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Old 11-01-2009, 11:47 PM #11
jccgf jccgf is offline
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900 is a good b12 level... but you need to be sure it STAYS that high.

I'm not really sure how fast your B12 level could come on 5000mcg if taken daily, or hit and miss. That is a high dose of B12.

After three months of 1000mcg cyanocobalamin I went from 294 to 650, and in another three months I was over 900. If you told me you'd been taking 5000mcg of methylcobalamin B12 for one month solid... I'd think it possible you could have raised your B12 level from low to that high due to supplements...especially if using methylcobalamin. I'm not sure if it could have come up that much if you were only taking it hit or miss. Nonetheless, keep on taking it regularly. You may not need 5000mcg daily to keep it up, but I would be sure to get at least 1000mcg daily at this point to keep it elevated. B12 levels can raise quickly, and methylmalonic acid can normalize quickly once supplementing. Symptoms take time to resolve. If you maintain your high level... at least you will know you have that base covered. Please... keep it up. If after six months of regular supplementing you have not improved... then B12 may not be the problem. Until then, assume it still might be... and keep looking at other possibilities.

Any doctor can order the blood work to check for gluten sensitivity, although GI's somewhat "own" celiac disease. The problem is that gluten sensitivity can cause neurological problems without affecting the gut... and GI's focus solely on the gut disease part of it (celiac disease). One of these days I hope neurologists will take ownership of the neurological presentation of gluten sensitivity, because the testing can be a little different than it is for celiac disease. Antigliadin IgG, the least meaningful in terms of celiac disease, is the most meaningful when it comes to gluten related neurological disease. There may be some other tests, too, but antigliadin antibodies are the best starting point.

I would try asking your regular doc, or your neurologist, or any doctor next up on your list... that you would like to be tested for gluten sensitivity by use of antigliadin IgA and IgG antibody (NOT deamidated gliadin antibody). I list the exact tests and explain them here:
http://jccglutenfree.googlepages.com/diagnostictesting

You might also consider self testing via Enterolab:
http://jccglutenfree.googlepages.com...ndstooltesting

I would definitely pursue the Lyme Disease testing (via http://igenex.com/Website/ ), if nothing else shows up. I don't know much about it really, other than I know a few people who have tested postive and been treated for it. And I've know several who had B12 deficiency, gluten sensitivity AND lyme disease! All things had to be dx'd and treated before they finally got well, so keep in mind you could be looking at a combination of things causing your symptoms.
I know Igenex is the lab for Lyme testing, and this is the best website: http://www.lymenet.org/

Let me know if you have anymore questions about the gluten sensitivity testing.

Keep on searching for answers... they come much more quickly when you do... even if seems to take a long time.

Cara
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Old 11-02-2009, 09:09 AM #12
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hello

i'm 41 and experienced relatively excellent health for most of my life. nearly nine months ago, i felt a sharp pain at the base of my skull on the left side of my head and then felt a bit light-headed afterward for an hour or so with some residual headache pain.
for about 10 days after, i experienced a fairly persistent headache in the same spot at the base of my skull on the left side with tingling and numbness which rotated around different parts of my head and face, sometimes leaving sore spots on my scalp which would fade away pretty quickly.

i also became more and more light-headed and experienced muscle weakness in my arms and legs and intense fatigue as the days passed. my vision was also intermittently affected--things seemed blurred and i was having a lot of trouble concentrating; and when i would look at lights, they would sort of dim and brighten. at times, my upper right eyelid would twitch for hours, then my headache would return periodically, and i experience numbness and and some muscle twitching in my left arm and leg.

my vision is still not right with periodic flashes in my peripheral vision and a sort of waviness when i stare at something with a busy pattern. i went to the ER one particularly scary evening and had a cat scan which came back normal, and my blood work only revealed a pronounced vitamin D deficiency which was treated with a 50,000iu megadose that i took weekly over the course of 3 months. (now i take 1000iu daily.) my reflexes are pretty exaggerated and examination of my eyes revealed no abnormalities in spite of my visual changes.

the c-spine was also negative for MS, but revealed cervical spondylosis, degenerative disc disease and bulges at c3-4, c4-5, and a herniation at c5-6.
the neuro felt this was the cause of all my symptoms, referred me to PT and sent me on my way. i self-referred to a couple of neurosurgeons who acknowledge that i need to have a discectomy based on my MRI, but did not feel my other symptoms were related to my c-spine issues. this conflicting information has been very confusing for me.

