Today I received a telephone call from a member whose sister has been diagnosed as having B12 Deficiency.  Her serum B12 reading was 178mcg/ml with the laboratory’s reference range is 220-660mcg/ml.

The GP is refusing to treat the sister with replacement therapy and has attributed her declining mental health to her having bi-polar disorder.

“What can I do” she asked me, “they are referring her to the local mental health team but her behaviour is deteriorating by the day.

I really couldn’t offer any help.