Doctor Sherlock.

My posts haven’t had the ‘smartass zing’ lately that they’ve had in the past. I guess sometimes this shit just ain’t funny.

Anyhoo…I’ve written a few posts regarding potassium and how the solu medrol causes low potassium. I’ve been having some symptoms lately that have really had me “by the balls”, like chest pains, shortness of breath, and REALLY bad heart palpitations that were all easily caused just by moving around to much. I’ve been a couch potato lately and it’s making me nuts. I have an appointment with my cardiologist just to check things out, but I really think I have a deficiency of some kind.

I contemplated going to the ER on Friday for it, but the risks of going to the ER outweighed the benefits. I didn’t want to go to the ER for something that isn’t necessarily an emergency and catch the flu virus while I was there or that lovely new stomach bug going around. Last time I had a virus I was in the hospital for 5 days. I definitely don’t want to do that again. So I decided that I wasn’t going to go unless it was an absolute emergency.

So I’ve been trying to make myself feel better by eating a potassium-rich diet, but only getting a little relief. It occurred to me this morning that I could be having more than one nutrient deficiency, and after having a vitamin drink mix, I realized I was right. After researching my symptoms I determined I’m most likely having a folic acid/b12 deficiency. Luckily, I have a prescription for this supplement still around from when I was taking it with methotrexate.

I took the supplement today, and while I don’t feel 100%, I feel a noticeable difference. I am not a doctor, so I obviously cannot diagnose myself, but I am sometimes able to narrow down what the problem is so I don’t have to run to the doctor every 5 minutes. I’m not a person who goes to the doctor for every little thing. I spend so much time there as it is that I just don’t want to go unless I have to.

There are quite a few different causes of a folic/B12 deficiency, some even auto-immune, so I am not at all surprised that I could be having a problem with it. A B12 deficiency is sometimes called pernicious anemia, and if I had to guess, this is what I think my problem is. It would explain the scary weight loss I’ve been worried about, loss of appetite, stomach aches after eating, and all the chest pain/heart palpitations/breathlessness I’ve been having.

All this time my doctor and I just thought I was having crappy side effects. I plan on calling her to let her know what I think is going on. It will be interesting to see if I’m right.



  1. Im surprised you were allowed to take folic acid on MTX? It is a folic acid inhibitor, and my rheumatologist wont let me take any. And to you: to have to live with so much so young just totally sucks. You are strong and an amazingly strong advocate for yourself. I have multiple illnesses, but I am in my 40’s, so it doesn’t seem so crappy to me. I wish you the best with getting the Lupus under control, and Im hoping your kidneys are not affected! (Im a pediatric dialysis nurse 🙂 )

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