Hi
My serum value B12 226 pg/ml, past 1
year ago had 162 pg/ ml so doctor prescribed
3 re-nerve plus injection. My current MMA -
481, active b12- 32, Homocysteine >50, folate - 1.19, ferritin serum 32.3. I have
been facing floating sensation for past 2 years
reduction in libido, pins and needles pain in
palms and feet and some time severe pins and
needle pain in penis after ejaculation
Already visited many doctors don't know which
doctor to visit. My symptoms are not getting
improved come and goes not able to judge what
is happening
Kindly suggest first course of treatment should
it be b12 injection or some other treatment like
oral supplements and also which doctor I have
to visit?
I had a accident, fall from motorcycle at around 30-40 km/ hr on 24 th May 2026
Had some cuts at knee and feeling of chest muscles tightness/heaviness
Couldn’t walk for 2 weeks out of home
Then Visited a orthopaedic
He gave a medicine etodolac + thiocolchicoside
Initial few days were good, but one day suddenly had a panic attack like wanting to throw kicks and hands in the air etc
Stopped tooking those medication
Now the pain in the muscles and knee has all gone , No problem in walking, etc
Clear X rays of chest and knee
But mind feels restrictive or hesitant while going out
Like the actions I used to perform before bed rest feels very heavy or sluggish on the mind etc.
My prolactin was around 150 twice measured at 10 days gap
Doctor suggested to go for MRI pituatary
Findings in my MRI report
"There is an ovoid nodule measuring 6.6 x 8.8 x 5.7 mm (AP x TR x CC) seen in
pituitary gland on left side, which appears isointense on T1, heterogeneously
hyperintense on T2, hypoenhancing on early phase of dynamic contrast images
and intense homogeneous contrast enhancement on delayed images of dynamic
study. Pituitary stalk is deviated towards right side. Imaging findings are
suggestive of pituitary microadenoma. Serum prolactin estimation is suggested"
Now Doctor has suggested me Cabergolin 0.25mg twice a week
Is this good?? Does it have side effects?? Who should avoid this??
I felt a lil dizzy i think next day of consumping it
I also have PCOS other than this
Osteophytes and mild disc dessication.
Perineural cysts in proximal sacral spinal canal at the level of $2 vertebra.
Mild facet joint arthropathy at l5-$1 level.
Subtle posterocentral disc protrusion at L4-L5 and L5-$1 levels causing mild anterior thecal sac indentation however there is no obvious impingement of nerve roots.
AP spinal canal (thecal sac) diameter:
L1-L2- 13.4mm L2-L3-11.8mm
L3-L4 -11.5mm L4-L5-10.5mm L5-S1-10mm
Spondylotic degenerative changes in form of loss of cervical lordosis, multilevel small marginal endplate osteophytes and disc dessication.
Posterior disc osteophytic complexes from C3-C4 to C6-C7 levels causing mild anterior thecal sac indentation and mild narrowing of spinal canal.
Few small perineural cysts are seen in bilateral neural foramina at multiple levels.
At C4-C5 & C5-C6 levels, there is mild narrowing of right neural foramen with possible mild impingement of exiting nerve root.
For more than 1 year I have been suffering from back and left leg pain and numbness in my leg, I went to a spine surgeon and took an MRI and came to know that I have mild to moderate disc bulge along with nerve compression and prescribed a pain killer, muscle relaxant and supplements for a month. Earlier the pain was more like intense tiredness like pain now the pain which I am having for the last 2 days is like shooting pain going from my buttock to my calf , I don't know if my symptoms are improving or not, I am still getting pain and numbness and I am worried that why the pain and numbness is not going. 15 days are left in my medicine to finish the course. Please help, thank you
