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Hi helpwanted! You've certainly come to the Right place!Welcome!

Okay...Yes you're B12 level is too low!!!! Next:An MMA(methylmalonic acid test)would be Highly Advisable and a Homocysteine either od these two test levels are elevated then you have an occult(hidden)B12 deficiency.Did you get your folic acid tested also?If not you need that test too.

Stomach issues are very apt to go along with B12 problems...and IBS fits right in there!All the other blood labs(like hemoglobin,hematocrit)can be fine and you still are low on B12.

What is ME?Did you mean MS?

Also do you have a glossy tongue(glossitus)or have trouble swallowing sometimes?

Any pins'n needles feelings in your fingers/toes along with the coldness?

Your symptoms are very consistent with a low B12 level.Also are you around the age for peri-menopause(this can start 10 years before menopause).....and some of your symptoms seem to suggest that.

When your B12 is in the lower range(like yours is)a hematologist would run those tests I mentioned,because it has been knowm that patients under 400(the lab my dr. uses says 200-1100 is the normal range)will have s ome symptoms and patients with a level under 300 will have many symptoms and need to be tested with the MMA,folic acid and homocysteine tests to look for a hidden B12 deficiency.Most MDs won't do it unless you request it,but a blood dr.(hematologist)will always do those tests.

Do not feel like your asking too much from your dr.Your dr. is getting paid to do tests and help you get well!Please get those other tests!!!If they come out fine then I would just go to the health food store(GNC,etc.)and get B12 sub~lingual(methylcobalamin) and start taking that.Don't start it 'til after you get those other tests..or it might mess up the test results.

Please take many of us have been exactly where you are right now,but just remember it's your health and quality of life that's being compromised so don't be afraid to Tell the dr. you want and need those tests.I was at 279 when my dr. found my MMA test was 415(normal range was 90-278),but my homocysteine and folic acid(red folate) were fine.So my B12 level was 279 and yours is 272...pretty close,huh?

I wish you the best and hope you get those tests done!The longer it goes undiagnosed the more symptoms you'll get and worsening of your current don't wait...take care...and please post back!

hi helpwanted!

Your hemoglobin,hematocrit,RBC & WBC can all be in normal range and your MCV(this is te one that shows how big the red blood cells are)can be normal too and you still have an occult(hidden) B12 deficiency.When you're at the low end normal range of B12 then you need to have the MMA,Homocysteine and Folic Acid tests so that the dr. can tell if you have a hidden B12 deficiency.A normal folate will sometimes mask a B12 deficiency.My dr. told me that since there's so much folate in food now they are checking more people with lower end B12 levels for B12 deficiency...that's good news!

hope all goes well for you~Scout

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