B12

My husband is being treated here in Portugal. After giving him blood and monthly injection he was stabilised and they are now 3 monthly after a blood test. If the levels dropped he could have more regularly. We do have the sun here which helps. I wonder if the UK doctors are following NICE guidelines rather than patients symptoms. Maybe a cheap winter holiday to sun might help. Doesn't have to be very hot, just sunlight and uncover more skin.

This is pernicious anaemia, I've had it for 12 years and also have an injection every 3 months. Feel great at first and then after about 6-8 weeks I start to feel more and more tired and can't wait for my next top up. I've tried to read up about it as much as possible and I don't know if I remember it right but I'm sure I saw somewhere that the blood that circulates around your body replaces itself every 3 months. hence the reason why the injections are given at 3 month intervals. About 3 years ago I developed Atrophic Gastritis,a stomach condition also linked to Pernicious Anaemia. Does anyone else suffer from this?

In my practice we have some people who need the B12 jag at 8 0r 10 weeks. It has to be sanctioned by the GP but is possible. You could also have a blood test at 3 months before the jag to see if the levels have significantly dropped.
Regarding vitamin D - we get this from food and sunshine so if you have weather like we have in Scotland the sunshine element is seriously lacking! Though today was nice so maybe improving!

Similar here - the last of the three months I feel I'm on the floor with fatigue, and this seems to be a common experience, but the doctor says regulations insist on three months between injections. It's likely that you can no longer digest the B12 in tablet form or you'd process enough from food not to be deficient in the first place. There doesn't seem to be a solution to the problem of the third month.

Advice from health food shop so decided to give it a go...no other spectacular reason!

thanks Regalo, I am curious, why vitamin D?

Inhave had similar...and same experience as you as the tiredness just didn't lift. I have now tried putting myself on a liquid vitamin d and am cautiously optimistic that I am feeling less tired. Perhaps worth considering jsnar5