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I am on B12 shots once a month (1ML) to control my PA. But I am finding that after two weeks my symptoms start to recur. I also have symptoms of Hemolytic anemia as well. Is it possible to have both? And whenever I get my shot it tends to bring on a menstrual cycle even if I have just had one, which aids in bringing my hemoglobin even lower...It's like fighting a losing battle...Do I have any options? I am still jaundiced which leads me to think I may have PA and HA. What questions should I ask my hemotologist?

Thanks in advance for any help!!

Dawn
[QUOTE=sdb]I am on B12 shots once a month (1ML) to control my PA. But I am finding that after two weeks my symptoms start to recur. I also have symptoms of Hemolytic anemia as well. Is it possible to have both? And whenever I get my shot it tends to bring on a menstrual cycle even if I have just had one, which aids in bringing my hemoglobin even lower...It's like fighting a losing battle...Do I have any options? I am still jaundiced which leads me to think I may have PA and HA. What questions should I ask my hemotologist?

Thanks in advance for any help!!

Dawn[/QUOTE]

I am going to make suggestions. I do not KNOW anything but these are my guesses. You may have endometriosis. If so this may be why the B-12 is causing you to start your period. The more blood you have the more likely you are to have extra bleeding. When the blood cell factory is shut down due to acute hemolysis, then the endometriosis backs off too or at least the effects of it. If you have not had a gyn appointment, this might be a good time. The other thing is that with two reasons for anemia, you will have to sort out with your hematologist what other methods may be available for building blood supply like the medications that they give cancer patients to help build red blood cell supply. Its called Epoetin.





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