Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 06-15-2015, 03:30 AM #11
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You cannot get too much B12 from supplements. Only a tiny amount is absorbed with each dose, even when ideally taken on an empty stomach.

If you have the DNA mutation (discovered from testing), for MTHFR, taking folic acid is not recommended. Those people need the methyl version, methylfolate, and regular folic acid is not recommended by most experts. This is a special situation however. If you do not have the MTHFR mutation, you can take a B-complex.

You should take the B12 however, alone, in the higher dose. The combo B-complexes usually don't have enough B12 in them to provide good absorption. Take B12 on an empty stomach, as food blocks its absorption.
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Old 06-15-2015, 09:44 AM #12
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Is it possible to take too much B-12, or that I could have a negative reaction to methyl as opposed to cyano? I took 1000mcg of methyl B-12 for the first time this morning after having been using 500mcg of cyano B-12 and I really haven't been feeling great since, mainly in the form of worse general headaches. Granted I'm also on antibiotics right now, but have been for a few days without noticing any negative side effects.
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26 year-old PhD student in evolutionary biology, slipped on ice in Feb 2014 while clipping my fingernails and walking to save time (dumbest reason for PCS ever?). Initially just had headaches and didn't feel quite right, but a minor head bump 5 days later started a downward spiral of anxiety, depression, insomnia and fatigue. Had trouble concentrating on reading/looking at screens

April 2014 - did exertion test, passed, started exercising and doing more, but didn't feel much better.

May 2014 - Went on backpacking trip OK'd by doctor, trip itself went fine, but felt worse a few days after getting back, more difficulty concentrating, worse headaches.

June 2014 - Bumped head on ceiling walking slowly down stairs, no immediate symptoms, but caused worsening headahces, more difficulty concentrating and looking at screens. Have not felt as good as I did before this since this bump.

December 2014 - after feeling relatively better I went xc skiing and fell but didn't hit my head (something my psychologist who specializes in brain injuries told me he hoped would happen so I saw it was OK), felt worse

Feb 2015 - back in grad school, light teaching load and some research, nowhere close to operating at my full capacity. Still have constant headaches, difficulty reading/looking at screens, mild anxiety and depression, and just not feeling like my normal sharp self.

Trying, but struggling, to believe that I'll get back to my old self, or at least get close.
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Old 06-15-2015, 10:24 AM #13
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What antibiotic are you taking?
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Old 06-15-2015, 10:34 AM #14
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Sulfamethoxazole
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26 year-old PhD student in evolutionary biology, slipped on ice in Feb 2014 while clipping my fingernails and walking to save time (dumbest reason for PCS ever?). Initially just had headaches and didn't feel quite right, but a minor head bump 5 days later started a downward spiral of anxiety, depression, insomnia and fatigue. Had trouble concentrating on reading/looking at screens

April 2014 - did exertion test, passed, started exercising and doing more, but didn't feel much better.

May 2014 - Went on backpacking trip OK'd by doctor, trip itself went fine, but felt worse a few days after getting back, more difficulty concentrating, worse headaches.

June 2014 - Bumped head on ceiling walking slowly down stairs, no immediate symptoms, but caused worsening headahces, more difficulty concentrating and looking at screens. Have not felt as good as I did before this since this bump.

December 2014 - after feeling relatively better I went xc skiing and fell but didn't hit my head (something my psychologist who specializes in brain injuries told me he hoped would happen so I saw it was OK), felt worse

Feb 2015 - back in grad school, light teaching load and some research, nowhere close to operating at my full capacity. Still have constant headaches, difficulty reading/looking at screens, mild anxiety and depression, and just not feeling like my normal sharp self.

Trying, but struggling, to believe that I'll get back to my old self, or at least get close.
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Old 06-15-2015, 10:49 AM #15
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Here is a patient information list for those using your antibiotic:

http://www.rxlist.com/bactrim-side-e...rug-center.htm

If you suspect the B12, don't take one tomorrow and see what happens. If the headache persists and does not lessen up with Tylenol or Ibuprofen, it is time to call your doctor.

It is unusual for B12 to cause symptoms, but everyone is different.

If you are taking this antibiotic for sinus issues, I'd call the doctor.
Some people develop allergic reactions to sulfas...and that can include a headache at the start.
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Old 06-15-2015, 11:59 AM #16
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Thanks for the info. Unfortunately my headache never lets up with Tylenol or Ibuprofen...
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26 year-old PhD student in evolutionary biology, slipped on ice in Feb 2014 while clipping my fingernails and walking to save time (dumbest reason for PCS ever?). Initially just had headaches and didn't feel quite right, but a minor head bump 5 days later started a downward spiral of anxiety, depression, insomnia and fatigue. Had trouble concentrating on reading/looking at screens

April 2014 - did exertion test, passed, started exercising and doing more, but didn't feel much better.

May 2014 - Went on backpacking trip OK'd by doctor, trip itself went fine, but felt worse a few days after getting back, more difficulty concentrating, worse headaches.

June 2014 - Bumped head on ceiling walking slowly down stairs, no immediate symptoms, but caused worsening headahces, more difficulty concentrating and looking at screens. Have not felt as good as I did before this since this bump.

December 2014 - after feeling relatively better I went xc skiing and fell but didn't hit my head (something my psychologist who specializes in brain injuries told me he hoped would happen so I saw it was OK), felt worse

Feb 2015 - back in grad school, light teaching load and some research, nowhere close to operating at my full capacity. Still have constant headaches, difficulty reading/looking at screens, mild anxiety and depression, and just not feeling like my normal sharp self.

Trying, but struggling, to believe that I'll get back to my old self, or at least get close.
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Old 06-16-2015, 11:20 AM #17
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It seems the consensus is that I should get my levels checked, but not to be afraid to up the dosage. How would I go about checking?
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Old 06-16-2015, 11:35 AM #18
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Quote:
Originally Posted by DannyT View Post
It seems the consensus is that I should get my levels checked, but not to be afraid to up the dosage. How would I go about checking?
You ask for a B12 blood test at your doctor's office.
You need to get the test results in numbers, and not a verbal
"normal". This is because low values are still reported in the US as "normal". You need to be above 400pg/ml which is the new low.

If you have already started B12 a test is not necessary because you are already raising it with the supplement.
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