Welcome to ThisIsMS, Diana. I offer you my standard action plan recommendation:
First, you may not have MS at all, but there is a possibility; it is a differential diagnosis – made by ruling out other possibilities, as you may know. Very often, it is not easy or quick to diagnose. Before expensive tests even existed to diagnose MS, doctors used to diagnose MS on the basis of symptoms and if they temporarily worsened when the patient sat in a hot bath for a while. I had "normal" test results initially (lesions were seen on my FOURTH MRI and the diagnosis was made then). IF you do have MS, you have found many supportive friends at this site. We come from diverse experiences and hold diverse ideas. We do not agree necessarily in our thoughts on MS – my personal suspicion is that excess insulin (and resulting insulin resistance) is responsible for many MS (or "neurological") symptoms. You will probably not agree with some of us either; we only ask for tolerance when we express unconventional ideas.
Second, I hope that your military doctor is a good GP or internist, that he is compassionate and enjoys being a "disease detective." I am not sure that a neurologist would consider ordering the following blood tests. I tend to believe that if you see a surgeon about a problem, he will find a solution in surgery; if you see a neuro, he will only see the problem/solution in neurology. I just read an article that summed this up well: "doctors are experts in, and only test for, those parts of the body in which they specialize." A GP can order the tests necessary to rule out some possibilities. If you and your physician have not already started your investigation, start at the beginning with your symptoms list and with a thorough physical baseline examination including blood tests for your (#1) cortisol
level, which can be elevated with stress and cause blood sugar to rise; (#2)glucose
AND (#3) insulin
levels (these are two DIFFERENT tests – of course, I think the "fasting blood insulin test" is the most important and one of the least expensive tests; I suspect that your level is above the optimal 3 UU/ML; insulin is known as "the fat storage hormone" – your body cannot make fat without insulin… You say that you are about 30 pounds overweight, which indicates to me that your insulin level is elevated; (#4) thyroid hormone levels (TSH, Free T4, Free T3, Total T3, Reserve T3, and antithyroid antibodies
). The (#5) CRP (C-reactive protein) test (testing for inflammation)
and (#6) liver tests
are also a good idea. Ask for a copy of all your test results for your own file. I suspect insulin involvement and resulting insulin resistance in skeletal muscles causes many symptoms (excess insulin is known to thicken and stiffen smooth muscles; skeletal muscles, too) – this may explain your walking problems. Dropping things may be due to a loss of strength in the muscles of your hands. I believe the burning sensation in my feet and legs is actually due to the caustic hormone insulin damaging the inside of my blood vessels or affecting the muscles in the blood vessel walls (and not initially the nerves) – at first I described this as "buzzing – without the sound." You described tingling in your feet as "almost like a vibration." Similar?
By the way, in view of the following information on BCG vaccine, I wonder if you know if you received a vaccine against tuberculosis in the battery of inoculations you got in the military? Dr. Denise Faustman, Director of the Immunobiology Laboratory in Boston, seems to have found a way to reverse type I diabetes. In the following interview she is talking about using multiple BCG vaccines: http://www.myfoxboston.com/story/192352 ... t-diabetes
Here is a Bloomberg article with more details: http://www.bloomberg.com/news/2012-08-0 ... or-tb.html
I know that this vaccine (for tuberculosis) is required for school-age children in the UK (I believe it contributes to the prevalence of MS there.); I do not know if the BCG vaccine is given to US military recruits. If Dr. Faustman can restart insulin secretion in type I diabetics, perhaps the vaccine causes overproduction
in healthy military troops and (if excess production does initiate MS,) then MS in some of them?
You may find other useful information and fellow military contacts in the forum, "Veterans and MS," in the index: veterans-and-ms-f51/
Third, if you like to read and if you do have MS, start your reading with two books: Multiple Sclerosis: The History of a Disease
by T. Jock Murray, OC, MD, and I think The Multiple Sclerosis Diet Book
by Roy Swank, MD, PhD and Barbara Dugan is a good second book to read or even have. You may be able to get these through your local library.
Fourth, since I believe insulin is a major player, from this day forward, I encourage you to eat a healthy diet (a good idea whether or not you have MS, especially for losing weight) – a diet that will not trigger insulin production. Many people find that diet can influence the symptoms of MS. In my opinion, this means a low-carb diet -- remove all sugar (including beer, wine, etc. which have sugar), remove all artificial sweeteners, including sugar alcohols like sorbitol, xylitol, etc. (These promote insulin production, too.), remove all trans fats (These also increase insulin.), and white flour, white bread, white potatoes, white rice (in fact, all carbs so far as possible) from your diet.
My suspicion is that Fatty Liver Disease is also involved in MS, since visceral fat (belly fat) secretes cytokines (like poison to the internal organs), which lead to increased insulin, which leads to inflammation which leads to more visceral fat… And the cycle goes round and round. Diet is important; in fact, you may find the account of Dr. Terry Wahls and her dramatic improvement in MS interesting (http://www.TerryWahls.com
All the best to you.