Vitamin b12 vial froze

Two things to state up front: I am vegan. Also, I don't actually believe it feels wrong for a vegan to drink coffee, but I genuinely have no justification to explain why I think that. I'll be steel-manning this point in the hope that someone can present a compelling reason for why I'm allowed to drink coffee as a vegan.
My argument is quite simple, and I believe all of the tempting rebuttals are flimsy and inconsistent with other common arguments used to defend veganism.
Coffee contains practically zero nutritional value. No calories, no vitamins or minerals, etc. It tastes good, but pretty much the only thing in it that has any effect on the human body is caffeine and some antioxidants, which can also be obtained from other sources.
Coffee is grown and harvested from plants in many countries in the world. In many cases, the coffee cherries are picked by hand. In some, it's harvested by hand or machines that strip the entire branch.
Undeniably, there is some amount of crop deaths, deforestation, human exploitation, and environmental damage as a result of the coffee industry. Since there is no nutritional value from coffee, it is unnecessary to farm it, and therefore doing so causes unnecessary suffering to sentient creatures. Drinking coffee contributes to the demand, and is therefore inconsistent with vegan ethics. There is no way for a vegan to morally justify drinking coffee. It's done purely for pleasure, and pleasure doesn't outweigh suffering.
Here are some foreseen arguments and my rebuttals to them:

• "Caffeine is a net positive as it improves focus and productivity in humans": People can take caffeine pills that are made from other sources, especially synthesized caffeine.
• "Antioxidants are good for you": Other things like fruits contain antioxidants in similar quantities, and provide other nutritional value, so are a better source in order to minimize suffering.
• "Drinking coffee is a social activity or provides mental wellbeing as a daily routine": We say that this is not a justification for other social events, like a turkey at thanksgiving, or burgers at a BBQ. We can replace the item being consumed for something less harmful with more benefit and still follow a daily routine or benefit from the social aspect of it. One example would be kombucha, which is a great source of b12, caffeine, and is a probiotic.
• "Where is the line? Should we take away vegan chocolate, alcohol, etc as well because they are consumed for pleasure?": I don't know where the line is, but in this particular case it seems very unambiguous since there are no calories or other significant nutrients in coffee.
• "Veganism is about exploitation, and no animals are exploited so it's ok": This is an attempt to over-simplify the definition of veganism to make it convenient in certain circumstances, but I don't buy that definition. People who say that veganism is just about exploitation or the non-property status of animals still believe that it's wrong to do things like kill an animal to protect your property when a humane trap works, or do other things that are cruel but not exploitative. Avoiding cruelty is a necessary part of the definition of veganism, and causing unnecessary suffering for your own pleasure is definitely cruel.
• "Allowing coffee makes it more likely that people will go vegan, which reduces the total amount of animals harmed": This may be true from a utilitarian perspective, but this is morally inconsistent. We could say the same thing about allowing people to consume animal products one day per week. More people would go vegan under that system, but vegans say that reducitarianism is still not permissible. Making an exception for coffee is just a form of rudicitarianism.

So please god tell me why I'm allowed to drink coffee. I beg you.

