Anonymous
Post 06/12/2024 09:16     Subject: Re:What woukd you consider low b12?

I had my colon removed in 1996 and my B12 levels fell to around 200. Yes, I was very symptomatic and I was immediately put on monthly B12 injections, which I now do myself. Because of the lack of terminal ileum, I do not absorb oral B12. 200 was considered dangerously low at the time.
Anonymous
Post 06/12/2024 07:49     Subject: What woukd you consider low b12?

Interesting. The source cited says to stop taking supplements a few weeks before testing. I've told my PCP that I eat a vegan diet and want to monitor my levels, and she has never mentioned this. It's frustrating to try to make sure everything's okay and not get good information.
Anonymous
Post 06/12/2024 07:19     Subject: What woukd you consider low b12?

I’m also a vegetarian and I know if I don’t take supplements I will see symptoms. Mainly this is because I’m 95% vegan.
Anonymous
Post 06/12/2024 07:17     Subject: What woukd you consider low b12?

Anonymous wrote:
Anonymous wrote:Stupid question: does taking a supplement give a false acceptable level? That is, do I need to abstain from the supplement for X length of time prior to testing to ensure that I'm getting an accurate measurement of my level?


Supplements could give false acceptable levels. From a website that sells home test kits in the UK (the NHS is notorious for refusing to test for B12 except in the most extreme circumstances):
"To accurately determine deficiency or low levels of vitamin B12 you must stop taking any vitamin B12 supplements a few weeks before your test. Ask your doctor about this if it is prescribed to you. You should also avoid taking biotin supplements for at least 2 days before you test – again, check with your doctor if it’s prescribed to you."

https://www.hollandandbarrett.com/the-health-hub/vitamins-and-supplements/vitamins/vitamin-b/how-to-test-b12-levels/

As for what is low, Japan and Europe have a cut off of 500 to 550, and our cardiologist has said good neurologist wants at least 500.



Interesting. My level is considered normal at 410. I am vegetarian and have started taking gummy supplements.
Anonymous
Post 06/11/2024 23:25     Subject: What woukd you consider low b12?

Anonymous wrote:Stupid question: does taking a supplement give a false acceptable level? That is, do I need to abstain from the supplement for X length of time prior to testing to ensure that I'm getting an accurate measurement of my level?


Supplements could give false acceptable levels. From a website that sells home test kits in the UK (the NHS is notorious for refusing to test for B12 except in the most extreme circumstances):
"To accurately determine deficiency or low levels of vitamin B12 you must stop taking any vitamin B12 supplements a few weeks before your test. Ask your doctor about this if it is prescribed to you. You should also avoid taking biotin supplements for at least 2 days before you test – again, check with your doctor if it’s prescribed to you."

https://www.hollandandbarrett.com/the-health-hub/vitamins-and-supplements/vitamins/vitamin-b/how-to-test-b12-levels/

As for what is low, Japan and Europe have a cut off of 500 to 550, and our cardiologist has said good neurologist wants at least 500.

Anonymous
Post 06/11/2024 20:12     Subject: What woukd you consider low b12?

I was symptomatic at 239
Anonymous
Post 06/11/2024 12:37     Subject: What woukd you consider low b12?

Anonymous wrote:A methylmalonic acid test is better. High levels indicate a vitamin B12 deficiency. Much more useful test, just as accessible.


You’re supposed to measure both.
Anonymous
Post 06/11/2024 07:44     Subject: What woukd you consider low b12?

Stupid question: does taking a supplement give a false acceptable level? That is, do I need to abstain from the supplement for X length of time prior to testing to ensure that I'm getting an accurate measurement of my level?
Anonymous
Post 06/11/2024 07:40     Subject: What woukd you consider low b12?

A methylmalonic acid test is better. High levels indicate a vitamin B12 deficiency. Much more useful test, just as accessible.
Anonymous
Post 06/11/2024 06:42     Subject: What woukd you consider low b12?

I’ve seen posts here about how the generally accepted levels are actually too low.

Thanks.