6 months later, i am still struggling with many of the same symptoms, including the fatigue. i am also getting more pronounced weakness in my ankles. i have good and bad days, but mostly bad at this point. i went back to the neurologist yesterday who is running B12, MMA and thyroid tests (i expect results tomorrow), and he also wants to send me to a sleep clinic.

i am scared, exhausted and overwhelmed. i have a 4-year-old daughter who needs her mama and i have been unable to work for this entire year which is decimating us financially. i was turned down for social security, but am appealing. my husband is overworked and exhausted from having to be both mama and papa to our daughter and to me. i have been put on buspar by my therapist to help me cope with the anxiety i am experiencing on a daily basis.

has anyone else experienced any of these symptoms and found solutions? i am desperate to figure out what's wrong and start to treat it rather than just laying around my house waiting for the other shoe to drop.
if i were you, i would want my cranial MRI eval'd by a neurosurgeon specializing in Chiari malformation......and you need more Vit D than that
the onset is telling me injury....but i cant think of any other testing....hmm perhaps a PET scan.....if you have torn something in the vasculature, but it is no longer bleeding, it might not show up on an MRI......think carefully about you activities in the hours/days prior to this happening, looking for a provoking/percipatating event..... good luck
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Old 11-03-2009, 01:54 AM #13
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thanks, cara and linn, for your responses. i really appreciate your taking the time to share your experiences with me.

cara: you know, you're the reason i had my b12 level checked. i found your story online about a month ago and it sounded so much like my situation, and it gave me hope for a solution. needless to say, i was pretty disappointed when i got the results that my b12 level was 900. i cried my eyes out.

after thinking about it more, i realized i wasn't fasting, and my dr. said that didn't make a difference; however, after doing additional research, i found out that it might. i have been taking 5000 mg of b12 here and there, but i think i will try to take it more regularly. some days it seems like it makes me feel better, but i don't know if it's a placebo effect or not. my MMA result was 153 with the range being 87-318. i don't know really know what that means since my dr. said my results were normal and haven't found much information about it online.

i have not been checked for lyme disease or celiac disease/gluten sensitivity. i was actually planning on discussing lyme with my neurologist during our next appointment, but what kind of doctor would i see to have gluten sensitivity identified?

linn: since posting the first time, i recently had a visual evoked potentials test to further rule out MS. my results were normal and now my neurologist says MS is off his radar. if i don't get any resolution soon, i just may look into going to the mayo clinic. i looked at their web site and they take my insurance, so there really isn't any reason not to pursue it.

thank you again,
binx
binx, your story touches my heart with empathy. The replies offered in support were right on.

For ten years I have struggled to deal with a condition which is secondary to a primary issue. It is rare, sneaky and very tricky to diagnose and nearly impossible to treat. I find only the self- education and advocacy will support my life and avoid going into crises. I cannot add much to what has already been offered except to suggest looking into nutritional deficiencies, along with the importance of B12 deficiencies.

If you have digestive issues, there might also be malabsortion issues. Have you ever taken a course of anti -fungals? Some connections are found with powerful medications that can manifest in long delayed symptoms. At any rate the process is one of hurry up and wait, for lackadaisical outcomes from the average doctor.

Few doctors are wired for unusual presentations. Knowing when it is futile with one Dr., leaves your energy freed up to keep going to try others. I have 15 doctors, one for every part, and have to do a bi- annual follow up with each, as my own case manager, to make ensure they are all on the same page. Becomes a full time job, along with a refusal to identify with the symptoms. A difficult dance indeed. Had to refuse the common labels which only make doctors feel better. Also their refusal to believe the symptoms are real, because I look fine.

Mark your symptoms on a calendar is one way to validate and record the often cyclic patterns. Hang in there and trust your process and love yourself all along the way, no matter how it looks to others. Avoid comparing, no one has the same path.

You are unique and deserve to be seen as an individual rather than a bundle of symptoms. Find an experienced therapist, which is essential to avoid too much reliance on your partner and avoids 'caregiver burnout'.

