Yeah b12 needs be be supplement free four 4 months to be accurate. There’s also the difference between serum levels and active (available) levels. On almost all specialised advice the lower end of range (150-200) can still be highly symptomatic for some and levels closer to 1000 are advocated. Japan with low levels of neurological issues associated with low b12 treat at anything under 500. I’m trying to get b12 at the moment but if I can’t I’ll cough up for a trial course of private ones to see if I feel the difference.@HSSS I think a lot of the time people just get told it's idiopathic and there's nothing they can do. I think I've developed all the symptoms really quickly. I don't know of any other diabetics who have all this autonimic dysfunction this soon in to diagnosis.
I really want to try B12 injections but want the neurologist to run the tests first. I don't want to scew any results. Thanks for your suggestion.
Yes but they overlap with other possible causes. (iron deficiency, low vit d, lowish folate, raging perimenopause and long covid i suspect) My b12 dropped by 200 in less than six months and does the same every time I stop supplementing Despite a b12 rich diet. Currently in the 300’s so it’s all fine according to drs. Active b12 can be done privately, thriva for example. I’m not sure the nhs does it.@HSSS do you also have symptoms? I did have a weak positive for anti parietal cells a few years back but can't get anyone to test again since my serum B12 has been in the 300s and 400s. Nobody will test my active either - it's a battle.
I don't know for certain, as it does seem to be worse when my B12 is lowest, like I feel bloated / full after just a few bites of food. Then the nausea can start up.@the-mental-one thank you for your comment. My symptoms seem to have settled at the moment - still don't know what's causing them though! Is your gastroparesis caused by diabetes? I was totally making a guess (and hoping I was wrong) when I said I probably had it as I couldn't explain the nausea. But I also couldn't/can't explain my other symptoms either!
I did self diagnose, sort of, I am aware it may *not* be gastroparesis but something else causing delayed gastric emptying. B12 deficiency, might not be causing it but may even be as a result of something that could be causing it...@the-mental-one I was 27 and diagnosed with gestational, Type 1, then Type 2 diabetes before my consultant decided I didn't fit the Type 2 profile and tested me for MODY which was positive. Maybe you should look in to that!
It's scary how quickly the years pass and the more that pass means there's more possibility of complications arising. Quite depressing really.
Did you self diagose gastroparesis? Hopefully it is linked to B12 and isn't actually that! I've read in go it a lot and it sounds like a horrific condition!
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