Please help with my issues of numbness and vitamin deficiency.

Hi doctor,

I am a 33 year old male. I am from prickling, numbness, warm sensation in my feet and hands and tingling in my lips and mouth for the past two years. I had a severe cough for around two years and recently, it got resolved. My issue, initially started with prickling and burning sensations in feet and after that both palms.

Now, it has increased above knee. I visited a neurologist, but the problem was not solved. Presently, I am suffering from numbness and tingling in the mouth on lip area, prickling, burning sensations and numbness in feet, legs and palms, getting tired after moving through staircase, feeling some discomfort in chest area like heaviness for some time, gas problem and recurrent mouth ulcer.

My sugar test, BP, NCV, ANA profile, TMT and ECG are normal. ACE 69, HSV1 positive, vitamin D 17 deficient and uric acid 8.2.

I am completely blank now; I am not getting any hope of good treatment for my problem. I had unprotected sex 9 years ago. My CMIA test and rapid HIV test came back negative that time.

I had medicine for herpes simplex for a month, vitamin D3 60K once in a week for four weeks and then once a month for six months. But, my problem remains the same. I will be highly obliged to you. I am struggling because of my present health condition. Kindly advise the treatment.

Hi doctor,

Thanks for your reply. Please find my answers.

Yes, I have shown to neurologist one year back, and he had conducted NCV test, the result was normal. Then he has prescribed me Renerve plus injection for three consecutive days and Renerve plus tablet for ten days. But after taking the dose, my face has started becoming red and was feeling very weak and tired. When I informed him, he said that vitamins do not cause any side effects, but told me to stop the supplement. I was also feeling bit balance problem during medicine.

Now as per your advice I have done B12 test today. Please find the attached reports including vitamin D and TSH test report. I am perplexed now and not seeing any hope for my health condition.

Presently I am suffering from numbness and tingling in the mouth especially on lips area and numbness, prickling sensations, tingling, cold sensation in my feet and palms. Two years back it was just started from foot (below knee) now from past six months it began above knee up to the waist area. I am feeling tired and not living life fully. Also, there is the recurrence of mouth ulcer, especially on the lips area.

Kindly advise me for the best treatment and answer my queries. Why is my vitamin D level low? Please advice the best Vitamin D treatment. Should I take Magnesium tablet along with Vitamin D tablet? Also, kindly advise on my B12 level. My uric acid is 8.2. Does it related to my present condition?

Hi doctor,

Thank you for the reply and advise. But I have a few more queries.

What is the recommended dose on D rise 360? My vitamin B12 level is 360 and I heard above 550 is good. Do I need any treatment? Should I expect any side effect of Lyrica? When will my condition improve? Is there anything serious? Do you want me to do any test? Are these symptoms related to HIV? Should I start the recommended treatment from today?

Hi doctor,

Thanks for your valuable support. If my B12 level is fine then what is the reason for feeling and suffering from tingling, prickling, numbness in legs and palms? Is it necessary or good to take magnesium tablets along with vitamin D for good absorption? I need your advise on this. My stool and bowel movements are not good. I am also passing gas often. I am taking the Ferpill M medicine for low sperm count and motility of sperm.

I had unprotected sex for 1 minute 9 years back. So, I have a doubt regarding HIV. I have done CMIA two times and came non-reactive (0.33 and 0.15) and one-time HIV rapid test and that also comes negative.