Try taking your supplements with a fatty meal. If you don't get your B12 injection and take other supplements with a fatty meal the body will just urinate it back out. For some reason I heard this from an elderly woman and started trying it with all of mine (I was deficient in just about everything) and it worked.
Hi there. Thanks for the interest. I take a B12 injection every 2 weeks. Last lab check, it was still zilch. He said that it's due to malabsorption. Said dietary supplement would do no good.
Thank you for your response. I know that as medical professionals, we sometimes read too much or too little into our own health issues. I will call my doctor to discuss the time line in which I need to have my ammonia level rechecked.
What are you doing about the low level of B12.
Are you taking supplemental magnesium and Omega-3's.
Carol
Hi.
Elevated ammonia as a side-effect of divalproex sodium (Depakote) can lead to symptoms such as altered mental status, confusion, and delirium. Some people do present with such symptoms even at low plasma levels.
Ideally, when elevated levels of ammonia is found in the setting of Depakote therapy, close monitoring of plasma levels should be done every week. If the elevation should persist, discontinuation of this drug should be considered.
The interpretation of migraines as the cause of the tiny lesions on MRI are only suggestive and are not absolute. The lesions are probably non-specific and could have been caused by other conditions.
Hope this answers your query.
Hello.
It is a usual practice to test for ammonia every three months. It is usually combined with the therapeutic drug monitoring for Depakote. You may repeat the test just before the appointment with your doctor, so that he has fresh ammonia reports.
The diagnosis of MS is arrived at after clinical history, examination and investigations. Your history does not hint towards MS. The lesions on MRI may not be significant.
Regards
Forgot to add that MRI showed tiny lesions on brain interpreted as scarring from migraines. Yet, I don't have migraines. Dr isn't worried about MS.