Topic Explanation

The discussion centers around two main health concerns for an individual with a permanent ileostomy since 2006: persistent low vitamin B12 levels and a low platelet count. The individual has been receiving monthly B12 shots for years, but due to increased costs, they are seeking alternative supplement options. Additionally, they have experienced a low platelet count for many years without a clear explanation or solution from their doctors, and they are looking for advice on how to address this issue.

Advice and Insights

- B12 Supplementation:
1. Consider taking B12 tablets as an alternative to shots. A bottle of 100 tablets can be relatively inexpensive.
2. Gummy chewable B12 supplements are an option and have been effective for some in raising B12 levels.
3. Activated methyl B12 at 1000 mg daily is suggested for initial use, then adjust as needed for maintenance.
4. Chewable B12 supplements may help with absorption issues, which could be beneficial for those with an ileostomy.

- Low Platelet Count:
1. Platelet transfusions are an option if necessary.
2. Some foods may provide platelet support, although specific foods were not mentioned.
3. It is important to demand clear explanations and solutions from healthcare providers regarding low platelet counts.

- Healthcare System Challenges:
1. There are challenges with healthcare service quality and insurance issues, particularly in Massachusetts, where hospital mergers have affected patient care.
2. It is important to advocate for oneself in the healthcare system, especially when experiencing poor service or communication from healthcare providers.