. PAS, how can this be used as a very salient issue?

MorningMist profile image
MorningMist in reply to Orchard33

Maybe print out the whole thing and show her? I suppose sending it via email will likely prove pointless and just generate an automated response.

The point to make is that it is safe to do when it suits the nhs…so they must know it’s not a problem. They need to explain why responsible people are not officially allowed to do the same.

ClaireWF1346 profile image
ClaireWF1346

Wow. I can't say I'm surprised though, sadly.

Oneash profile image
Oneash

I guess if you have a self inflicted deficiency, it can be "cured" with this treatment in short time. Whereas we are a long term cost, to be minimised.

MorningMist profile image
MorningMist in reply to Oneash

Not if you self inject at home as they suggest. That is the crux of the argument, that people use up nhs funds with clinic appointments, but few doctors will approve self injecting at home. Not receiving adequate treatment is likely to cost untold amounts in the long run.

Nackapan profile image
Nackapan in reply to MorningMist

Some of us do inject at home on a NHS prescription. Should be more widespread.

I pushed to do it snd many s battle to retain the prescription.

Usually meddling nurses or pharmacy admins

MorningMist profile image
MorningMist in reply to Nackapan

I have read the posts about your struggles to maintain an adequate level of treatment and I really admire your tenacity. I really can’t cope with all the bureaucracy and lack of knowledge. The thought of any more fruitless discussions exhausts me.

Nackapan profile image
Nackapan in reply to MorningMist

Yes I do choose to highlight the devastating symptoms and fight my corner .We need as much awareness as possible

I do only pick the important fights.

It is exhausting at times.

Other times boring going over it all again.

A patience i didn't know I could muster .

Having this chronic condition tests patience too though .

I personally would've found it more difficult /exhausting / stressful not arguing my/ our case .

Writing in one way.

I've managed confrontations when nurses have 'brought the doctor in' as unwilling to inject as not 3 months but clearly on the notes prescribed more often ???

Need

....far greater than accepting the nurses opinion.

Hate injustice .

Hate not being listened to

Hate needless suffering.

Frustrating yes.

I just didn't want the audit to show everyone is fine on 3 monthly B12 injections .

Also to' be believed ,'a basic human need.

The times I've been told by a nurse .

Noone has or needs more than 3 monthly b12 injections .

Untill they need them themselves!!

Women especially are ignored 🙁 and told depression stress, hormones. Ect

On this reply to thd post i was just highlighting forum members do get/ can get a b12 prescription to inject at home.

Hopefully paving thd way for others too.

It is certainly the way to go as you state .

Win win.

Adequate treatment

In control

And cost effective.

No nurse time. ( they have been the most obstructive my experience )

I dont want the total reliance and stress of sourcing abroad as the only supply either.

Or the b12 need not being on my medical records.

OTC as T Witty campaigns woukd also help all.

It must change .

Lots are fighting for the cause .

Signing petitions.

This forum brings us together for such discussions.

That's why I'm on here so often .

Looking for more peoples experiences ,gaining more snippets of information.

Sharing what I've learnt /experienced.

When bedbound this forum was my only source of information .

Never used Facebook or anything online .

Couldn't visually use s computer % laptop . Still can't .

So this mobile is a positive for I.T!

Only did any I.T when no option not to like when work went paperless.

( still had a secret paper diary as if and when the system crashed as everything stopped otherwise and people let down.

Desperation is a strong force isn't it.

Sink of swim. Or Bob.

My understanding was very limited on B12

Untill I needed to know more !!

B12again profile image
B12again

I’ve copied the link below where I posted a month ago on this topic. Many folk were shocked at the revelation. I rang the number listed there, twice. 1st, I’m pretty sure it was a doc as he spoke authoritatively and said the instruction came from the toxicology department, 2nd was a nurse who was totally disinterested. More in the thread.

healthunlocked.com/pasoc/po...

MorningMist profile image
MorningMist in reply to B12again

I’d like to have spoken to a doctor too.

You couldn’t have a greater endorsement of the safety of frequent injections than approval by a hospital’s toxicology dept, could you?

MorningMist profile image
MorningMist in reply to B12again

I’ll add that to my self defence notes! 😄

You may also like...

B12 deficiency - it’s official! What next?

After correcting a folate deficiency at the beginning of the year my B12 levels were borderline in...

The One Show last night : Nitrous Oxide and B12 deficiency

named it : B12 deficiency. Nitrous Oxide inactivates B12: the lack of active B12 can cause...

Can you just recover from a B12 deficiency?

tests and diagnosed me with a B12 deficiency. He prescribed me with B12 supplements for 6 weeks...

Can you have b12 deficiency with low normal mcv,mch and mchc?

elevated tsh and severe vit d deficiency. I asked the Dr to test for b12 as well and he said it...

With normal levels of b12 can you still be deficient

low folate but b12 levels are normal 420, I seem to have many symptoms of b12 deficiency but doctor...