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Re: valuable blood tests for psych/neuro isues iforgotmypassword

Posted by seldomseen on August 31, 2008, at 8:28:21

In reply to valuable blood tests for psych/neuro isues, posted by iforgotmypassword on August 29, 2008, at 11:37:54

3 things come to mind.

I think you are dead on about the B12 studies. You need serum methylmalonic acid and homocysteine levels as they are usually heralds of B12 deficiency.
I still think you need to have a B12 absorpton test that include test for parietal cell and intrinsic factor antibodies. Appropriate B12 absorption depends on the pH of the stomach. Any issues there?

I would also strongly encourage you to push for some brain imaging to rule out a stroke or other problems there.

Physicians usually won't push for these studies unless there is a change in RBC count and be aware that if you take folic acid, that can mask B12 deficiency.

So if you pop up with normal RBC count, I would try some sublingual (Under the tongue) Vitamin B12 and see if things resolve or improve.

Also, I think you need to be screened for diabetes as fluctuations in blood sugar can cause some of the symptoms you describe.





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