Doctor insights on:
What Is The Relationship Between Vitamin Deficiency And Pernicious Anemia
It's the cause: Pernicious anemia is caused by vitamin B12 deficiency, which is most commonly caused by lack of intrinsic factor, which is a protein that's made in your stomach. Other causes of low B12 and other vitamin deficiencies can cause a nearly identical anemia, but then they are not called "pernicious" anemia. ...Read more
Positive mthfr heterozygous after multiple miscarriages, known pernicious anemia, what is the likelihood of having other b vitamin deficiencies?
Not more likely but: Pernicious anemia is due to problems absorbing B12 but doesn't interfere with absorbing other vits. Mthfr mutations mean you have trouble converting Folic Acid to the active form, so take l-5-mthf. Genes don't affect absorption of other b vits but due to genetics some require higher amounts of b's than others-your other issues don't mean you're more likely to have this but it's safe to try b complex. ...Read more
Not clear: No clear evidence for the causal-effect relationship between the two. PA is an autoimmue-mediated destruction of parietal cells in stomach, resuling in impairmnent of B12 absorption. Certainly it is possible that pernicious anemia may co-exist or exacerbate duodenitis via immune process or loss of balance in duodenal fluid, or anemia. But the causal-effect relationship is not well established. ...Read more
What is a recommended diet for someone with hypothyroidism, hypercortisolism, pernicious anemia, and a vitamin d2 deficiency?
Nutrient dense foods:
Eat foods that are nutrient dense (like meat, fish, poultry, eggs, cheese, low starch vegatables and water) avoid foods that are not nutrient dense (like starches and sugars, including fruit)
nutrient dense foods will increase your basal metabolic rate. On the other hand, starches and sugars impair thyroid metabolism via affects on your liver (which helps activate thyroid hormone). ...Read more
Please what's the difference between pernicious anemia and vitamin B12 deficiency. My iron levels are perfect. I'm getting injections for vitamin b12.
Intrinsic factor: Vitamin B12 is present in meat and animal protein foods. Absorption of B12 occurs in the intestine (ileum) and requires intrinsic factor (IF), made by stomach cells. In pernicious anemia, IF production is deficient, and results in anemia, a reduction in hemoglobin/hematocrit. One can be vitamin B12 deficient without becoming anemic and/or without having deficient IF. Best wishes:) ...Read more
I have vitamin B12 Deficiency not pernicious anemia. My doctor told me. My reading was 160. What is that number is it 160mcg.
It's on your report:
The lab report should have a reference value. Sometimes it is reported as nanograms per milliliter (ng/mL), or as picograms per milliliter (pg/mL)
1 picogram is equal to 0.001 nanograms, making the nanogram a larger unit.
when you take b12, the dose is usually in micrograms (mcg)
1 mcg is equal to 1000 nanograms
i had to look up all that, by the way ...Read more
Hi I have vitamin B12 Deficiency. Doc didn't say pernicious anemia. Everyone said I'm going to get cancers. God im so scared. I've started injections?
B12 def: Are you vegetarian or vegan, they have B12 issues at times because B12 sources are animal. May also be ileitis or intestinal issues where B12 is absorbed (if not pernicious anemia) or dietary/ age. If you are on injections and you level are adequate (I like above 400) I would not be concerned, don't worry ...Read more
If you take B12 shots & have a deficiency can it cause hair to thin? I hav pernicious anemia. L get my shot every 30 days & take vitamin d pills daily
My doctor has told me I do not have pernicious anemia. I have vitamin B12 Deficiency. Blood test result was 160. So I have mild vitamin B12 Deficiency?
Get a consult: "Mild vitamin B12 deficiency" is like being "a little bit pregnant." It should not happen -- ESPECIALLY if you are, as you say, pregnant. If this happened because you are a vegetarian, reconsider or start supplementing now. Otherwise, you have a right & duty to know what's happening. Your primary care physician didn't communicate answers to you -- a 2nd physician's input is in order. ...Read more
Oral B12 is not absorbed in PA
need to take it sublingually or via injection ...Read more
Most true B-12: Deficiencies are due to loss of "intrinsic factor", secreted by the stomach, it aids absorption, so if it is missing pills will not work. Shots of b-12, cyanocobalamine, are bright red, and are used for placebo effect in some instances. Most people have intrinsic factor, normal b-12 levels. ...Read more
Many things: Classically vitamin B12 or iron deficiency is the text book answer, but in the US today, this type of inflammation is more often caused by topical trauma, such as wind, cosmetics, or mouth pieces used in some sports. Some medicines cause the mouth and lips to become dry, and occasional allergic reactions to meds or foods have been reported. ...Read more
My 12 yr old boy has brown finger nails and toe nails. Is that a anemia or vitamin deficiency? He's tried a lot.
Hello doctor, I am having chronic illness from past 5-6 years. Fatigue, difficult to concentrate, vitamin deficiency anemia but normal now, zigzag vision, lack of sleep. All reports are normal CT scan, MRI, thyroid etc. I am taking migraine medication past
Your symptoms may be due to one disease or several diseases. Health Tap is not meant to try and diagnose complicated illnesses with multiple symptoms. Please don't try to diagnose your condition on line, it will only confuse and frighten you. If you want to find out what is wrong you must see a Dr. For a careful medical history and examination.
