Lucky we have the internet! :) I'm guessing your 225 and 248 is in pg/mL. If so, that converts to 166 and 180 pmol/L. Sublingual is available in other forms but i've found the spray is the easiest as you don't have to wait for the tablets to dissolve under the tongue.
B12 deficiency symptoms >>>
http://b12d.net/book/export/html/29
Homocysteine - the silent killer >>>
http://www.squidoo.com/homocysteine-hcy
Sublingual B12 >>>
http://www.amazon.com/s/ref=nb_sb_noss?url=search-alias%3Dhpc&field-keywords=B12+sublingual+spray&x=0&y=0
Thank you! :) I wonder why the dr is taking so long to diagnose this and not trying to treat it. He has not mentioned even taking otc b12 sups. I really hope the nerve damage isn't perm. I got in to see the dr. within a week of starting these symps and now we are going into the 3rd month!
Again thank you!
You have vitamin B12 deficiency.
"Why is B12 deficiency so under-diagnosed?
B12 deficiency is often missed for two reasons. First, it’s not routinely tested by most physicians. Second, the low end of the laboratory reference range is too low. This is why most studies underestimate true levels of deficiency. Many B12 deficient people have so-called “normal” levels of B12.
Yet it is well-established in the scientific literature that people with B12 levels between 200 pg/mL and 350 pg/mL – levels considered “normal” in the U.S. – have clear B12 deficiency symptoms. Experts who specialize in the diagnosis and treatment of B12 deficiency, like Sally Pacholok R.N. and Jeffery Stewart D.O., suggest treating all patients that are symptomatic and have B12 levels less than 450 pg/mL."
B12 deficiency: a silent epidemic with serious consequences >>>
http://thehealthyskeptic.org/b12-deficiency-a-silent-epidemic-with-serious-consequences?utm_source=The+Healthy+Skeptic&utm_campaign=8b111bfd2f-RSS_EMAIL_CAMPAIGN&utm_medium=email
Causes of vitamin B12 deficiency >>>
http://b12awareness.org/about-b12/causes-autoimmune-malabsorption-gastric-bypass/
Symptoms of vitamin B12 deficiency are numerous but include:
Neurologic signs and symptoms:
Numbness—tingling
Weakness of legs, arms, trunk
Impaired vibration—position sense
Abnormal reflexes
Unsteady or abnormal gait
Balance problems
Difficulty ambulating
Dizziness
Tremor
Restless legs
Visual disturbances
Forgetfulness, memory loss
Dementia
Impotence
Urinary or fecal incontinence
Psychiatric symptoms:
Depression
Irritability
Paranoia
Mania
Hallucinations
Psychosis
Violent behavior
Personality changes
Haematologic signs and symptoms:
Anaemia
Macrocytosis (enlarged red blood cells)
Generalized weakness
Fatigue
Shortness of breath
Pallor
Not everyone will suffer the same symptoms (even with the same level of B12 deficiency) but the most common of all B12 deficiency symptoms is fatigue. I personally recommend sublingual (under the tongue) B12 spray. I take 2000mcg daily for my autoimmune pernicious anaemia. You should see symptoms start to improve within a few months but it can take up to a year for nerves to repair (nerve damage can be permanent). I have permanent nerve damage; my B12 serum level went down to 126pmol/L. Vitamin B12 serum levels are not optimal until they are above 800pg/mL or 600pmol/L.
No MRI of the total spine. I am planning on asking the Neuro about that when I go see him in 3 weeks.
You stated you had an MRI of your brain how about an MRI of your total spine?