Vitamin b12 and vitamin D deficiency

Although your Vitamin B12 is probably flagged as "Normal" (do you know the range <from - to>?) it is at the bottom end of the scale and if you have neurological symptoms it needs to be treated.

Are you in the UK?

If you are you need to ask your doctor to treat your neurological symptoms in accordance with the N.I.C.E. Guidelines for the treatment of Vitamin B12 and Folate deficiency per the extract below:

"Treatment for B12 deficiency

How should I treat a person with vitamin B12 deficiency anaemia?

For people with neurological involvement:

Seek urgent specialist advice from a haematologist.

Ideally, management should be guided by a specialist, but if specialist advice is not immediately available, consider the following:

Initially administer hydroxocobalamin 1 mg intramuscularly on alternate days until there is no further improvement, then administer hydroxocobalamin 1 mg intramuscularly every 2 months.

For people with no neurological involvement:

Initially administer hydroxocobalamin 1 mg intramuscularly on alternate days for 2 weeks.

Maintenance dose (where the vitamin B12 deficiency is not thought to be diet related): administer hydroxocobalamin 1 mg intramuscularly every 3 months for life (standard dose). Note that the manufacturers' licence is for every 2–3 months."

You will need to ask to have your Folate level tested as this and B12 helps your iron to make red blood cells.

As to your low Vitamin D level your doctor may also precribe a supplement.

There are similarities between some of the symptoms of B12, D and Folate deficiencies so it may cause your doctor to be a bit cautious. However not treating B12 and Folate deficiencies may lead to irreversible damage to your nervous system.

I am not a medically trained person but I've had P.A. (a form of B12 deficiency) for more than 45 years and I'm still "clivealive" at over 75.

I wish you well