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Audrey--I guess there is really no way around all the things that impair absorption. You can only try to do your best when taking supplements. I remember I ate like a scientist when I was anemic, I wonder if that helped or not.

I have never had my B-12 tested until I was diagnosed with anemia. At least my doc knew to test for it. I am amazed at how many doctor's do not check their patients for B-12 when they are DX'ed with IDA. That's just crazy, even we know to do this. I just wonder why it slips by so much. And, yes if B-12 deficiency is overlooked and going on for many years a patient can have irreversible nerve damage. My B-12 is also at the high end of the range. Considering the fact that I take PPI's, I am hoping to keep it up there and not become deficient one day in the future. I still supplement SB L B-12 daily. It is also supposed to help with fatigue, relating to the thyroid, so I take it for that. It doesn't seem to help anymore though. I think before I was just so fatigued from the low ferritin and now that is much better.

Many diseases have the same symptoms so you really have to evaluate everything thoroughly. With B-12 though there are Neuro symptoms. Age is also a factor for B-12 because elderly people don't absorb as well as they once did. For this reason, I have both of my parents on SB L B-12. My Grandmother passed from Altzheimers so this is another reason they take B-12. It's amazing what can happen when one is deficient in vitamins and/or minerals.

I am glad to hear that your dad is doing better now that he is supplementing B-12. I just found out that my dad is anemic from knee replacement surgery and donating blood prior. His doctor says it's okay for him to run borderline anemic, maybe it is his age, but I don't think so. So now he is anemic and taking iron supplements.

Sleep makes a great difference in your health. You can have many issues without the right amount of sleep. Throughout my illness, sleep was the one thing that I really feel made a big difference if I did not get enough. Rest is so important when trying to heal. Be well, Audrey!

PS--I go tomorrow to have my labs done for TSH and F-4 to see how I am responding to a higher dose of meds. I wonder if I am Hypo or Hyper??? That's the Hashi's Q. FLFLOWERGIRL:)

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