Good luck. I hope you get well soon. ...Read more
No intrinsic factor: B12 in the diet usually binds to intrinsic factor in the stomach and then gets absorbed by the small bowel. In pernicious anemia, there is low or no intrinsic factor being made by the stomach cells. As a result, there is gradual deficit of B12 stores and eventaully as all the B12 is gone the new red blood cell production is affected. ...Read more
MCHC=mean corpuscular hemoglobin concentration
This value is a calculated value of hemoglobin per red cell. In iron deficiency the body has difficulty making enough hemoglobin, and the resultant cells are both small and low on hgb. The defect with PA is not with hgb synthesis but with cell replication and nuclear maturation, so the amount of hgb/cell is unaffected. ...Read more
I have pernicious anemia & iron deficiency anemia (severe) of Unknown origin. My hemoglobin has always been stable (low normal) but has dropped twice?
How was your pernicious Anemia diagnosed? Are you on B12 injections? Are you receiving Folic acid tabs? If you are not receiving replacement therapy for both, you need to see a blood specialist for eval & treatment.
A far as you Hgb dropping twice, there is a source of blood loss, from your GI tract (stomach or colon). you need EGD & colonoscopy to look for blood loss.
Take care ...Read more
Is there a specific blood test to diagnose pernicious anemia? I have a family history. My doctor told me I have borderline B12 deficiency.
Pernicious anemia: Yes your doctor can run a battery of tests including a cbc, peripheral blood smear, a serum b 12 level, and a reticulocyte count. These usually will help to diagnose the condition. Sometimes methylmalonic acid and homocysteine levels will be drawn to help with the diagnosis. ...Read more
My blood test confirmed my B12 level was low at 178, is that just a deficiency or considered pernicious anemia? I also have iron deficiency anemia.
Please do what: Your doc asks you to do. Your B 12 is low. Sublingual tablets of B 12 that melt under the tongue are much better than swallowing B 12 because that has to go through the GI tract and you absorb much less. Peace and good health. ...Read more
Related: Technically, pernicious anemia (pa) is due to low B12 levels caused by changes in the stomach resulting in decreased ability to absorb the B12 from a lack of something called "intrinsic factor." there are other causes of B12 deficiency that technically are not pa. Today, tests can find B12 deficiency before someone has symptomatic anemia so deficiency by itself is not always pa. ...Read more
I have symptoms of severe B12 deficiency/pernicious anemia but also derealization, brain damage, and heart problems could these occur from the B12 def.?
Yes except heart:
B12 deficiency can cause a variety of neurological symptoms including "derealization"; it can adversely affect brain function but that damage should be reversible. It can cause high homocysteine which increases risk of cardiovascular disease ; anemia puts stress on hearts, but it should not directly cause heart problems in someone your age. See
http://tinyurl. Com/ofaclgs ...Read more
What do the red blood cells look like under the microscope in iron deficiency and in pernicious anemia? Any other blood cells affected?
Two distinct looks..: Fe deficiency causes a hypochromic microcytic anemia, which means the cells are smaller than normal and have decreased pigment. The zone of central clearing in a red cell (normally 1/3 its diameter) is significantly increased. In pernicious anemia, the red cells are enlarged (aka, macrocytic). You may also see changes in neutrophils, such as increased nuclear segmentation (>6). ...Read more
It can: Pernicious anemia (a severe type of vitamin B12 deficiency) can cause memory problems, irritability, and dementia. Dementia goes beyond having memory problems, and can include difficulties with understanding, reasoning, handling multi-step tasks, and can be accompanied by personality changes. Symptoms generally improve with treatment. ...Read more
Husband has gout and pernicious anemia. What kind of diet should he be on and what sort of care should he be given?
Gout diet: B12 injections ongoing. Take in tart cherry juice +tart cherries, 10/day. Add Lemon extract 2 tblspns/day. Avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz/day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 L /day. Multivit ...Read more
Some: Pernicious anemia is due to malabsorption of vitamin b-12 from the GI tract. It is a form of low blood cell count with associated symptoms of fatigue, paleness, breathing difficulties, etc. While not very common, all such patients should be evaluated by their doctor to give treatment for the pernicious anemia if that is the only problem and to discover any other problem. ...Read more
The two are linked:
This finding goes back to 1964, believe it or not:
http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc1552204/? Page=1
there are autoimmune antibodies in both conditions, so while one might not cause the other, the two are related. ...Read more
Big RBC: Pernicious anemia is deficiency of vitaminb12 due to autoimmune attack on cell of the stomach and antibody against intrinsic factor- presented with megaloblastic anemia. Pa is only one of the causes of megaloblastic anemia- however other causes that can cause def vitb12, or folate (folic acid) or other drug eg. Bactrim- that inhibits dna synthesis in RBC production also can cause megaloblastic anemia. ...Read more
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