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[QUOTE=jerrikehoe][COLOR=Navy] :wave: Hello my name is Jerri and I am a cancer survivor long term I have been having some problems such as numbness in my face and the tip of my nose feels as if pins are sticking in it. My cancer was in my sinus so immediately the doctors did a biopsy.
The doctor told me at the time last week to be exact that the symptoms I am having are also associated with Pernicious Anemia and ordered blood work for investigation. Altho feeling fatigued most of the time lately I am in fairly good health and had a blood work up a few months ago. If I was suffering from this anemia would it not have shown previously.

Thanks to anyone who can answer my questions.
Jerri[SIZE=5][/QUOTE]
I did not see where you specifically gave pernicious anemia symptoms. Since Iron deficiency anemia is a separate diagnosis. However, it take 120 days for red blood cells to cycle out. In other words from beginning of the life of the red blood cell until it dies and is recycled is 120 days. Pernicious anemia is caused when the stomach does not secrete intrinsic factor and the body can not produce enough red blood cells to keep up with the degenerating ones. Iron deficiency anemia occurs from excess bleeding, chemo therapy or radiation therapy. It also happens if the body is unable to store adequate amounts of iron or stores the iron in a place that is unaccessable by the body. Storage and transport disease. If you have had a loss of appetite or poor nutrition habits recently, you can be low on available iron but still have plenty of iron stored for future use. It is really difficult to say from you question as to what the doctor is referring to.
[QUOTE=jerrikehoe][COLOR=Navy] :wave: Altho feeling fatigued most of the time lately I am in fairly good health and had a blood work up a few months ago. If I was suffering from this anemia would it not have shown previously.

[SIZE=5][/QUOTE]


Jerri - I was diagnosed with B-12 deficiency last year after going in to my MD about depression. The diagnosis was a complete surprise. I thought I was healthy. After doing some reading, I could see that I did have other symptoms I had been ignoring because I thought I was just getting old and tired at 34.

Apparently, some anemias are so slow to develop that the body adapts to the anemic state and won't show obvious symptoms until in a state of crisis. Also, considering that your body has been through the ringer with cancer and chemo, it could be that symptoms you attributed to that experience are actually part of the anemia. I'm self-injecting B-12 twice a month, and it has a significant effect on my mood and energy level. Also, I've found I have increased strength and stamina now that I've been taking iron supplements as well.

I think that chemo can deplete B-12 and iron stores. If you are deficient in both, it's possible that the two anemias are actually masking each other in your blood tests. B-12 deficiency causes red blood cells to get bigger, but iron deficiency causes them to get smaller; combined, they create the illusion that everything is normal. Your doctor should run a serum B-12 test, as well as a serum ferritin test in order to get accurate counts.





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