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.
Seldom
poster:seldomseen
thread:848977
URL: http://www.dr-bob.org/babble/20080822/msgs/849410.html