Hi my sister has like me a underactive thyroid, She also has dibates type 2 anyway she has been told she as raised white blood cells it is now 13.3 each time she as a blood test it seems to go up??? also she has told she is border line anaemic she was put on Compound Strong vitiams B tablets for 3 months when she started her vitiam B12 was 200 after 3 months it had gone down to 188 the nurse said for some reson her body is not absirbing vitiams (why) Also she has clubbing finger nails.All this is not right, she has had a heart scan, chest xray, Lung xray,Colonoscopy all have come back ok , can anyone help or have any Idea what could be going on.What is the normal range for vitiam b12 she was told by one nurse its 200-800 and another 180-800?????
could this be Leukemia..... Many thanks ...Mandy

Test values are different from one lab to another. With diabetes in the picture it could be a cancer or it could be an immune system reaction since often diabetes is thought to be an irregular immune response to the pancreas and insulin making; that causes diabetes. 13 is not too awful high a blood count, but the B vitamin problem is a common one among people who have an auto immune disorder. The doctor is the one to figure this one out.

Thakyou for your reply Merimac,Anybody else who can help??? My sister and i do have Autoimmune Disorder...Mandy

If her b-12 levels continue to be low while taking the pills then her doctor should be giving her b-12 injections monthly. You develop pernicious anemia because of abnormally low b-12 levels. If the b-12 level is corrected then the anemia should resolve.Clubbing of fingers is related to poor oxygenation of the tissues which could also be related to her anemia. Your sister also might ask the doctor if liquid b-12 might be better absorbed.

Thankyou Mari I do think my sister will need to have the B12 shots take care ..Mandy