thanks for these
ok they would have had a look at the b12 because deficiency is an established differential dx when working on a diagnosis of ms. HOWEVER it's not the whole nutritional picture for ms patients by any stretch.
personally i got diagnosed with ms even though i had a documented b12 deficiency in my history. my level when doing the diagnostic tests was 300 pmol/L (which is over 400 pg/ml) so they ruled it out. but, i was frantically supplementing at the time which would have messed up my results. they wanted me to wash out (stop supplementing) and retest but i was terrified and wouldn't do it. b12 had previously reversed symptoms, even though by the time i was being diagnosed it no longer seemed to work. i told the docs they could look at my history to see the b12 deficicieny, but i didn't know at that time that there was a glitch in the computer system that wouldn't chart the deficiency result because it was text, vs a number. i found out gradually, with a ton of reading, that i had an array of other nutrient problems in addition to b12.
some of the earliest info i found out was that you want to keep your serum b12 levels up higher than 500 pg/mL, so i decided i would personally aim for 500 pmol/L. i also knew perfectly well that it was no longer correcting my issues. i was given some recommended dietary restrictions for ms patients, but they made no sense to me as i had been on a lot of dietary restrictions already, and i would hear things like 'don't eat possibly inflammatory stuff like eggs or dairy' which i hadn't eaten in over a decade. i found something called the klenner protocol, which advocated a high protein diet with lots of eggs, and that made more sense in my case because it made more sense for me to be low on protein. i started looking at the nutrient supplement recommendations for ms patients and that was where things all started to make sense. i could look at dietary sources of foods that contained nutrients of concern for ms patients, and see that i wasn't eating enough of this or that food. so i radically changed my diet pretty much overnight, and when i used a simplified klenner supplement regimen along with its dietary recommendations i had the biggest single improvement in my condition that i have seen before or since. before that, i was dealing with major sensory ataxia and couldnt hold things properly, type, play guitar, anything like that. the huge difference showed me that using my common sense and choosing advice that represented a change to my status quo made the most sense, and worked. i want to emphasize that i have not seen one single nutrient protocol that only looks at b12, even though that is most often the single nutrient test (with the more recent addition of vit d3) that is done when docs are investigating for ms.
over time i found more nutrient recommendations for ms patients, info that wasn't around when the klenner protocol was developed, and also other protocols (like 'best bet') that were more up to date. when you test levels of all these things, it's tough to get a good sense of what's going on unless you have done your reading. this is because with chronic illness, test results are usually LOW NORMAL. this is what's going on with your b12 result. if you push that up above 500 you'll be in better shape for that single nutrient. but that will be only one piece of the puzzle. ms patients are low normal in all kinds of things, and what you are actually interested in in most cases, are high normal levels. if you're interested you can start testing if your diet meets basic daily recommended intakes for the kinds of supplements that are recommended for ms patients. if you google klenner4 you'll find his list. and if you google best bet supplements you'll get more. if you want to look up food sources of the nutrients provided on those lists, just google each one but add the term whfoods and it wlil point you to the relevant page on the 'world's healthiest foods' web site, and then you can see if your diet has the nutrient density needed to help protect you against ms.
hope all that helps, and if you have any questions feel free to ask

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