User talk:Elissaleonard

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Again, welcome! JFW &#124; T@lk  19:35, 10 November 2011 (UTC)

HELLP syndrome
On HELLP syndrome you added a reference to a small case series (7 patients) where you suggested that hypocobalaminaemia could account for this. Looking on Pubmed I see some case reports, it is not mentioned in 10.1053/j.semperi.2009.02.004, a recent review on the subject. I am strongly inclined not to include it at this stage. Please discuss on the associated talk page if you disagree. JFW &#124; T@lk  19:35, 10 November 2011 (UTC)


 * Rather than reinserting the same content, please place a message on Talk:HELLP syndrome so we can discuss this. Thank you. JFW &#124; T@lk  20:45, 10 November 2011 (UTC)


 * I have protected the page so you will be unable to edit it without discussion. Please explain on the talk page how you plan to support your claims with reliable sources that meet the criteria from WP:MEDRS. JFW &#124; T@lk  23:05, 10 November 2011 (UTC)

Warning
You have made numerous edits that reflect a non-standard understanding of B12 deficiency and its clinical substrates. Please note that these edits have been reverted by multiple editors. If you continue to add medical content not supported by high-quality secondary sources (as explained in WP:MEDRS) you risk your account being blocked. Reinsertion of the content without discussion is not acceptable (see previous discussion). JFW &#124; T@lk  21:13, 24 March 2012 (UTC)


 * Patients deserve to know that HELLP symptoms can be a masked B12 deficiency, as has been discovered in numerous cases in the literature.  This article currently reflects decades old prejudices against ruling out B12 deficiency, which can cause hemolysis, low platelets, elevated liver enzymes and high homocysteine.
 * http://www.jhoonline.org/content/1/1/26
 * B12 deficiency is more common than previously thought http://www.ars.usda.gov/is/pr/2000/000802.htm
 * B12 deficiency can be masked in pregnant women taking folic acid supplements. The National Institutes of Health has found that "Large amounts of folic acid can mask the damaging effects of vitamin B12 deficiency by correcting the megaloblastic anemia caused by vitamin B12 deficiency without correcting the neurological damage that also occurs", there are also indications that "high serum folate levels might not only mask vitamin B12 deficiency, but could also exacerbate the anemia and worsen the cognitive symptoms associated with vitamin B12 deficiency".[53] Due to the fact that in the United States legislation has required enriched flour to contain folic acid to reduce cases of fetal neural-tube defects, consumers may be ingesting more than they realize.[54]

You clearly have a very strongly held point of view that B12 deficiency is the cause of many ills in the world. This might be your view, and there might even be people who believe the same thing, but that doesn't make it the incontrovertible truth. Your additions are not supported with sources that meet the criteria set out in WP:MEDRS, and this creates the strong impression that you are placing excessive weight on something that might be important in your mind but not in that of numerous experts.

You are free to raise these issues on the talk pages associated with articles, but your additions are currently contested and therefore should not be returned without consensus. Generally speaking, I don't think these discussions will lead to anything until you're able to produce useful sources (which specifically excludes case reports). JFW &#124; T@lk  22:45, 24 March 2012 (UTC)