I think I'm really lucky with my gp- she had me tested twice- i was low, just not massively low, so was tested for pernicious anaemia & results were negative but the b12 was still low. I was on Lamotragine for 7 years DH and I married last year and the plan was to try and come off my meds before we started ttc- I tried coming off last year and it was a nightmare, especially at the very end, then my Nana died (we were very close) so I gave up on coming off, and actually went through a bad patch for a while.
I came off the Lamotragine 3 months ago (took a couple of months reducing the dose) & once I finally stopped I started feeling exhausted, wobbly, faint, EXHAUSTED, irritable (being an utter bitch to DH)- I put this down to withdrawal, which I just had to deal with, telling myself I would get better and could go back on the meds once I'd had a baby...
Apologies for the long post, but it's a long story- sorry!
So a completely separate thing is that I started getting a rash on my hands in the springtime for the past few years and last year it got particularly bad, was initially diagnosed as an eczema flare up, until after a holiday last August when it was terrible and I took pictures (it would die down once I was in cool and grey UK) & my gp said she suspected polymorphic light eruption. So my mum has lupus and PLE can be a precursor to lupus (great! I thought, that's all I need...), so my gp finally referred me to a dermatologist this year, when I reminded her, around the time I was coming off the Lamotragine. Because of a possible lupus link, my gp ordered all the autoimmune blood tests, and this is where the b12 thing came up!
So, I've had 2 shots so far (prescribed shot a month, for 3 months), and I'm feeling a zillion times better!
Crawling- my diet contains more than enough b12, but I don't absorb it properly- apparently stress and anxiety can inhibit the body's ability to absorb it from the gut, but it absorbs it perfectly via the injection.
So, part of me wonders is it bp2 or just years of low b12? For the record psychiatrist thinks all is connected & prob still bp2, but to keep an eye on this development....