Is B12 result of 314 low?

[Kerrycat7]

Hi, 

My recent labs for B12 were 314. I know this is low but does this require treatment? My Endo has said this is a normal range but it is on the very lowest of the scale.

Any thoughts?

(Vitamin B12) 

[Marz]

Anything below 500 can present with neurological symptoms - see link below ....

b12deficiency.info/signs-an...

Look around the website for everything you need to know about B12.  Sadly Docs and Endos know very little about B12 and the problems it creates when low.  Only 20% of your B12 test result is available to be utilised in the cells - where it is needed.

Do you have any gut issues ?

[Kerrycat7 in reply to Marz]

Thanks Marz, I will read this now.

I do have gut issues and some acid reflux too now and again. I definitely need a B12 supplement. Do you know if you can take this alongside an Iron Supplement or B Vitamin Complex or is it best to take just one of these kinds of supplements?

[Marz in reply to Kerrycat7]

Your gut issues could affect the absorption of B12 in the Terminal Ileum .  You probably have low stomach acid which prevents the natural breaking down of proteins in the stomach - before the onward journey into the gut.  So these proteins hang around too long - then ferment - which causes upward movement of the bubbling fermentation.  You need good levels of acid for good B12 levels.  You can take B12 supplement and a B Complex.  Excess B12 is excreted.  Are you low in Ferritin ? - is that why you are taking Iron ? 

[Kerrycat7 in reply to Marz]

Yes my Ferritin is currently 23 it was 15 before taking the Iron but even at 15 my Doctor told me to take a mere multi vitamin which is clearly not near enough!!!

[Marz in reply to Kerrycat7]

You will need to take an iron supplement on its own - and with some VitC to aid absorption.  Am not knowledgeable about Iron and I have not needed it ....  There is not enough of anything in a multi-vitamin.  They are fine if you are a healthy person and around 12 - otherwise ......

[shaws Administrator in reply to Kerrycat7]

If you are having acid reflux it could be due to being low acid rather than high as most doctors would believe. This is a link which might be helpful:

stopthethyroidmadness.com/s...