B12 diy Doctoring

what?

or not as the case may be....

great film now we only have a Cosco there...pathetic

Does the building still exist ?

And now feeling even better today no numbness in my hands ... brain fog lifting ... not dizzy when I stand up ... no spastic gait ... no palpitations ... no eye problems with light sensitivity ...not even been a week since I started taking the supplement ...

Your doctor gives “routine” B12 injections personally? Seems a huge waste of a medical training. Our practice nurse does all vaccinations and other regular injections.

Tim

It's the usual deal.

A nurse cannot give an injection without a doctors approval.

If a nurse is standing in a hallway, having a smoke, you can't ask that person for an injection. Nurse goes to doctor, gets approval. Then, the shot can happen. The nurse is a proxy for the doctor, and has no authority of their own.

In one case, a doctor (they rotate at the clinic) said "NO, YOU MAY NOT HAVE THE SHOT". I don't generally ask these jokers for a lengthy rationalization. Of course, I could have run off somewhere, and got someone else to do it.

This is how I ended up on the pills adventure.

Roughly 250,000 people here, are receiving B12 injections. Enough, that the health care system complained about the over-subscription rate of the treatment. This is probably the reason I had that doctor reject the request to do the regular injection (once a month, I'd been doing that for a while).

I think she took one look at the records, saw who prescribed B12 injection previously, and that's why she canceled it :-) Office politics.

Paul

That would be illegal here. And damn poor practice anywhere.

If there's one thing I hate, it's when a supplement or a treatment, you take it for three months, and it does f*ck all. And people will say to you, "well, it's supposed to work" or they say "oh, you should keep taking X and it will probably help".

I've taken a treatment (OTC) and had it work in 24-48 hours, and that's the kind of dose-response I like to see. I don't like treatments where you can't tell they're doing anything.

Obviously in your case, with a response in a week like that, you really were low. I doubt any other medical condition (long COVID) would clear like that.

You should try a Google now, look for anecdotes of others who received B12, and see if their response took a week or so. To see if this dynamic is common.

The time constant, for liver storage of B12, is one month. And the rate the body fills with B12 (via the gut) is limited. If you take 1000 mcg, your body likely makes good use of it. If you took 10*1000 mcg in one day, your body converts 2*1000, and 8*1000 is pissed out, unconverted. And since it takes time for the liver to recharge, you would expect it would take daily doses for a while, before the level would come up enough to help.

I'm surprised you didn't have that box ticked on a blood test form, at some point in the past.

Paul

that is what I thought it was,,,long covid

thanks for your help....

I go through some of that, but the bar for blood test is relatively low, and if you explain your logic properly, the doctor won't object.

In my case the sequence was: B12 measured low, place on injection, injection stopped, switch to pills, need to measure pills are working (3 months of pills). And the doctor did not object. The result was mid-band.

One difference is, I have a computer account for two "portals", one is the clinic "portal", the other is the hospital "portal". When the blood lab comes back, I receive an email telling me it is available. I download and have a look. Then, I can head off to the clinic and discuss it. It depends on which doctor ordered it, as to which portal it would show up on. I still get an email in either case.

Lots of stuff here in medicine, is still done with FAX machines. And they swear they will stop doing this, some day. As an example of random stupidity, they would send a form using FAX, using a stale FAX number that is no longer in service, I go home, check on the web and find the right FAX number, go back to clinic, get an assistant to re-send the form to the correct FAX number. I'm told by the staff "now, you check that this got there" -- the communication is as reliable as the ability of the patient to expedite it for themselves. Nobody else cares whether the FAX gets there, and they refuse to use email.

Paul

Not here.

Wrong here. And the approval can be like a prescription, with multiple repeats.

But the doctor can authorise say monthly injections at one time.

Not when the doctor has seen the test results and ordered multiple injections over time.

But can be authorised to give multiple injections over time.

And pharmacists here can authorise some injections and don't even need any doctor's authorization with vaccinations.

Then you should have made an obscene gesture in that clinic's general direction and used a better one.

And you should have done that.

Mad. Makes more sense to use a better clinic.

Then you should have used a better clinic because f****ng it up like that produces long term medical damage.

What matters is whether the rigorous science shows a useful statistical benefit. That why the protocol post heart attack includes statins and that has been proven with rigorous science.

But molnupiravir and nirmatrelvir + ritonavir do with the original covid infection if given early enough.

Just another incompetant doctor. Maybe confused by his transplant anti rejection medication.

No bar here, it is completely routine at every annual checkup.

Ours rings you if there is anything of concern.

can't remember

that would be hard as I didn't get a face to face consultation with him ....

What would be hard ?

Dont need a face to face consult, all you needed was for him to know about your transplant from your records and assume that the symptoms you complained about were due to your anti rejection medication.

which they are not