vertigo and headache

Vertigo I mean room spinning sensation if I suddenly wakeup from bed or changing my head position ; It s happening occasionally like for 2days in three months

It could be the B12 deficiency but it might also be coming from a misalignment of a neck vertebrae. Have you had a fall or car accident that might have caused some trauma to your neck? If it continues it’s probably worth getting an appointment with your GP and maybe a neck X-ray? Alternatively visit an osteopath or chiropractor to see if they can offer any help. 

Are you getting treatment for low B12 at the moment? 

No I never had accident or neck injuri es before ; and yeah I did all tests related to vertigo including MRI of brain , chest x-ray , ecg , etc by ENT and neurologist they said am completely okay.

And myself forced my GP to check my B12 and found it's in low border (210pg) but still she can't believe that I have deficiency everytime when I visit for injection  

I found my B12 was 210pg when I checkekd last year March ; now am uin B12 injection once in a month but I didn't checked back again my B12 was increased or not  . But after few injections I completely felt okay with my symptoms ; but not 100%

  Because still dizziness symptoms are occasionally coming and going  

Yeah thank you Marion , but if want to find out the root cause of this deficiency; who I have to meet next other than GP ? 

Well GP’s aren’t that knowledgeable about B12 deficiency, but there are further tests that can be done. There is a blood test for Intrinsic Factor antibodies , homocysteine levels can also be checked. The treatments are the same whatever the root cause of the deficiency. 

Do you have any digestive issues, have you had stomach surgery? I take medication to reduce my stomach acid, and that is one of the reasons I have a problem. If you have another autoimmune condition it makes you more likely to have low B12 too. I have a

thyroid problem and low B12 often accompanies this. Many people find this occurs as they get older, but it can occur in children too, depending on the root cause. 

Your GP may consider referring you to someone else, but if the treatment is going to be the same whatever the cause, he may not want to go down that route. A haematologist might be able to help, but I have heard from other forums that they aren’t a lot more informed than GP’s. 

 

Yeah thank you Marion , thanks a lot 

Anyone at any age, can become B12 deficient.  However, certain people are at an elevated risk. They include the following:

Vegetarians, vegans and people eating macrobiotic diets.

People aged sixty and over

People who’ve undergone any gastric and/or intestinal surgery, including bariatric surgery for weight loss purposes (Gastric bypass).

People who regularly use proton-pump- inhibitors. H2 blockers, antacids, Metformin, and related diabetes drugs, or other medications that can interfere with B12 absorption.

People who undergo surgeries or dental procedures involving nitrous oxide, or who use the drug recreationally.

People with a history of eating disorders (anorexia or bulimia).

People with a history of alcoholism.

People with a family history of pernicious anaemia.

People diagnosed with anaemia (including iron deficiency anaemia, sickle cell anaemia and thalassaemia).

People with Crohn’s disease, irritable bowel syndrome, gluten enteropathy (celiac disease), or any other disease that cause malabsorption of nutrients.

People with autoimmune disorders (especially thyroid disorders such as Hashimoto’s thyroiditis and Grave’s disease) Type 1 diabetes, vitiligo, lupus, Addison’s disease, ulcerative colitis, infertility, acquired agammaglobulinemia, or a family history of these disorders.

Women with a history of infertility or multiple miscarriages.

Can you see yourself in any of the above "people"?

I joined this forum last December, had tingly feey sore mouth,emotional wreck,drs, for blood tests,b,12 levels 169,border line for our NHS,but when you read about other countries their levels for deficiency are much higher,I have a wonderful Dr, who started me off with the 6 inj booster,energy levels went up,but feet and fingers still tingle,and I came out in an itchy rash,drove me nuts, like you I was waking feeling lightheaded, and sometimes my balance was off kilter,but I do suffer with meniers so put it down to that.I'm waiting for results of blood tests to come back for gastric parietal cells,I take omeprazole for reflux, and that stops the stomachs absorbing b12.

I'm deff starting to feel the benefits of b12 inj, but like Clive said it could take a while to re charge my batteries.

I think that most people today like to feel in control of their bodies health,we want to know more,understand everything ,gone are the days when I'm just given a prescription with no explanation,I want to know everything, so keep pushing for answerand its what I'm doing, good luck with your questions to your Dr.and Marion is right drs don't know a great deal about b12 deficiency, I'm lucky my Dr is very good.

I guess I never had tingling sense but I can say I had almost all other symptoms u mentioned Clive 

Make a list of your symptoms and present this to your doctor and ask him to treat you according to your symptoms and (perhaps) even start you on loading doses "until there is no further improvement" according to the N.I.C.E guidelines.on Treatment for Vitamin B12/Folate deficiency"

If you can get to see a doctor please also ask him/her to check your Folate level as this and B12 help your iron to make red blood cells and to function properly.

If possible take someone with you who can validate your neurological symptoms as the doctor is less likely to pooh pooh you in front of a witness.

I am not saying that this is an easy thing to do but try to stay calm, write out what you want to say and keep to the script and be confident that you are "in the right" and your facts are correct. 

Yeah you're right Clive because sometimes when I say my symptoms to my GP she's laughing at me \ and telling B12 at this age not possible. And she ask me to stop googling it