Serum b12> 1999 mma 0.4, homocysteine high 19. No folate (folic acid) or iron deficiency normocytic anemia not responding to procrit. Is this an absorption issue?

Anemia. can be caused by blood loss or bone marrow suppression as well. More information is needed ( how long have you had a normal iron, folate (folic acid) and b12 level. What is your reticulocyte count ? ( is your bone marrow producing new RBC's) ? How low is your HCT and has it come up or gone down with B12. Is the RDW elevated ( do you put out large and small RBC's at the same time? Any blood loss ? .

Related Questions

Hemoglobin 8.4, kft, anemia profile, protein electroph, iron, b12, folate, (folic acid) m protein - all normal. Kappa lambda ratio 2.96 - means?

Anemia. You are anemic which means that you're losing blood, or not making blood or destroying blood. A hematologist will have to look further into your anemia as the above mentioned tests shed no light on the diagnosis. Read more...
?Find cause for Anem. You have anemia for which your doctors should find a cause. This requires doing a variety of tests which a good physician or a hematologist(blood specialist) can do. Unless already done, you need an examination of your bone marrow and more tests till we find the cause of your anemia. The light chains may be hinting at a possible cause which can be checked further with a bone marrow examination. Read more...

Is anemia curable by taking extra oral vitamins like folate (folic acid)? Is B12 available orally or only by shots? Already taking iron.

Depends on the cause. Treatment of anemia has to be directed to the cause of anemia. Iron replacement for iron deficiency, folate for folate deficiency, vit B12 replacement for vit B12 deficiency etc. Vit B12 can come as oral trablet, intramuscular injection, nasal spray. I suggest you to see your doctor to find out the cause of the anemia. You need to see hematologist for more complex case. Read more...