The best therapists I have found so far are oriented toward mindfulness training, as in Buddhist practitioners or mediators. If someone is resistant to the reality of feeling powerless to this process, then the feeling tone of being rejected, will inform you that they have not done this work and cannot really help you.

As with any helping profession, move on, it is not about you when the helpers cannot help, or about you when the helping hurts. Unless you stay in a toxic situation despite your instincts to the contrary.Trust this red flag if it shows up and take whatever steps you can to heal the emotional process of chronic debilitating symptoms.

This is an extremely valid learning process deserving of compassion no matter what else anyone thinks. honor your process and it will inform you of what you need to learn and do to help yourself.

i am a much better human being as a result of all of this and have become a help to others I meet along the way. The world needs heroes on their quest who can carry on. Do refuse to give up. Always!! Best wishes toward solutions and resolutions... Linda
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Old 11-04-2009, 01:08 PM #14
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i appreciate everyone's replies so much. it helps with the sense of isolation that has become so overwhelming to me.

tinglytoes: i appreciate your insight into some of the more profound aspects of dealing with illness. i have indeed located a counselor who is very focused on mindfulness and has been helping me to cope with what's going on in my life. i had to find someone since, as you indicated, my husband has been on the receiving end of so much of my stress, on top of dealing with his own concerns about me. as supportive and wonderful as he is, it was critical that i have another outlet to spare him. you have a very wonderful outlook, and i think it is important to maintain that to survive. i am also scheduled to meet with a nutritional specialist next week who can hopefully give me some feedback as to modify my diet to better cope with my physical symptoms as well. it can only help at this point.

pabb: i agree--it does seem like my symptoms presented as a result of an injury of some kind, but the only thing i had done up to that point was care for my then 3-year-old. in addition to the brain and c-spine MRIs, i also had a CT scan and later an MRA to check for cranial vascular abnormalities as well. everything has come back normal with the exception of my cervical disc bulges and herniation. after doing a bit more research, i do have many of the symptoms of chiari malformation. in fact, that is the only diagnosis that actually seems to fit. i have seen 3 neurosurgeons and a neurologist--in your opinion, is it possible that all of them along with the radiologist who interpreted my scans missed it? if so, i will try to find another dr. who is a chiari specialist as you suggested.

thanks again.

it's a relief to have found this forum.

Last edited by binx; 11-04-2009 at 01:11 PM. Reason: added some details
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Old 11-04-2009, 08:34 PM #15
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Originally Posted by binx View Post
i appreciate everyone's replies so much. it helps with the sense of isolation that has become so overwhelming to me.

tinglytoes: i appreciate your insight into some of the more profound aspects of dealing with illness. i have indeed located a counselor who is very focused on mindfulness and has been helping me to cope with what's going on in my life. i had to find someone since, as you indicated, my husband has been on the receiving end of so much of my stress, on top of dealing with his own concerns about me. as supportive and wonderful as he is, it was critical that i have another outlet to spare him. you have a very wonderful outlook, and i think it is important to maintain that to survive. i am also scheduled to meet with a nutritional specialist next week who can hopefully give me some feedback as to modify my diet to better cope with my physical symptoms as well. it can only help at this point.

pabb: i agree--it does seem like my symptoms presented as a result of an injury of some kind, but the only thing i had done up to that point was care for my then 3-year-old. in addition to the brain and c-spine MRIs, i also had a CT scan and later an MRA to check for cranial vascular abnormalities as well. everything has come back normal with the exception of my cervical disc bulges and herniation. after doing a bit more research, i do have many of the symptoms of chiari malformation. in fact, that is the only diagnosis that actually seems to fit. i have seen 3 neurosurgeons and a neurologist--in your opinion, is it possible that all of them along with the radiologist who interpreted my scans missed it? if so, i will try to find another dr. who is a chiari specialist as you suggested.

thanks again.

it's a relief to have found this forum.
Hi binx, How pleased to find you had read my note. I rarely submit anything. It's great that you have reached out and asked for support in the trial. I am relieved for you from this end. Yeah, the most couragous path is the one which admits to vulnerability and need in a conscious, co-creating, responsibe manner. Good luck on the long walk to wisdom....Linda
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