Suggest treatment for Vitamin B12 deficiency? - Online Doctor Chats
have ehlers-danlos hypermobility type WITH vit b12 deficiency (and of late vit a but don't have result # yet how low... is that known as folate?) been taking b12 shot for yrs and have been am now in SEVERE weight loss 33 LBS IN maybe 2+/- yrs....5'6" then 130 now 95 VERY tiny boned....I JUST READ that b12 deficiency 'CAUSES WEIGHT LOSS' and that a SPECIALIZED B12 testing should be done seeing if enuff is even being given or being absorbed...I AM VERY UPSET THAT tho i reported often weight loss no-one did anything GEN.PRACT DOC here canada AND but had already been dx'ed with hashimotos and srogrens by ENDOc. HE IS ONE to tell gp to give twice monthly b12 shots BUT NO-ONE ever bothers testing its levels of staying in me I HAVE HAD TO DO ALL RESEARCH thyroid is fine at 1.09 ( i asked for free t3 &4 and take d3 with seems like DOING IT ALL MYSELF Aand am angry - have lost complete muscle mass too and wasnt that great I COULD LOSE MY LIFE nohting literally but wrinkles of skin now where I WAH ALWAYS SLENDER ANYWAY.....really just want to know how the heck do they know how much b12 injection to give anyone who cannot absorb so i cant from food how could I FROM A DAMN SHOT.... no specialists pls just basic medicine thanks
Let me read your query for few minutes to be able to have a good discussion here.
Let me read your query for few minutes to be able to have a good discussion here.
and no is so nor have pernicious anemia
Before I address your question, I would like you to know that vitamin B12 absorption tests are discussed for patients who are on oral b12.
A healthy stomach and another factor known as intrinsic factor is required for oral absorption of b12.
I don't think there is a test required to know how much b12 is available for absorption through iv injections.
is either classified as fat or water soluble and does that have bearing
i do not take oral as i said injeections
but dx shouuld NEVER BE by test first GOOD DOCTORS SEE AND NOTE AND ASK symptoms
I read that part. Since you are on injectables you need not be worried about that.
Weight loss ; Numbness or tingling in your hands ... Etiology and clinical manifestations of vitamin B12 and folate deficiency.
I understand what you say, good and experienced doctors use investigation only to support clinical diagnosis.
lately my whole fingers have gone in and out numb....it is not reynauds
And with symptoms of weight loss and tingling malnutrition is one among the differential diagnosis.
at 5% or 10 lb weight loss not normal any doc SHOULD STOMP ON THAT now i have no muscles left you know what that means to my life yes ??
As I said, numbness may be secondary to b12 deficiency.
no all other vits and minerals came back normal range even tsh selenium all hormones anything to thing thyroid and such
If there is severe muscular atrophy, I think you should also consider consulting a neurologist
you know i can die
to test your muscles.
i can walk ...if you skin where muscle used to be its not atrophy
if you read there is no muscle tone or muscles MY BUTT IS HANGING SHREDS of skin.,IS THAT NOT
catabolic wasting sir
are you a doctor
Without an opportunity to examine you, I am unable to appreciate your condition better.
you read and were told BODY LOST ALL THAT WEIGHT FIRST IT TAKES ANY FAT STORES THEN IT WILL AND DID
TAKE MUSCLE TO SURVIVE
YES U MOST CERTAINLY ARE
THERE IS NOTHING I HAVE NOT TOLD YOU I ASKED ABOUT B12 AND WEIGHT LOSS OR IS VIT A FOLATE
My opinions are entirely based on your description.
AND A ALSO SUPPORTS SOFT TISSUE
YOU DONT HAVE AN OPINION YET
WHAT IS EHLERS DANLOS SYNDROME TELL ME NOW IF YOUKNOW WHAT IT IS PLS
And as I mentioned earlier, with significant weight loss and sensory disturbances, malnutrition and nutritional deficiency is definitely to be suspected.
WELL TO ME TOO it would seem i would HAVE TO BE MALNOURISHED to have lost that mcuh
there is only viamin a that is not in normal....and we knew about b12 malabsorption issue (IS THE ILEUM THAT DOES aborb it?) yrs ago and began shots then
Its absorbed partly from the gastric mucosa; but most of it is from the terminal intestines.
well then and i am losing weakened colloagen disoredered TISSUE ARENT I
what is an ileum
that is what this bloody doctor here told me absorbed it
Ileum and terminal ends of jejunum forms the terminal ends of intestines.
then they try to say i have gastroparesis I DONT....all goes in all comes out AND I NEVER VOMIT and their test was GASTRIC EMPTY DELAY SHOULD not in your opion done with mE ION MORPH 6MG and gabapentin THAT WILL DELAY FOOD EMPTY PLUS TAKE AN APPETITE AND TRASH IT
ONLY ONLY VITAMIN A .....CAN IT CAUSE WEIGHT LOSS TOO
LETS STAY ON TRACK OF WHAT TESTS I HAD AND ALL RESULTS....THEY ARE I HAVE LEFT TO HOPE ON
The vitamin deficiencies are end results of malnutrition.
