High b12 low folate

[Branflakes21p]

Hi, I did a blood test the results came back b12: 798 ng (normal range 191-663 and folate: 2 (scale 3.9-9999). All my others are fine. The more worrying part is on my go record on the B12 I can see the action is been given to "(Lpanfil) - PCN Pharmacist (Raised B12 >18YO) For Hepatitis & HIV serology/Abdo USS". I am genuinely losing my mind and looking for some reassurance as I have bad health anxiety too! Has anyone any idea of why this is? Is that number that concerning? I have googled and seen correlation to hep and high b12.

I am a pre diabetic and was the reason I got this blood test in first place. I have also seen there is a link there, so the last question is aside from an actual diabetes test which part of the blood test would that be seen on? Thank you for any response at all

[Nackapan]

I would geg back to the doctor to explain the results. I've had results handed to me before without explanation and your anxiety can rum away if you've no idea what they mean.

I my case it was a brain mri report abd the G.p refused to comment

Had to wait to see a neurologist

[Branflakes21p in reply to Nackapan]

Thank you I appreciate it. I hope yours was OK in the end.

[Nackapan in reply to Branflakes21p]

Yes thanks a few yesrs ago now

[Gambit62 Administrator]

The result you have for B12 is within the normal range so it may be high in the normal range but it is still in the normal range.

Liver problems can result in the liver dumping its stores of B12 all at once leading to high B12 levels, ie which would mean above the upper limit of the normal range.

Not quite sure what your second question is about. PA is an auto-immune gastritis that destroys the mechanism that the body normally uses to absorb and regulate B12 levels, leading to B12 deficiency. Type 1 diabetes is also an auto-immune condition and people tend to have more than one auto-immune condition.

The drug usually prescribed to help control Type 2 diabetes is metformin which can interfere with the mechanism for absorbing B12 from food and may result in B12 deficiency. This is often overlooked as the symptoms of B12 deficiency overlap considerably with the symptoms of diabetes.

I am not aware of any test to specifically look for a link between B12 deficiency and diabetes.

One of the potential consequences of diabetes is kidney failure - another condition that can result in raised B12 levels.

As per Nackapan - suggest you talk to your GP, or if you have concerns about drug interactions, to the pharmacist.

[Bellabab]

I have a confirmed PA & type 2 diabetes which have very similar symptoms. I treat PA with EOD injections & the type 2 is in remission because I used the Newcastle diet to rapidly lose weigh. ncl.ac.uk/magres/research/d...