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mrsD · 04-02-2012, 04:36 PM

Quote:

Originally Posted by tsmitty70

Also, I had my b-12 checked back in Dec. and it was 357. Is that about normal?

Sorry... not normal. I'd start now on 5mg methylcobalamin each morning on an empty stomach. Do this for 3 months, and have a retest.... you should be over 1000 by then.

I'd hold off on the other foot for now. RSD which is a terrible chronic pain condition that is not understood well, seems to come to feet and wrists that have had trauma/surgery. It affects the sympathetic nerves, and creates terrible pain. RSD spreads, and will mirror to the other side of the body. So if you have left foot issue, it might show up on the right.

I'd really do the Vit C also...
http://www.ncbi.nlm.nih.gov/pubmed/19840748

Quote:

Foot Ankle Surg. 2009;15(4):179-82. Epub 2009 Apr 5.
Effect of vitamin C on prevention of complex regional pain syndrome type I in foot and ankle surgery.
Besse JL, Gadeyne S, Galand-Desmé S, Lerat JL, Moyen B.
Source

Université de Lyon, Lyon, France. jean-luc.besse@chu-lyon.fr
Abstract
BACKGROUND:

The public health cost impact of complex regional pain syndrome type I (CRPS I) is considerable in both emergency and scheduled orthopaedic surgery. We proposed to assess the effectiveness of vitamin C in prevention of CRPS I in foot and ankle surgery.
METHODS:

We carried out a "before-after" quasi-experimental study comparing two chronologically successive groups without (Group I: July 2002-June 2003) and with (Group II: July 2003-June 2004) preventive 1g daily vitamin C treatment. All patients having surgery on the foot or ankle were enrolled, with the exception of diabetic foot cases. Several factors were analysed: sex, age, type of pathology, history of CRPS I, psychological context, tourniquet time, and cast immobilisation time.
RESULTS:

420 feet (392 patients) were included in the study: 185 in Group I, 235 in Group II. CRPS I occurred in 18 cases in Group I (9.6%) and 4 cases in Group II (1.7%) (p<10(-4)), with history of CRPS I as a significantly correlated factor (relative risk=10.4). The psychological context (anxio-depressive state) showed a (sub-significant) tendency to increase the risk of CRPS I (relative risk=2.6).
CONCLUSION:

Vitamin C has been shown to be effective in preventing CRPS I secondary to wrist fracture, but few data are available with respect to foot and ankle cases. The present study demonstrates the effectiveness of vitamin C in preventing CRPS I of the foot and ankle-a frequent complication in our control group (9.6%). The authors recommend preventive management by vitamin C.
Comment in

Foot Ankle Surg. 2011 Sep;17(3):207.

PMID:
19840748
[PubMed - indexed for MEDLINE]

This is just one paper, on PubMed on this subject. Work has been done in UK on this since early 2000's.

EsterC is easier to tolerate, a bit more expensive, but worth it I think. So I think you should immediately start methylcobalamin and Vit C as beginning interventions.

Here is my B12 thread:
http://neurotalk.psychcentral.com/thread85103.html

Since the early 2000's the new lowest normal has become 400 in the US for B12 serum tests. Not all doctors are aware of this.
the link :
http://www.aafp.org/afp/2003/0301/p979.html
This link is in that thread, and also another by Dr. Snow MD at post #70... both were done for doctors Continuing Education, but laymen can understand them too.

It is best to start slowly with supplements at a level that your own history shows a weakness and need. You can always later add in things if you desire. B12 can be very effective for those with low levels in testing.

Methylcobalamin is the active form of B12...it is not commonly found in stores. But iherb.com , Swanson's and Puritan's pride all have it very reasonably priced. I tested out Puritan's last spring with great success, so now I use their brand. It is pennies a day. Can't beat that price!