Only b12 is not enough in your case. You need some more nutritional support as well. However,  first start with HAIP DIET and then seek consultation.  Once you are on the diet you can seek additional discount on the consultation pa ckage . Also start HAIP Aphrodisiac Rasayana Cheela twice in a day, Anti anxiety Tea and Brain Support Juice in the morning mentioned in HAIP DIET Cookbook.

We have to treat the route cause of ailments . Initially ,Need to manage the digestive fire , balance the mind(manovaha srothas ) and then will start with the medication , which will give you better results

Consult psychologist.

Consult

Ok noted. It demands in-person examination and assessment by Ayurveda way

Consult personally eight four two nine six doboule seven zero eight six

Hello, Consult psychologist . Take proper treatment .

Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine

“Your symptoms suggest a combination of anxiety/panic disorder with intrusive thoughts, along with GERD/LPR and nutritional deficiencies (low Vitamin D, B12). You have already done the right evaluations. Now the priority is a structured approach under a Psychiatrist (for anxiety, panic and intrusive thoughts) along with Gastroenterologist follow-up for GERD. These thoughts are distressing but not dangerous when there is no intent. Avoid changing medicines on your own. Please consult me so I can help coordinate a holistic plan for mind–gut balance and recovery.”

Namastey What you’re experiencing fits a pattern of panic/anxiety with intrusive thoughts (often called harm-type OCD features) layered over gut issues like Gastroesophageal Reflux Disease and Helicobacter pylori infection. The key point: intrusive thoughts are not intentions—they are unwanted, anxiety-driven thoughts, and the distress you feel about them actually shows your values are intact. Your physical symptoms (chest pain, dizziness, numbness, detachment) are very common in panic states and can be intensified by reflux and low nutrients. Medication-wise, you’ve tried SSRIs (Escitalopram / Paroxetine), but side effects and gastric sensitivity are an issue—this needs fine-tuning, not stopping abruptly. Low Vitamin D and borderline reserves can also worsen fatigue and mood. At this stage, the right specialist to continue with a clinical psychologist, Counsellor (for therapy like CBT/ERP); this combination gives the best results. Cases especially like yours are significantly well managed and also treated with Counselling sessions.