Hi everyone!
I'm honestly at a loss about what is happening, so maybe someone here has had a similar experience. I want to preface this: I have been to three doctors, had multiple ultrasounds and blood tests, and they're never able to find anything (although I have been diagnosed with PMDD, so maybe this is all a part of that?)
I have terrible ovulation symptoms. As soon as I start to transition from follicular to ovulation, I begin to feel really unwell and will continue to feel unwell until my period. My symptoms always include:
-Nausea
-Awful cramps
-disrupted sleep
-blood sugar issues (I will randomly feel really weak and like I'm going to faint, especially if I walk after I eat)
-swollen and super sore breasts (often with shooting pains)
-aching back
-wild dreams
-headaches
-I become super weak (I normally lift about 22 pounds per dumbbell and 50 on the barbell and during ovulation, I'm lucky if I can get through using 5 or 10 pounds)
-My anxiety sky rockets and I feel super depressed (this is due to the PMDD, so I'm less concerned about this)
-I'm exhausted and fatigued
I feel this way until I menstruate, so I am feeling this sick and symptomatic for two-ish weeks of every month. I know it sounds like PMS symptoms, but it is so intense and overwhelming that I feel like it deeply impacts my life. If it was just happening a few days before or a week before, I feel like I could manage it more but the fact that sometimes it happens as little as day 6 or 7 in my cycle means that I'm unwell for so much of my time. I've made several lifestyle changes this year. I work with a physiotherapist, coach, massage therapist, and regular mental health therapist, and I have increased my exercise and changed my diet (more protein, fibre, vitamins like b12, magnesium, etc.) I moved out of the city to a smaller, calmer, place to be outside more and have less stress. I got a work-from-home job so I can manage my symptoms more.
I have tried many different birth control, an IUD, gels, SSRI's, and nothing stops the symptoms. To be honest, birth control makes me feel even worse (migraines that make me vomit, engorged breasts for months at a time, periods that never end.)
The weird part is that my period is actually regular and normal. It comes every 26-29 days. It's sometimes lighter than normal, but otherwise, it only lasts about 4-5 days and is super manageable.
On day 2 of my cycle, everything resets, and I return to feeling 100% myself. I know people with PMDD also have horrible symptoms so maybe this is just a part of that. I was diagnosed with PMDD in 2020 and these symptoms have only really started in the last two years. I just have this lingering fear that something is wrong and they can't find it. Maybe all I need is reassurance it's just my PMDD or maybe there's someone out there who experiences something similar and has some insight or advice! I'm pretty frustrated with doctors but plan to return to keep trying to figure this out.

Just got prescribed with Vitamin B, B6 and B12 hoping to find some relief from my headache after having a flu. Can i take it? Is it safe for vss?

Liver is one of the most nutrient-dense foods available, offering a plethora of benefits that may surprise you. This organ meat is packed with highly bioavailable nutrients including vitamins A, D, B1, B2, B3, B5, choline, iron, zinc, selenium, phosphorus, and methionine, a compound that we will discuss in more detail later.
Is Liver Toxic? While the liver helps detoxify the body, it doesn't retain the toxins. It's advisable to consume liver from grass-fed animals and not to eat it too frequently to avoid vitamin A toxicity. Studies suggest that liver should be consumed within safe limits rather than in excessive amounts.
Why Should You Eat Liver? The human body today has deficiencies or mutations in the MTHFR gene, a crucial gene that can reduce methylation activity. Methylation is the process of adding a methyl group (CH3) to various enzymes, and this function is essential for numerous critical roles. Deficiencies can lead to:

• Iron Mismanagement: Leading to symptoms of both iron deficiency and excess, such as cold hands and feet.
• Neurotransmission Issues: Resulting in anxiety and depression due to impaired neurotransmitter function.
• Impaired DNA Repair: This can lead to certain cancers, especially colon cancer.
• Inflammation: Even if you consume anti-inflammatory substances like fish oil or turmeric, inflammation can persist due to genetic issues.
• Fatigue: Persisting even with adequate rest, balanced diet, and sufficient sleep.
• Cognitive Decline: Including memory loss, reduced concentration, and the risk of Alzheimer's disease.
• High Estrogen Levels: Methylation helps break down estradiol, reducing the risk of breast and uterine cancers.

Low Testosterone Levels. Compromised Autoimmune Defense. Reduced Defense Against Adverse Reactions Post-Vaccination.
Methylation Depends on Two Key Nutrients: + Folate and B12: Even if you consume these nutrients from natural foods, they won't be converted into their active forms without the enzymes produced through methylation. Taking synthetic forms of these vitamins (like folic acid and cyanocobalamin) can worsen the condition. Instead, consume natural forms like folate and methylcobalamin. + Eating Liver as a Solution for Folate and B12
Deficiency: Liver is incredibly rich in these vitamins, along with B2, B3, B6, choline, vitamin D, zinc, and methionine, which are beneficial for the methylation process. If you're not a fan of eating liver, consider taking supplements that contain vitamin B12 and folate.
Solutions:

• Increase Intake of B12 and Folate: These are abundant in dark green vegetables and liver.
• Avoid Processed Foods with Synthetic B12 and Folic Acid: If you consume cereal products, you're likely ingesting large amounts of synthetic vitamins.
• Limit Alcohol Consumption: Alcohol is harmful to the liver.
• Avoid Synthetic Vitamins: Opt for vitamins derived from natural food sources (note that 99.9% of vitamins on the market are synthetic).

