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Possible MS? Exploring Neurological Symptoms & Potential Causes


Question
HI - my doctor wants me to see a neurologist and seems to think I may have MS, has ruled out viral infections with blood test. I wonder if it's vitamin deficiency or thyroid still to low for me. What do you think makes more sense?

Female, 32 yrs, 180lbs, work out 4 days week, lactose intolerant & don't eat red meat or carbs much. Moderate stressed life.

Current medications: synthroid .100mg for thyroid, motrin 800 for pain, and some type of muscle relaxer to sleep for spasms.

Blood test revealed TSH at 1.7 level, B-12 at 390 level, AST low (fatty liver I was told).

Symptoms: Back pain low to upper through mid, not muscle pain, only muscle spasms (onset 80 days ago), weak and tired (onset yrs ago but synthroid & fitness helped, second onset months ago), migraines lasting hours to all day, sometimes relieved by motrin 800(onset couple months), tingling & numbness in both feet/toes (onset month ago/more maybe), spasms in right arm, when sleep (onset 80 days ago). I started to think my thyroid was low 6 months, hypoglycemic symptoms (dizzy), been tired, no monthly menstrual cycle, hard to concentrate, gained 20 lbs from march-june. But as noted above my levels seem ok. Sometimes I do feel more depressed but don't know how, I have a lot going for me right now. Some days I can do my 45 min workout with only a little struggle others I'm weak in the first 10 mins.  

Answer
I am not sure what your question is, but the B12 should be replaced... often people with low B12 can't absorb it in their intestine so it has to be given in a shot or a nasal gel.... that can cause the numbness symptoms.  The thyroid looks OK, with a TSH of 1.7 you are close to the right dose.  If I were doing this, I would start the B12 therapy and see how you respond.