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B-12/ Kathy/Dawn/All

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Hey Kathy-

I just spoke with Maddie's PCP, and she was doing her own research on the B-12 issue. How did you all decide that your son needed the B-12 shots? The doc and I discussed this briefly. Did you all do a Schilling test? Maddie sees her metabolics doc on the 28th, so unless she feels that something needs to be done sooner, I won't know anything further until then. I would like to go in with some other information, if possible. TIA.

HOlly

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Hi, Holly -

had a serum B-12 of >2000, which my doc thought meant dysfunction. About a year ago, he had an intramuscular shot of cyanocobalamin (the old B12) with terrible side effects - language regression, aggression, self-injurious behavior. My doc told me that it would go away in 24-48 hours; it was still there a week later. He then put him on high doses of P-5-P (pyridoxal-5-phosphate, the activated form of Vitamin B6) and the symptoms disappeared in 8 hours - he was even better than baseline (he has autism)). The doc figured that he had some blockage in his B12/methylation pathways that cyanocobalamin was obviously not helping, and further impairing. He had responded so positively to all the other methylation cycle supplements that when subcutaneous methylcobalamin (M-B12) became available, and 90% of the kids with autism in Dr. Neubrander's study responded with improvement in symptoms of autism, my new doc (long story) wanted to try it. has done very well on the M-B12. He gets a shot twice a week.

So - long story short - there is no lab test to diagnose functional deficiency of B12 in kids with autism. The Schilling test is used for people with pernicious anemia, I think. No one is using IM cyanocobalamin in kids with autism any more, in favor of M-B12, which seems much more effective and better tolerated in kids with autism and methylation cycle abnormalities. I don't know what this would mean for kids who don't have autism. My 3 kids and I are suspected of having a mito disorder as well, but we haven't been worked up yet, except for low Carnitine levels and suspicious histories and clinical presentations.

Hope this helps-

Kathy

B-12/ Kathy/Dawn/All

Hey Kathy-

I just spoke with Maddie's PCP, and she was doing her own research on the B-12 issue. How did you all decide that your son needed the B-12 shots? The doc and I discussed this briefly. Did you all do a Schilling test? Maddie sees her metabolics doc on the 28th, so unless she feels that something needs to be done sooner, I won't know anything further until then. I would like to go in with some other information, if possible. TIA.

HOllyPlease contact mito-owner with any problems or questions.

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Thanks Kathy-

I'm printing this to take to the metabolics doc!

Holly

B-12/ Kathy/Dawn/All

Hey Kathy-

I just spoke with Maddie's PCP, and she was doing her own research on the B-12 issue. How did you all decide that your son needed the B-12 shots? The doc and I discussed this briefly. Did you all do a Schilling test? Maddie sees her metabolics doc on the 28th, so unless she feels that something needs to be done sooner, I won't know anything further until then. I would like to go in with some other information, if possible. TIA.

HOllyPlease contact mito-owner with any problems or questions. Please contact mito-owner with any problems or questions.

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