Quote:
Originally Posted by Robert L
Three months ago It started with tingling in hands and feet. GP did blood glucose and B12. Glucose normal, B12 208. GP said both normal and did nothing. Waited six weeks as PN progressed rapidly returned to GP luckily he was on holiday. New GP did vibratory test and recognized low B12. Four weekly injections of B12 given. Regular GP still says it is not B12 and that it is normal. Symptoms have almost vanished from hands and feet. Also started oral B12 methyl cobalamin 1mg daily. Injections are finished but feel symptoms may be coming back. Do I need more injections?
Now going to Neurologist for conduction tests. What will they tell about B12?
What questions should I ask and what tests should I request?
Thanks to everyone here. It is scary to read all the posts but without this forum and pub med I would be lost. Thank God for the fact my regular GP went on holiday and the replacement was smart. Still not out of the woods as muscle twitches have started.
|
if the Dr. starts you on Gabapentin(Neurontin) it seems to be the first line defense against the twitching, zapping, stinging, etc. It won't feel like it is doing very much good but the consensus of people say that symptoms worsen after stopping it. Some folks go over 3000 mg/d but you wont start there. The conductivity test won't tell you anything about your b-12. That test has to do with signal velocities from nerves to muscles. IF I am not mixed up on my recollections. I will have to supplement b-12 as long as I am taking Metformin for diabetes. Any time they draw blood, tell them you want to know your b-12, you need to get it up toward 900-1000. I'm not saying that 208 is symptomatic but I know that just a little trauma messed me up with b-12 at 119. If you lurk and read you will pick up that Alcohol is poison and eating funnell cakes is not good. Think damage control as it seems you caught it early. Good Luck, Ken in Texas.