Hiya. Got these blood tests yesterday and it seems like I'm anaemic (as I often have been before) but I'm concerned that there's more to it than just needing a bit of iron. As soon as I stop supplementing anything really my levels drop like a stone. I'm exhausted, apathetic, tinnitus has got worse, etc.
My question is what do I do next? Do I need the antibodies test for pa? Anything else? How do I know if I need injections and if I do, where do I get them?
Serum b12 332ng/L (180-914)
Serum ferritin 19ug/L (11-336)
Serum folate 18.7ug/L (3.1-19.9)
Serum d 86 nmol/L (76-220)
I had some bloods done last year for possible Sjogren's (have been to the gynaecologist, dermatologist and dentist for inflammation, swelling, lesions, etc had biopsies and blood tests and everyone is still shrugging their shoulders). If I had a quid for every hour I've sat waiting to see a doctor in the last year...
Also had to have a colposcopy earlier this year for an abnormal cervical smear, which I see is associated with low b12.
Many thanks for your help. x