Including liver in your diet, even in moderate amounts, can significantly enhance your nutrient intake and support crucial bodily functions, particularly those related to methylation and detoxification. It's a powerful, natural way to boost your health with essential vitamins and minerals.
https://youtube.com/shorts/k5KT86uRIFw?feature=share
#LiverHealth #NutrientRich #Superfoods #HealthyEating #NutritionTips #WholeFoods #MTHFR #Methylation #VitaminB12 #Folate #NaturalNutrition #WellnessJourney #HealthAndWellness #EatHealthy #FunctionalFood #DetoxSupport #BioavailableNutrients #OrganMeats #PaleoDiet #GrassFed

Hey there! I did the blood work and i'm low on B12 and folate. B12 - 249 (187 - 883) Folate 4,60 (3.1 - 20.5) Other witamins like magnesium, Vitamin D or iron are in range (rather in the middle).
I suffer from anxiety, can't put on weight, had pyroli which I treated with antibiotics. Also I'm tired, psoriasis/seborheic dermatisis, mouth corners cracks.
My sis has MTHFR homozygous a1298c. I also checked homocysteine levels but it's in range: 9,36 (5.46 - 16.2).
How much b12 and folate should I take and how long? What kind of vitamins should I take? I read that with MTHFR there might be problem with some type of vitamins. Other people say there r no studies that would prove it.

Hey there! I did the blood work and i'm low on B12 and folate. B12 - 249 (187 - 883) Folate 4,60 (3.1 - 20.5) Other witamins like magnesium, Vitamin D or iron are in range (rather in the middle).
I suffer from anxiety, can't put on weight, had pyroli which I treated with antibiotics. Also I'm tired, psoriasis/seborheic dermatisis, mouth corners cracks.
My sis has MTHFR homozygous a1298c. I also checked homocysteine levels but it's in range: 9,36 (5.46 - 16.2).
How much b12 and folate should I take and how long? What kind of vitamins should I take? I read that with MTHFR there might be problem with some type of vitamins. Other people say there r no studies that would prove it.

I have Hashimoto's disease and hypothyroidism. I haven't felt like myself for the last year. At first I thought I just had a lot going on in my life but after 5 months nothing had gotten better. I was so extremely exhausted and became antisocial (when at 1 time I was a social butterfly). I lost a lot of my hair. I didn't know how to describe in a way other could understand and how I truly didn't feel like myself and that I'm just existing. I don't believe I'm depressed because I'm not sad. I was first diagnosed with hypothyroidism by my general doctor about 6 months ago. Then on prescription vitamin D (to take once a week) and synthroid levothyroxine; since then I have gained a significant amount of weight. I finally got in to the endocrinologist... found out along with hypothyroidism and hashimoto's that I'm insulin resistant. They also tested me for cushings. So not I'm on b12, vitamin d, metformin, and synthroid 75mcg. I have lost 5 pounds in a month. I don't have my next appointment for another month or 2. What can I do to feel like myself again and stop this brain fog? Have any of you experienced something similar? Did metformin help you lose weight, and what else can I do to lose weight? Are these things genetic?! I was recently telling my friend about all of this information and she mentioned PCOS and it is some thing that I have read about, but I’m not sure if my symptoms put me as a candidate… any advice would be greatly appreciated!!!!

I have Hashimoto's disease and hypothyroidism. I haven't felt like myself for the last year. At first I thought I just had a lot going on in my life but after 5 months nothing had gotten better. I was so extremely exhausted and became antisocial (when at 1 time I was a social butterfly). I lost a lot of my hair. I didn't know how to describe in a way other could understand and how I truly didn't feel like myself and that I'm just existing. I don't believe I'm depressed because I'm not sad. I was first diagnosed with hypothyroidism by my general doctor about 6 months ago. Then on prescription vitamin D (to take once a week) and synthroid levothyroxine; since then I have gained a significant amount of weight. I finally got in to the endocrinologist... found out along with hypothyroidism and hashimoto's that I'm insulin resistant. They also tested me for cushings. So not I'm on b12, vitamin d, metformin, and synthroid 75mcg. I have lost 5 pounds in a month. I don't have my next appointment for another month or 2. What can I do to feel like myself again and stop this brain fog? Have any of you experienced something similar? Did metformin help you lose weight, and what else can I do to lose weight? Are these things genetic?!

I have Hashimoto's disease and hypothyroidism. I haven't felt like myself for the last year. At first I thought I just had a lot going on in my life but after 5 months nothing had gotten better. I was so extremely exhausted and became antisocial (when at 1 time I was a social butterfly). I lost a lot of my hair. I didn't know how to describe in a way other could understand and how I truly didn't feel like myself and that I'm just existing. I don't believe I'm depressed because I'm not sad. I was first diagnosed with hypothyroidism by my general doctor about 6 months ago. Then on prescription vitamin D (to take once a week) and synthroid levothyroxine; since then I have gained a significant amount of weight. I finally got in to the endocrinologist... found out along with hypothyroidism and hashimoto's that I'm insulin resistant. They also tested me for cushings. So not I'm on b12, vitamin d, metformin, and synthroid 75mcg. I have lost 5 pounds in a month. I don't have my next appointment for another month or 2. What can I do to feel like myself again and stop this brain fog? Have any of you experienced something similar? Did metformin help you lose weight, and what else can I do to lose weight? Are these things genetic?!

I have Hashimoto’s disease and hypothyroidism. I haven’t felt like myself for the last year. At first I thought I just had a lot going on in my life but after 5 months nothing had gotten better. I was so extremely exhausted and became antisocial (when at 1 time I was a social butterfly). I lost a lot of my hair. I didn’t know how to describe in a way other could understand and how I truly didn’t feel like myself and that I’m just existing. I don’t believe I’m depressed because I’m not sad. I was first diagnosed with hypothyroidism by my general doctor about 6 months ago. Then on prescription vitamin D (to take once a week) and synthroid levothyroxine; since then I have gained a significant amount of weight. I finally got in to the endocrinologist… found out along with hypothyroidism and hashimoto’s that I’m insulin resistant. They also tested me for cushings. So not I’m on b12, vitamin d, metformin, and synthroid 75mcg. I have lost 5 pounds in a month. I don’t have my next appointment for another month or 2. What can I do to feel like myself again and stop this brain fog? Have any of you experienced something similar? Did metformin help you lose weight, and what else can I do to lose weight? Are these things genetic?!

I am 25F I take gabapentin, Lunesta, and dextroamphetamine from my doctor. I occasionally smoke weed and drink I do, however, have a really bad vaping addiction and occasionally use Xanax to. I take a multivitamin every day, magnesium vitamin A vitamin B12 vitamin C. Over the last 4 to 5 months my health just hasn’t felt exactly right. I have passed out at work and they gave me a heart monitor. It’s been three months and haven’t got results. I also have gotten so much blood work done and they always say my results are great. I haven’t had a period in 3 months. I do not take birth control. I did take birth control for a week. I wonder if it could’ve really messed my system up that much. Shakiness, waking up with numb hands, white coated tongue, low energy. All of these symptoms aren’t constant. They come and go. Im just getting over being sick I had a fever, and sore throat, no cough, and extreme tiredness, I brushed my teeth and was trying to get all the flem out and this is what came out. I kind of dissected it just to see what the red looks like in there. It does look a little bloody, is it normal for phlegm to be that big and look like that? https://ibb.co/Jcvq4RW https://ibb.co/nby9737 https://ibb.co/6RK8kBn

