In addition to metformin are you taking prescription antiacids e.g. omeprazole? Not a dietician but this sounds like some kind of dietary deficiency possibly exacerbated by the meformin and it would be reasonable to get a check done. If stomach acid is low then things won't get absorbed as well. Try a google of Parick Holford's 100% health check/programme. It will take you through a free detailed check and may suggest areas to focus on based on your scores. There is no need to buy his supplements however!i spent 20 minutes on phone to drs today to be told all urgents and on the day appointments have gone
i keep asking at my routine blood tests to get B12 tested but its never done
ive had ongoing issues for what seems like forever but they are getting worse, i was putting it down to low ferritin but been taking iron daily for over a month
fatigue
dizzy now and then
weakness
aching joints
exhausted
chest pains
short of breath
blinding headaches
stiff neck
feel weighed down
heart rate increased
short tempered and very snappy
pins and needles
constipation
increased BS
im now waiting for a dr to call me back
feels like im literally at deaths door
Mayoclinic.org - B12 deficiency and similar sites list coeliac disease, other bowel conditions causing malabsorption, pernicious anaemia and ( gulp) fish tapeworm as causes. Maybe put theses diagnoses under the docs nose and see whether he can ignore them ( or risk maybe getting sued for not being thorough).I’m having similar issues. Last year I was 159 and told it was fine. I disagreed and used sublingual to raise levels to above the 800’s in 2 months. Felt much better. Now this year the levels have dropped back to 300’s and still falling. Drs still insisting that’s fine with no explanations as to why with a b12 rich diet and no drugs that might cause issues it’s dropping so rapidly, stores are supposed to last a few years. I’m holding off of supplements again til next blood test next week. Then I’m taking them again. I’m assuming it’s some sort of absorption problem but I can’t get them to take me seriously either.
Incidentally I also have persistently low ferretin and spa tone is nowhere near strong enough for me. Liver seems to work best. Then ferrous sulphate or fumerate.
Asuuming that someone won't be deficient because they eat certain foods is a widely believed myth, and it causes quite a lot of unfortunate health complications. Even doctors believe this - and they REALLY should know better.
I had to pay privately for some vit/min tests because the NHS does not offer them as standard, so I would advise people to take responsibility for their own health whenever possible. Most doctors do not know what the symptoms of Vit D or K or even E deficiency are - let alone Magnesium or Potassium. And without that knowledge it will never cross their minds to order blood tests to establish a deficiency, even if the patient in front of them is displaying classic symptoms. And then many of the tests aren't available on the standard NHS approved list!
I dont know about the NHS but here and type 1 (as far as i know) these tests are standard for my driving review.....
Im being watched fairly closely.
An email consult will be going in with the next lot of results with lots of links unless I get a pleasant surprise with the resultsMayoclinic.org - B12 deficiency and similar sites list coeliac disease, other bowel conditions causing malabsorption, pernicious anaemia and ( gulp) fish tapeworm as causes. Maybe put theses diagnoses under the docs nose and see whether he can ignore them ( or risk maybe getting sued for not being thorough).
You get tested for vits B12, D, E and K? And minerals potassium and magnesium? For a driving review? As standard?
Tests for magnesium are most definitely not standard, and it is difficult to find anywhere who will test it. Blood mag is useless. They have to biopsy tissue to get any useful info.
Where do you live?
Maybe we should all move to where you are...
A good introduction to B12 defiency is this film (below) It's a 'fun' film but with a very stong message re Vit B12. There is also a book of the same title which is more factual, with lots of references, by the same author
Once I got started on the research, I realised there are so many others with the same problems and HCPs not listening to them!!!
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