I need a bit of advise. I have been diagnosed with Undifferentiated Connective Tissue Disease and Thyroiditis a year ago and I take Hydroxychloroquine everyday since, nothing for thyroid. I have recently asked my rheumatologist for copy of my blood test results, which they have send and I could see high Vit B12 (1196pg/ml), range is between 191 - 663. They haven't said anything to me about it
I am really concerned, as I suffer from severe fatigue, digestive issues, massive loss of hair. I hope someone can advise. Thank you x
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Felly35
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For information on vitamin B12 you would be best advised to speak to the people in the Pernicious Anaemia forum, another community on HealthUnlocked. You would have to join/follow the group in the same way that you joined this one :
Hi humanbean and janepatterson . Yes, this is a difficult question and there doesn’t seem to be a ‘right’ answer. Depends what you read and where (blood testing companies tend go for the lower timeframe).
I agree with Marz ...at least three to six months...perhaps longer. And there are people who metabolise B12 very quickly, so B12 levels might drop more quickly.
It may also depend on the dosage taken. Absorption from tablets, sublinguals and patches is approximately 1%-3% and absorption from injections is 100% - so obviously the potential is to have higher levels with injections - and more B12 to ‘clear’ before levels drop.
The real issue here is that doctors should not be looking at serum B12 levels as the sole marker of deficiency - especially after any form of supplementation has take place. Levels will be high (sometimes very high, after injections) but this does not mean that B12 deficiency no longer exists - it just reflects the fact that supplements (of any form) have inevitably raised serum B12 levels - as they should.
Doctors should be looking at the full clinical picture and assessing medical history and symptoms.
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