Tremors age 35, high folic test results

[Flora623]

I been having head tremors, left side limbs are more stronger than right side tremors, have weakness, I am tired and joint pain. I call to today and my labs show I have a high folic test results but B12 was normal.  Been seeing a neurologlist because my family doctor concern, I do have a great aunt with Parkinsons, so this is a concern.  I also had a positive for mono test, but doctor said it was a old positive.  I had a mono test two weeks before this second test was done, told it was negetive. The symptoms came on suddenly, they are worse if I been doing something like standing to cook, or moving a lot...the doctor has kept me off work till we figure this out, because I nursing assitance getting my RN will this keep me from doing this work or any job?

I saw the ob/gyn when I had a lump under my arm, but they said it problem a swollen gland, but I was concern with breast cancer because several my my great aunts have had it and died.  My mom said I should mention this also to the Neurologist because it still under my arm could be related to these these blood results.  Help we are concern and would like to know what there out there that can cause such a problem.

[Flora623]

Thank you will ask doctor to check

[Red_Star]

As you are experiencing neurological symptoms with high folate levels, the autoimmune disease pernicious anaemia needs to be ruled out. This may not be the cause but having two antibody tests can show up if you have this condition. Intrinsic factor antibodies and parietal cell antibodies.

Causes of high folate levels:

Pernicious anaemia
Blind loop syndrome
Increased folate in the diet
Inflammatory bowel disease

Optimal B12 is over 800pg/mL or 600pmol/L. A very good article on B12 deficiency is by Chris Kresser: "B12 deficiency: a silent epidemic with serious consequences"

An excerpt..

"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. They also recommend treating patients with normal B12, but elevated urinary methylmalonic acid (MMA), homocysteine and/or holotranscobalamin (other markers of B12 deficiency)."