New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 7/19/2010 11:31 PM (GMT -7)   
Hi all,
 
I have been on and off B12 injections many times but since my surgeries in 07/08 I have to give myself a 1 time per month shot.  My old Dr had me do it SQ where as the one I see now put on the bottle  IM.  I still do subcutanious as I am leary of intramuscular even though I think it might absorb faster.
 
My question is my levels when tested with my 1 time per month shot read normal even when getting close to the next shot date, however I tend to get more fatigued when it gets closer to shot day and it seems to linger a few days post shot..is this normal?  Do any of you have the same fatigued feeling (more so than the norm I feel that is) when it gets closer to your B 12 injection?  How long until you notice a difference after getting the injection?
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


Grandpato2
Veteran Member


Date Joined Dec 2009
Total Posts : 681
   Posted 7/19/2010 11:49 PM (GMT -7)   
I'm on a 4 week schedule as well. The only thing I noticed is 2 great sleeps the 2 nights after the dose, which I get IM. I do get fatigued if I go over the 4 weeks and notice increased energy after the late dose.
Male, 55 years old with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since May, 2003. Had a gall bladder removed Nov. of 2009. Currently on Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. In the past, 5-asa Salofalk, Asacol, Entocort,  Imuran and Prednisone.


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 7/20/2010 5:05 AM (GMT -7)   
The needles my doctor scripted for my B12 self injections were considerably thinner and shorter than the needles they use to give me a B12 injection in their office. THAT was a relief the first time I had to give my own injection! I can't remember the guage of the needle but it was either 5/16" or 3/16" long. It was simple to just give the injection in the thigh because the needle was so short. No need to even pinch the thigh muscle. I had to give them weekly every Friday.
My computer says I need to upgrade my brain to be compatible with its new software.


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 7/20/2010 5:14 AM (GMT -7)   
OK, so now I am going to look silly, but I've always thought I was doing (actually my husband cause I'm a chicken) IM shots, but my needles are just shy of an inch long, so does that make it SQ? and what is the difference other than the absorption?

about 3 years ago, I went from once a month to every 2 weeks. My levels are pretty good now and my doctor has said I can go back to once a month if I want. BUT, I get a tingly feeling in my scalp after 10 days or so, and I sleep better for the first night, maybe 2 after the shot. So I know that my levels aren't being accurately shown on the blood work. If I go an extra week, my tingly feeling spreads. It goes away after the shots.

I really think we are just more sensitive to fluctuations in the B12 level. A level that might be OK for someone without CD is just too low for us.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 7/20/2010 5:38 AM (GMT -7)   
Zanne, the first time I finally got up enough nerve to try giving my B12 shots myself my doctor's nurse had already filled the syringe to give the B12 shot to me. When I said I would try myself, she immediately pulled that needle off the syringe, left the exam room, and came back w/a CONSIDERABLY thinner, shorter needle. It is 5/16th inch long, I don't remember the guage. It is so short and thin I just push it into my thigh and its an IM injection. Believe it or not, its turned out to be a piece of cake to give my own B12 shots. This from the gal who used to go into dry heaves when the doctor whipped out the syringe to give my kids thier baby shots!!! I had to give them to myself weekly for over a year.
My computer says I need to upgrade my brain to be compatible with its new software.


njmom
Veteran Member


Date Joined Apr 2006
Total Posts : 1884
   Posted 7/20/2010 5:51 AM (GMT -7)   
Zanne, unfortunately what labs call normal, which is anything up to the low 200s, is misleading to most docs.
 
Most endocrinologists tend to go by stricter guidelines - anything under 300 can be presumed to be B12 deficient. BUT B12 should not be below 400, because this is where the possibility of deficiency exists.
 
Optimally, B12 should be in what is called the "high normal" range, between 500-700.  But at the every least, it should not be below 400.  

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 7/20/2010 7:02 AM (GMT -7)   
I think mine is around 270 at the last check, so I am right that going longer between shots is not something I want to do. Luckily it is my GI who suggested it, but it is my GP who RX's it. So as of right now I am on every other week shots and I don't have to change my schedule.

My husband does the actual injections for me, but I do all the "prep" work. I can do pen injections, but I just don't want to do the ones where I actually have to see the needle. My needles are 5/8", so does that make it a SQ injection? Its a thin needle, but not as thin as the first batch I got. Those were really thin, but also a bit longer, my husband actually hit bone the first time, just a bit strange.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


cleo35
Regular Member


Date Joined Feb 2007
Total Posts : 430
   Posted 7/20/2010 2:07 PM (GMT -7)   
Doesn't IM mean inter-muscular and SQ mean sub-cutaneous? I do mine sub-cutaneous and I would think if the doctor changed it to IM I'd require some training by the nurse. I've been on B12 shots once a month for 8 years and never given them IM. You need to call your doctor's office and speak with his nurse to clarify what you're supposed to be doing.

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 7/20/2010 2:22 PM (GMT -7)   
My directions on my script are written for IM. My sister, a nurse, taught my husband how to do the injections years ago. We wrote the steps down and still keep them in a plastic baggie with all the supplies. I go over them every so often just to make sure that we are getting too familiar with the process and skipping something. Since my needles are significantly bigger than the other ones mentioned I am guessing that my doctor wants me to do them IM not SQ.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


SnowyLynne
Veteran Member


Date Joined Apr 2004
Total Posts : 1539
   Posted 7/20/2010 2:41 PM (GMT -7)   
Hubby gives me my B-12 injections...........
SnowyLynne


dunny2
Veteran Member


Date Joined Jan 2007
Total Posts : 3200
   Posted 7/20/2010 2:50 PM (GMT -7)   
B12 are supposed to be IM. I give myself one bi-weekly, but to answer the original question about feeling
different, my answer has to be no. My levels are still fairly low at 300, but acceptable. This is after doing this
now for several years.
Vicky

Too many years with CD
Two bowel resections, several obstructions.
Fibromyalgia and recently diagnosed with chronic pancreatitis and lupus.
B12 Shots bi-weekly

Laughter is the brush that sweeps the cobwebs from our hearts...


dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 7/20/2010 11:28 PM (GMT -7)   
My Crohn's Specialist I had when I was in RI had them done to me in the office as well as at home ALWAYS SQ where I angle the needle as I do for my Humira syringe. The script out here was written IM. I see my PA the 30th and will mention it to him since I do not see my GI til Aug 23. My PA is the one scripting the b12 to me.
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 

New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, December 03, 2016 7:05 PM (GMT -7)
There are a total of 2,732,356 posts in 301,012 threads.
View Active Threads


Who's Online
This forum has 151172 registered members. Please welcome our newest member, Whydoesithurtsomuch.
319 Guest(s), 10 Registered Member(s) are currently online.  Details
ewafromwarsaw, 81GyGuy, Shaz032, AnxiousTexan, summer16, Girlie, Uniform Charlie, Fairwind, Ggrlsav, DutchessCountyJim


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer