hi and hny
because diet comes first, you might be interested in checking out this personalized food guide tool:
http://www.healthycanadians.gc.ca/eatin ... p1-eng.php
related general info https://www.hsph.harvard.edu/nutritions ... ing-plate/
there are still many lifestyle factors which can interfere, so sometimes a close look, maybe including testing, is worthwhile. of available tests relevant to ms patients, some are on the mainstream radar and some are not.
as a starting point, it would be good to know some of your existing levels likely already on file. if you don't already have your own copy, that can be a good first step. electrolytes, serum ferritin, anything like that is good to know
any doc should take b12 status seriously in the context of an ms differential dx. it's the oldest and best known nutrient problem to watch for. but even those results can be and are poorly interpreted. your diet info looks on the surface like b12 should be a non-issue. still, it's best to be certain. do you have a copy of your own records to see whether it's been tested already?
serum 25(OH)vitamin D3 is another one mainstream docs are used to requisitioning for ms patients at this point. (there is a possibility of push back on a testing request, because most often -depending to a degree on location- levels do need work, and based on results people tend either ignore instructions to improve status, or overdo it).
in general, mainstream docs receive limited education on preventative methods such as nutrition; this unfortunate reality is well documented in research. more work is required, but incentives are lacking for various reasons. in the meantime patients are in the uncomfortable position of advocating for themselves. that can mean speaking up to ask for a requisition for other less common tests and being prepared to pay for that testing *if* necessary.
for example, vit d3 co-factor testing (eg serum magnesium) is not mainstream to date. the research is starting to get there but it's not in the door at the practice level quite yet. there's also debate re the value of serum vs rbc testing but both have issues and serum mag is much more affordable and is widely used to good effect in research. that said when tests are run, results can easily be interpreted poorly based on local, regional and overall reference ranges. that's why it's best to get your own copy of all results, and not rely on the lab's report re 'normal' or other findings. other important values to be aware of (these are reported often in the ms and in general health and disease literature) include serum zinc and serum copper.
overall for each of these (from b12 to copper inclusive) there is a relatively small optimal range which sites generally in the upper half of the wider reference or normal range. that said, copper seems to be different, levels in healthy controls can be a bit all over the place BUT are consistently *lower* than serum zinc. that said, with copper zinc ratios, balance is always the key. yes it's good for zinc to be higher than copper but if zinc gets too high, it's still a problem. moderation is always the key
depending on your location, you may have access to private test requisition services that can help you tailor a suite of nutrient level tests. if your docs will help you out without needing to go to those lengths, so much the better.
one of many private sources for lab requisitions (i don't have access personally, can't review):
https://www.lifeextension.com/Vitamins- ... lood-Tests
hope that helps