This Is MS Multiple Sclerosis Knowledge & Support Community

Welcome,

Maybe tests for following and share us?

Fatigue: Iron deficiency, high thyroid
Balance: Low magnesium, low B12
Always hot: High thyroid
Memory cognitive: low B12

How old are you? Diet? Physical activity levels?

I'm a 38 year old female.

All blood tests normal including: B12, iron, thyroid, hormones, lyme, etc.

I try to at the very least walk or bike ride everyday. Although, when I'm in a bout of fatigue, I can barely make it through a day of work.

My diet is not great, but not horrible either.

hi and welcome janine

beware the 'normal' result. that's a bell curve, statistical normal and reflects characteristic levels for a society prone to chronic illness.
it's well known for several essential nutrients that health and disease both occupy the normal range. this is the case for ms patients among others.
further, since local labs often set their own ranges, one person can be normal at one lab and deficient at another.

you can make sure your status is consistent with that enjoyed by healthy individuals and nothing like that of a typical ms patient.
specific results from your files for things like serum ferritin, serum b12 (and you may also have serum vitamin d3) will be a good place to start.

for example, is your serum b12 level well above 370 pmol/L? if not, you might choose to increase your intake of excellent dietary b12 sources to achieve better status. some examples:
http://www.whfoods.com/genpage.php?tnam ... #foodchart

since fatigue is a major issue in your case, it could also be worth a closer at your serum ferritin status. you probably know that serum ferritin is one test for which the result is usually categorized within bands describing the likelihood or not of deficiency. does your level entirely exclude deficiency? if not, here are some excellent healthy dietary sources:
http://www.whfoods.com/genpage.php?tnam ... #foodchart

To echo Jimmylegs' comments, knowing your B12 test result is critical. Some laboratory ranges have ridiculously low bottom numbers. Example: a medical system run by a major research university in my area uses a B12 range with a lower cutoff of 180 pg/mL (133 pmol/L). This is negligent bordering on malpractice! Moreover, symptoms must always be taken into account. You could have a B12 test result "within the normal range" say around 220-250 pg/mL and still have B12 deficiency based on your symptoms. Also, depending on your B12 test result, diet may not be sufficient to correct a deficiency. Sublingual methylcobalamin supplements in the range of 1000-5000 µg/tablet/day would likely be required.

So, regarding these tests for things like B12 to see if one is deficient and getting the right level for someone with MS, would it be best to go to a specific type of doctor to do these blood tests and then they suggest an increase in a certain vitamin? I don't think there are any MS specialists in my area. Do regular neurologists do blood tests and try to get a patient's vitamin levels in line? I sometimes have gotten the idea that regular neurologists are just interested in handing out the drugs and that's it. Is it something one has to do on their own~getting the blood work and figuring it all out?