I have Hashimoto’s disease and hypothyroidism. I haven’t felt like myself for the last year. At first I thought I just had a lot going on in my life but after 5 months nothing had gotten better. I was so extremely exhausted and became antisocial (when at 1 time I was a social butterfly). I lost a lot of my hair. I didn’t know how to describe in a way other could understand and how I truly didn’t feel like myself and that I’m just existing. I don’t believe I’m depressed because I’m not sad. I was first diagnosed with hypothyroidism by my general doctor about 6 months ago. Then on prescription vitamin D (to take once a week) and synthroid levothyroxine; since then I have gained a significant amount of weight. I finally got in to the endocrinologist… found out along with hypothyroidism and hashimoto’s that I’m insulin resistant. They also tested me for cushings. So not I’m on b12, vitamin d, metformin, and synthroid 75mcg. I have lost 5 pounds in a month. I don’t have my next appointment for another month or 2. What can I do to feel like myself again and stop this brain fog? Have any of you experienced something similar? Did metformin help you lose weight, and what else can I do to lose weight? Are these things genetic?!

Cross posting from askdocs.
22F. Seeing a general neurologist (already saw MS specialist) and getting an EMG in three weeks but would like to get other people’s opinions - my PCP has no idea what’s going on with me. What should I look into next? Sorry for the long post but I thought I should include all info in case it’s relevant.
Current symptoms: - perceived weakness and neuropathy in left hand/wrist (feels like a weird burning/tingling sensation, sometimes triggered by the cold but present a majority of the time) - this is by far my worst symptom - occasional tingling sensations in other extremities, but never as frequent as left hand - bad upper back pain (comes and goes, gets worse with certain positions and never in one specific area) - derealization/brain fog (feels like I’m out of it/in a different universe, also hard to describe) - occasional chills/shivering - fatigue (sort of comes and goes in waves)
Timeline of my symptoms:
Feb 2023: fell twice while drunk (don’t have balance issues), woke up a two days later with terrible back spasms. A few days after that I noticed weird tingling sensations in my hands and feet and freaked out, also generally not feeling well/having a lot of fatigue. Freaked out about having MS - doctor did brain MRI and told me to chill out, symptoms went away.
Sept 2023: started experiencing chronic fatigue, brain fog, and derealization, chalked it up to weed withdrawals (I was cutting back at the time).
Oct 2023: got Covid - brain fog and fatigue got a lot worse.
Late Oct 2023: started having weird stomach issues - constant bloating and random sharp pains in lower abdomen. Got some tests done, this went away in around a month.
Early Nov 2023: started getting vaginal pain/constant burning sensation. Got more tests done, also went away in around a month.
Dec 2023: started feeling a bit better, then had a terrifying experience on THC (fully disassociated and thought I was dying multiple times), quit again.
Mid Dec 2023: started talking combination birth control for PCOS as per gyno’s recommendation.
Late Dec 2023: started getting weird muscle weakness in both left hand and foot, went away in around three weeks. Also felt chest pain a few times and ended up in the ER for it, where I got my heart tested. Fatigue was pretty bad this whole time.
Jan-Feb 2024: muscle weakness mostly gone, fatigue slowly improving throughout these months, still dealing with some brain fog. Resumed weed use which was probably a bad idea.
March-May 2024: Quit weed for good. Switched to new progestin-only birth control because the combination one was giving me high BP. Started getting all this weird neuropathy and joint pain all over the place, for a few days it was super bad in my left/hand wrist and since then it’s been mostly in that area. Makes me wonder whether I have carpal tunnel or some nerve compression problem - it’s pretty painful. Sometimes shows up in left foot but not that bad there. Still have some derealization and brain fog that shows up for a few hours a day - it’s weird. Fatigue and back pain still present. Symptoms come and go in ways though - I have both good and bad days. I’d like to think I’m improving overall, but days like today make me not so sure of that.
Medical history: - had spinal fusion surgery for scoliosis in thoracic spine when I was 15 - have PCOS - no family history of any autoimmune or neurological conditions except for grandmother with MS. Got genetic testing for 150 ish conditions and every single one was negative
Medications/drugs: - take 2,000 IU of vitamin D3 every day - started birth control in December (right before the neuropathy started - wonder if they might be related?) - chronic daily THC abuse for ~14 months right before all this started, been sober for several months now (possibly related?)
Tests I’ve already had: - brain MRI in Feb 2023 and March 2024 - both showed one/possibly two unchanged nonspecific T2 hyperintensities that the MS specialist said were benign - cervical spine MRI - 100% clear - neurological exams (multiple) - 100% normal - full abdominal and pelvic ultrasound - clear except for benign liver finding that doctor is not concerned about - chest x-ray - 100% clear - two EKGs - normal - thoracic spine x-ray - clear, showed that screws from surgery are in proper place - stool test - normal - urine test - normal - pap smear - atypical cells of undetermined significance, HPV negative - doctor said not to worry about it/continue screening every three years - lyme disease test - initial screening came back positive but confirmation tests were negative so doctors concluded it wasn’t lyme - B12 test - 526 (normal) - A1C - 4.8 (normal) - Rheumatoid factor - normal - C-reactive protein - normal/on lower side - ESR - normal/on lower side - SPEP panel with immunofixation - all normal - Jo-1 antibody - negative - CBC and complete metabolic panel - all normal - hepatic panel - normal - Methylmalonic acid - normal - TSH with reflex - normal - troponin - normal - PT-INR - normal - magnesium - normal - lipase - normal - serum protein electrophoresis - normal - mono (multiple times) - negative - reproductive hormones - elevated androgens (hence the PCOS diagnosis)

