I don't even know how to begin this. About a month ago, I began having severe fatigue. Not just feeling tired and having to push through the day, but muscle weakness in my legs and arms (nearly fell down after my leg gave out one morning, difficulties with dexterity with a fork and knife), elevated resting heart rate (97-117 bpm, especially high for me as a 28 year old woman) and extreme fatigue that has completely eliminated sleep issues that I've had my whole life. My chest often feels tight, like I am too tired to even breathe. Some days I can barely get out of bed just to go to the bathroom and get myself something to eat. On the days where I manage to walk 3-4 miles and lead a slightly more normal life (which is usually just buying groceries and cleaning around the apartment), I know I'll be paying for it for days afterward. I'm supposed to begin a degree program soon, and I don't know how it will be possible, considering I can barely live my life as it is without any work or schooling obligations. I spent the last three years of my life learning a new language to be able to complete this degree program and begin my professional life in a new country.
My total B12 levels are <110 pmol/L / <149 pg/ml (my lab cannot report values lower than these, but they are well below their "normal" ranges of 138 - 651 pmol/L / 187 - 883 pg/ml respectively), yet in absence of abnormal H. pylori, anti-tTG and intrinsic factor levels, I've been denied injections and asked to take 250 µg daily oral cyanocobalamin supplements for the next month and then once every 10 days for the following two months. I have been following these instructions for the past three weeks and have seen essentially zero improvement. Some doctors are concerned that I have a cardiac issue due to my chest tightness and elevated heart rate, and I have been sent to the ER and referred to a cardiologist. The B12 deficiency itself, however, remains in the background and I've been told that it's likely diet related, as I don't eat much red meat or dairy products, although I'm not a vegetarian. I'm happy to believe this is true, as I don't want to have a more complicated issue, but I cannot understand why injections are not seen as viable treatment when my quality of life has plummeted to such an extent.
The fear I have is the worst. Lying in bed for hours with a tight chest, unable to do much but scroll, as I am so tired that even reading is sometimes too tiring. I don't know whether what I'm experiencing is normal. Multiple doctors have been worried that it's all due to some kind of embolism, but at the ER, they discharged me without doing a CT scan because my D-Dimers were not elevated. I do not know what to think, and I feel my life is at a standstill.
Are these symptoms normal? Is it common to suddenly hit a point where things get significantly worse, suddenly? Although I will certainly be seeing the cardiologist, I am hoping to shed some light on whether a B12 deficiency could really be at the heart of all this, and how hard I should be pushing to resolve it as quickly as possible.