Quote:
Originally Posted by Aces4
(Better known as Vitamin B12 deficiency which could be caused by pernicious anemia, restrictive diets or medications). Simple bloodtest may solve a lot of questions.
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These are some of the blood tests recommended to me as a starting point.
Blood Tests
* Vitamin levels
* Vitamin B12 (plus methylmalonic acid, homocysteine if B12 borderline)
* Folate
* Vitamin B1 (thiamine), Vitamin B6, Vitamin E if suspicion
* Thyroid function tests (TSH, Free T4) – rules out hypothyroidism
* Kidney function (BUN, creatinine, electrolytes)
* Liver function panel
* CBC (complete blood count) – screens for anemia, infection, bone marrow issues
* Fasting glucose & Hemoglobin A1c – even if not diabetic, helps rule out prediabetes
* Serum protein electrophoresis (SPEP/UPEP) – checks for multiple myeloma or monoclonal gammopathy
* Inflammatory/autoimmune tests (if indicated): ANA, ESR, CRP, rheumatoid factor