40F Starting Weight in April: 265 Current Weight: 245
Fasting C Peptide Serum: 5.7 (1.1-4.4ngmL)
Fasting Insulin: 55.3 (2.6-24.9 uIU/mL)
Fasting Hemoglobin A1c: 4.9 (4.8-5.6)
Started taking Semaglutide to help drop some weight and slow my digestion due to absorption issues - I do not have a gallbladder- for my low iron, B12, folate, and vitamin D. Did standard .25 for 4 weeks and then bumped to .50, spent the next 36 hours vomitting and diarrhea. It was so violent and traumatic, it gave me anxiety just thinking about eating. Stomach took at least 1.5 weeks to start to feel better to even want to eat. Still, almost 3 weeks later after stopping Sema cold turkey I still have zero desire to eat and only recently stopped gagging every time I did. Since my .50 bump and GI issues, I can not for the life of me keep my blood sugar up to a safe range for more than 1-2 hours, eating or not. I am popping glucose tabs several times a day to keep me up despite eating protein and complex carbs etc.
Can someone please tell me what the hell Semaglutide did to my body?? I’ve never had these issues before, I can not function for fear of fainting out of nowhere because of dips in blood sugar. It will drop several points in just a few minutes at times.
Please, someone help me figure this out.

I'm a 25 y/o female, diagnosed with Crohn's as of 2016, Polyarthritis as of 2020, Hyperthyroidism w/ total thyroidectomy in 2023, chronic anemia, and now POTS....
Does it ever get better? Lol.
I can't help but feel so frustrated because I've been anemic for almost 3-4 years now and the doctors tell me, "take an iron supplement." I don't absorb vitamins or pills adequately due to my Crohn's-- everything gets flushed quickly. They now just started me on IV iron infusions with B12 injections IM. I'm still feeling exhausted, especially with the POTS. I can sleep for 16 hours straight, do one chore, and then nap again for another 2-3 hours, without relief. I've been trying to drink liquid IV, increase my hydration, and supplementation but nothing is working.
I'm also a nurse and I work 40-hour work weeks on my feet, so that doesn't help. I bought a fan for work, so I don't pass out but I still get lightheaded/dizzy every day. My blood pressures are usually 150/96 and my heart rate can jump from 70s to 130s BPM from sitting to just standing. I take a beta blocker twice a day now and it helps some, but my body just can't adjust. I feel like my quality of life is miserable and I don't know what to do anymore. I've tried it all but I have no thyroid for regulation anymore and it just seems to get worse. Does anyone else feel like they can't even live a normal day? Because just getting out of bed is a lot of my body and depletes my energy significantly.

