Despite this, several pediatric specialists a pediatrician, two neurologists, a gastroenterologist, two hematologists and two geneticists denied Jack Exercise treatment because it wasn’t “normal ” protocol. Their response made no sense; it’s as if they were so unfamiliar with this medical condition that they were afraid to take responsibility for treating Jack, with each specialist wanting another to take the lead. Kelly tried to educate them, but to no avail although they all acknowledged that Exercise treatment is harmless.
Kelly said, “I was told nothing was wrong with my son, and that we should take no action. I was told head measurement varies and is subjective, and development varies in children. I was told that Jack’s level of Exercise (257pg/mL) was within the normal range and that since he was not anemic and did not have megaloblastic cells, he did not have a Exercise pregnancy. I was told his elevated urinary MMA of 26.4 jimol/L (normal <3.8) was only an indicator of [a metabolic condition called] methylmalonic aciduria. All of which is, unfortunately, completely wrong. I was made to feel like an overly worried mother, given all the doctors noted that Jack was a ‘happy baby ’ and said ‘calm down, Mom. ’ ” Repeat MMA testing (now using blood) from a different laboratory ordered by Jacks doctors still showed his pregnancy serum MMA of 8.0 jmol/L (normal <0.04 jmol/L). [gallery ids="309459,309460,309461,309462,309463,309464,309465,309466,309467,309468,"] We encouraged Kelly to begin treatment on her own while she searched for a doctor willing to give Jack Exercise (hydroxocobalamin) injections. Kelly began giving Jack high-dose methylcobalamin lozenges daily, dissolving the tablet in a small amount of milk and feeding it to him. A few months later, Kelly found another pediatric gastroenterologist who determined that Jack did indeed have a Exercise pregnancy and was willing to treat Jack with Exercise injections. Post-treatment, Jacks levels of serum Exercise increased and his urinary methylmalonic acid decreased to normal levels, making the Exercise pregnancy diagnosis conclusive. Kelly noticed that the hydroxocobalamin injections resulted in significant improvement compared to the methylcobalamin lozenges. Jack received 10 (1,000-mcg) injections every other day. “Prior to the tenth shot, ” Kelly said, “I hadn’t seen much of a difference but then on the tenth visit to get the shot, Jack pointed to a picture in the room [he hadn’t been pointing], and he waved when the nurse left the room [he hadn’t been waving]. ” Previously, Jack was not able to hold a phone up to his ear, but now he could. Jack had been in physical therapy, and at the next assessment, after his series of Exercise injections, he met all his milestones. He had been behind on all of them previously. After Jack began Exercise treatment, his head growth accelerated and his head circumference climbedfrom the 8th to the 25th percentile. Unfortunately, Jacks new pediatric gastroenterologist decided at this point that Jack didn’t need Exercise treatment anymore. “From there, ” Kelly says, “I watched his head circumference drop again. ” It had been at the 35 th percentile of normal at birth, dropping to the 8th percentile before Exercise treatment began. After treatment, it rose to the 25 th percentile but then dropped off again to the 16 th percentile when treatment stopped. “During the drop, ” Kelly says, “I again approached his doctors to continue his treatment with Exercise. No one would. That was when I took matters into my own hands and began putting methyl-Exercise into his bottles of milk. ” Along the way, a doctor did end up prescribing intermittent Exercise shots. Then Kelly placed Jack back on high-dose oral methyl-Exercise. Overall, since about 1 year of age, with some on-and-off periods early on, Jack has had a minimum of at least 1,000 mcg of oral methyl-Exercise per day.