NO-ONE should have 4 hr gastric empty test should be given 9 hrs to empty
Weight loss is part of symptoms of malnutrition.
but would it make a diff if they tested for malabsorp or maltrunti
should come out to read the same to me if not being absorbed then in malnutrition
Did your doctors perform an endoscopy / colonoscopy.
what kind of horrid game are they playing at this my life
what on earth for
I am extremely sorry, if your primary doctor hasn't treated you to your satisfaction.
i dont like invasive until what it isnt has been ruled out.....what would they loook for possibly making injuried with their stupid scope
shes NO EXPERT! i have
If you have significant weight loss it is essential that we look into your stomach and intestines.
she wanted to do what you said BUT WOULD NOT SAY anything other than for seeing organs ok J OR G L TUBE feeding
THEY ALLL JUST THINK I HAVE GASTROPARESESIS and i do not!
They will need to take samples from intestines and study under microscope to understand if something else is causing it.
she did not say that at all see they all lie
someelse what CBC is fine no stomach cancer no bleeding ucler can cause this kind of yrs weight loss with no pain
sir i asked you you are 2nd opinon
speciment for what
Like I said earlier, gastroenterologist are the right experts to handle you.
You can ask her for a referral.
you were aSKED what u would be looking for and why a biopsy neede
you can tell i kinda know them
endocopy polpys and or cancer
endo can only reach to upper inner
Since you have significant weight loss, I would test for chronic infection, intestinal infestations, malabsorption syndromes such as celiac disorder, polyps and definitely intrinsic factor deficiencies.
Endoscopy can reach to the first part of duodenum.
that is what IS A HUGE KNOW A.I. AONG WIHT HASHIS AND SROGIs......celiacs
NO SCOPE TELLS THEM THAT
The rest of the bowel can be studied through colonoscopy.
I'VE HAD A COUPLe OF BAD BACTERIAL STOMACH INFECTS YEARS MANY AGO.......
I think you should consider consulting a gastroenterologist one who knows about these procedure.
Hope I was clear.
what do you mean INTRINSIC FACTOR DEFEFIENCY i just had about 20 tubes blood taken out of me in fact the prof of endoc teach hospt here IS TAKIGN TESTING OF G.I. she is in same hosp!!
continue with why b12 deficiency and now i ask again what vit if FOLATE
B12 DEFICIENT YEARS OF INJECTIONS eds hypermobility type
not folate pls what vit is it
lost 35 lbs in +/- 2 yrs,,,,,,,,,,, am now 95 all muscle gone too and they failed TO NOTICE HERE IN CANADA AS KEPT REPORTING!
gastic delay stomach test SHOULD BE 100 90% AT 4.5 HR S
all tests were done for every vit min only A came back not right doint know results yet
B12 SHOTS FOR YRS
b12 deficiency KNOWN WEIGHT LOSS ISSUE
is vitamin A KNOW AS FOLATE
STOP READING BACK PLS
AND AND ANSWER QUESTIONS I PAID TO ASK
I have a brief idea of what your concerns are now
please ask me your questions now
IS VITAMIN A KNOWN AS FOLATE
Your answer is no
Vitamin A is not known as Folate
but vit a IS INTEGRAL TO SOFT TISSUE AND GONE
Vitamin B 9 is folate
For your clarification
Vitamin B9 is Folate
Vitamin B12 is Methylcobalamin
if i am on 6 mg morph and 900 gabapentin THAT WOULD SURE DELAY FOOD EMPTGYING SAYS DOCTOR XXXXXXX
And Vitamin A is just Vitamin A
Is it clear to you?
THEY EXPECED ME TO EMPTY IN 4 HRS HAHAHA
I READ 9 HRS SHUD BE GIVEN or TITRATE OFF KNOWN prolbelm drugs
why was the gastric emptying performed?
sir you know i have lost way too much weugggtththth STOMACH
THEY TRY TO SAY I HAVE IT I DO NOT
IN ONE END OUT THE OTHER NEVER EVER VOMIT
sorry about that
THE ASK FOR COMPLETE DRUG LIST AND THEN DONT READ IT? U THINK A STOMACH WOLULD TAKE LONG TO EMPTY ON MORPHINE YES OR NO
YES is your answer
AND WHAT CAN B12 (OR LACK OF IT)]EVEN IF INJECTED WHO SAYS IT IS BEING ABSORBED PROPERLY??? EVEN BY INJECTION DO TO CAUSE SEVERE LOSS
morphine delays gastric emptying
AND GABAPENTIN AND CLONAZEMPAM AT VERY LEAST DULL APPETITE
B12 deficiency can cause weight loss
yes, Clonazepam can dull appetite
Not so very often with Gabapentin
SO NOW IF I DONT AGREE WITH THEM OR TRY TO ASK ABOUT THIS 4 test that definitely oh YES YOU DO HAVE GASTRPARESESI IN GO THE TUBES INTO YOU!!! ......... omg
You need not have to go for the procedure,if you do not wish
have you got your answers?
eds and also i have hasmimotos thyroid MANY MANY NITES OF NO LITTLE SLEEP IS AT 1.09 tsh ......but bad bad stress here HOW ABOUT ADRENAL OR PITUITARY DOCS INSTEAD OF INSISTEING ITS STOMACH
I DID THE PROCEDURE HUH?
You could see an endocrinologist
That would be better
You mean the tubes were already passed in to you to check for gastroparesis?
no that IS NOT THE TEST u do ...you do the nuclear med gastruc empty 4 hr delay one
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