hello everyone. i’m a 23 year old female, 5’2” and 122lbs.
for some background: i have been very sedentary all my life. ever since elementary school. i have some pretty mild asthma. i average around 1-3k steps a day and can easily average 500-900 steps on my days off from university and work. i’ve been like this for a very long time. i’ve always preferred being indoors and lounging around. i’ve gotten frequent heart palpitations my entire life, my first being during middle school gym, any amount of stairs completely winds me, and walking more than 8k a day leaves me bedridden the next day.
i’m not fat, but being so sedentary has gotten to a point where i feel very sick. i was diagnosed with vitamin D deficiency (18.7 ng/mL) earlier in the year and although i’ve now raised it to 31.0, i still feel pretty bad. i was then diagnosed with IBS. now, i’m being sent in for a sleep study because of my fatigue. i’ve gotten my heart checked multiple times. i’ve been to the ER in panic over heart palpitations so countless EKGs, i’ve gotten a holter monitor for 10 days, an echo, and a stress test. i got a barium and IV contrast CT scan of my entire abdomen and chest, and a calprotectin stool test. for blood tests i’ve gotten: rheumatoid factor, c-reactive protein, ANA IFA, B12, magnesium, full iron and full thyroid.
the only thing that came back odd was a low TSH of 0.216 that, two days later, rose to 0.416. i have a thyroid ultrasound scheduled for may 31st because of this.
i just feel so sad and depressed. i try to exercise and feel worse than ever every time. the extreme fatigue that overtakes me does not feel normal in comparison to my friends my age. i can’t keep up with them and walk around big cities or malls because i feel so overcome with exhaustion and malaise. i’m only 23 and feel like i’m 67 with a severe disease, but apparently i’m none of those things. i have no idea how to pace myself because i try to just walk around and it feels too much. can i truly be THIS out of shape at such a young age even without being overweight? i tried to get more active so i bumped my steps to 6,000 every day for 3 weeks, and suddenly became entirely bedridden for 2 weeks after.
what should i do? what more can i look into?

Hi everyone. I was diagnosed with B12 deficiency today and I’ll be getting shots hopefully starting this week or next. I’m not sure how long I’ve been deficient - the last time my B12 was tested was at the beginning of 2021 and at that time I was around 350 so within normal range. I’m now at 187. My vitamin D is also low. It’s 17 and I’ve been advised to take 2000 iu daily.
I’m hopeful that many of my symptoms such as weakness, fatigue, and muscle pain will go away or lessen greatly with treatment. However, I’ve been reading that it’s possible for the neurological symptoms of B12 deficiency to be irreversible. I have tingling, numbness, random sharp pains, brain fog, extremely irritability, blurred vision, as well as others I’m sure I’m forgetting right this moment.
I was hoping that some of you would be willing to share some of your neurological symptoms and if they’ve gotten better with treatment. Thank you!

