Question: I am 37 years old and for as long as I can remember I have suffered with a hormone imbalance since my teens. I have pernicious anaemia for which I take 3 monthly b12 injections which was diagnosed around the Age of 16. I tend to feel lightheaded for 2 out of 4 weeks of the month and causes a feeling of steadiness. I don't always have menses as on the progesterone only pill cerazette as unable to take the estrogen only pill due to weight issue, however when I do have a bleed it is usually light and lasts a day or two but this can happen one month and then no bleed for months. I don't know if this is exacerbating symptoms but I want advice as to what meds or supplements are essential to balancing hormone function? Would iron, zinc or evening primrose oil help? I am not sure whether to try a different form.of contraception. i also have polycystic ovaries confirmed by raised androgen levels, facial and body hair and years of irregular periods, although USS did not reveal cysts or any other abnormalities. I have no other illnesses and apart from the raised hormone androgen level all other work up bloods have been reported as normal. I know in the past the odd time my ferritin level Had been low and I have needed folic acid supplements. This lightheadedness is a real recurring problem which I would like advice on how to deal with.

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I have had ENT investigations in the past and nothing showed up. I have only once been deficient in low ferritin levels, but unless its monthly low levels, i cannot see how this attributes to the feelings of lightheadedness i experience almost 2 out of 3 weeks. I do not have periods as such being on the progesterone only pill, sometimes a light bleed and other times phantom periods where i have all the symptoms but no bleed. I was put on cerazette due to age and BMI so unable to take the combined pill- however years ago when I was on the conbined pill i still experienced these symptoms of lightheadedness. Is there any daily supplements which i could take to help if it is down to the anaemia? such as zinc, evening primrose, ferrous fumarate or phosphate or folic acid? Having pernicious anaemia would i be able to take a multivitamin or would my body not be able to asborb like the b12? Just a final question with regards to the cervical spondylosis - can you give me more information on this, is it diagnosed on x-ray? Are symptoms daily or can they be intermittent? If it is down to spondylosis i would be unable to take NSAIDS due to my asthma, could you recommend anything else that may help? I have FH of osteoarthritis, both of my late parents had it and interestingly i did have a car accident and some whiplash many years ago and have ongoing neck pain and stiffness but at the time x-ray of cervical spine didn't reveal any abnormality. I also get pain in my shoulders but they both have always rolled forward no matter how i try to correct posture. I would be grateful for your help and what you feel I need to approach my GP to ask for.