A female asked:
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i have symptoms of b12 deficiency. sister & grandmother pernicious anaemia. b12 is 306. rbc & hct low. mch high. doctor ruling out pa. opinion? i'm 34

1 doctor answer
Dr. Julie Abbott
44 years experience Preventive Medicine
If you were my: patient, I would treat you for B12 deficiency after also checking MMA (methylmalonic acid) and homocysteine. 200 pg/ml is usually considered the lower limit of normal but with modest anemia, elevated MCH, symptoms and family history I would go ahead and treat you. I hope you feel better soon. Stay well:)
Answered on Dec 20, 2016

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