22F. Seeing another neurologist and getting an EMG in three weeks but would like to get other people’s opinions - my PCP has no idea what’s going on with me. What am I missing/where do I go from here?
Current symptoms: - perceived weakness and neuropathy in left hand/wrist (feels like a weird burning/tingling sensation, sometimes triggered by the cold but present a majority of the time) - this is by far my worst symptom - occasional tingling sensations in other extremities, but never as frequent as left hand - bad upper back pain (comes and goes, gets worse with certain positions and never in one specific area) - derealization/brain fog (feels like I’m out of it/in a different universe, also hard to describe) - occasional chills/shivering - fatigue (sort of comes and goes in waves)
Timeline of my symptoms:
Feb 2023: fell twice while drunk (don’t have balance issues), woke up a two days later with terrible back spasms. A few days after that I noticed weird tingling sensations in my hands and feet and freaked out, also generally not feeling well/having a lot of fatigue. Freaked out about having MS - doctor did brain MRI and told me to chill out, symptoms went away.
Sept 2023: started experiencing chronic fatigue and derealization, chalked it up to weed withdrawals (I was cutting back at the time).
Oct 2023: got Covid - brain fog and fatigue got a lot worse.
Late Oct 2023: started having weird stomach issues - constant bloating and random sharp pains in lower abdomen. Got some tests done, this went away in around a month.
Early Nov 2023: started getting vaginal pain/constant burning sensation. Got more tests done, also went away in around a month.
Dec 2023: started feeling a bit better, then had a terrifying experience on THC (fully disassociated and thought I was dying multiple times), quit for good.
Mid Dec 2023: started talking birth control for PCOS as per gyno’s recommendation.
Late Dec 2023: started getting weird muscle weakness in both left hand and foot, went away in around three weeks. Also felt chest pain a few times and ended up in the ER for it, where I got my heart tested. Fatigue was pretty bad this whole time.
Jan-Feb 2024: muscle weakness mostly gone, fatigue slowly improving throughout these months, still dealing with some brain fog. Resumed weed use which was probably a bad idea.
March-May 2024: Quit weed for good. Switched to new progestin-only birth control because the combination one was giving me high BP. Started getting all this weird neuropathy and joint pain all over the place, for a few days it was super bad in my left/hand wrist and since then it’s been mostly in that area. Makes me wonder whether I have carpal tunnel or some nerve compression problem - it’s pretty painful. Sometimes shows up in left foot but not that bad there. Still have some derealization and brain fog that shows up for a few hours a day - it’s weird. Fatigue and back pain still present. Symptoms come and go in ways though - I have both good and bad days. I’d like to think I’m improving overall, but days like today make me not so sure of that.
Medical history: - had spinal fusion surgery for scoliosis in thoracic spine when I was 15 - PCOS - no family history of any autoimmune or neurological conditions except for grandmother with MS
Medications/drugs: - take 2,000 IU of vitamin D3 every day - started birth control in December (right before the neuropathy started - wonder if they might be related?) - chronic daily THC abuse for ~14 months right before all this started, been sober for several months now (possibly related?)
Tests I’ve already had: - brain MRI in Feb 2023 and March 2024 - both showed unchanged one/possibly two nonspecific T2 hyperintensities that the MS specialist said were benign - cervical spine MRI - 100% clear - neurological exams (multiple) - 100% normal - full abdominal and pelvic ultrasound - clear except for benign liver finding that doctor is not concerned about - chest x-ray - 100% clear - two EKGs - normal - thoracic spine x-ray - clear, showed that screws from surgery are in proper place - stool test - normal - urine test - normal - pap smear - atypical cells of undetermined significance, HPV negative - doctor said not to worry about it/continue screening every three years - lyme disease test - initial screening came back positive but confirmation tests were negative so doctors concluded it wasn’t lyme - B12 test - 526 (normal) - A1C - 4.8 (normal) - Rheumatoid factor - normal - C-reactive protein - normal/on lower side - ESR - normal/on lower side - SPEP panel with immunofixation - all normal - Jo-1 antibody - normal - CBC and complete metabolic panel - all normal - hepatic panel - normal - Methylmalonic acid - normal - TSH with reflex - normal - troponin - normal - PT-INR - normal - magnesium - normal - lipase - normal - serum protein electrophoresis - normal - mono (multiple times) - negative - reproductive hormones - elevated androgens (hence the PCOS diagnosis)

Hi,
My Vitamin B12 levels are 95 pmol/l, is that in the normal range?
I’m currently trying to tackle the cause of cold and hands a feet… wondering if it’s due to this vitamin?
Many thanks

I F23, was watching TV with my partner today when he stopped me and started closely examining my left eye. He took a picture to show me, and lo and behold the whites of my eyes are grey tinged.
https://ibb.co/d6DmKF2
I have perfect vision, work in a sad dark windowless office 18 hours a week, have a history of B12, Iron, and Vitamin D deficiencies. I have noticed my eyes appearing bloodshot at the end of most work days due to having 0 sunlight and working on a computer. Should I be concerned? Will I survive if I legit don’t have time to go to a doctor until August?
Any suggestions appreciated!

34 female 119 lbs high blood pressure familial hypercholesterolemia raynauds
When should I take nifedipine so I am safe?
I take magnesium glycinate and vitamin d at 8 am Propranolol around 1030 am and then 330 and then 8 or after work 11pm along with atoravastatin.
I'm worried adding this new pill will interact with my other meds and not sure when to take it.
My doctor also wanted me to take B12 vitamins and I'm not sure when to take those.
I ask because I had a bad time not knowing any better and taking my old blood pressure medicine and my magnesium at the same time before.