Q. What could be the reasons for low levels of vitamin D, B12, and iron in a person with autism and chronic tic disorders?

Hi doctor,

I am a female with a height of 5 feet 7 inches and weigh around 210 pounds. I have suffered from vocal and motor tics for the past three years. The first week was just motor tics; they were almost constant and consisted of head jerks, left eye blinking, and shoulder jerks. Then, before I fell asleep, my whole body would jerk. After that, the symptoms calmed down before vocal tics kicked in, where I whistled, clicked my tongue, popped my lips, etc. These symptoms have slightly calmed down now, but they are still there. I have got an MRI and EEG done, and the reports were normal other than sinus inflammation.

My current medications include Sumatriptan, Topiramate (for chronic migraines), Pantoprazole, Celecoxib, and Bupropion HCL. Is there a possibility that this could be Tourette's syndrome? I have recently been diagnosed with autism, so it would not be the first time I had a late diagnosis of some health issue. My depression has made my memory rather bad, so I cannot think of any possible behaviors that indicate Tourette's syndrome. However, I have this odd memory of randomly telling people in high school I have to pee when I do not have the urge to pee. Most behaviors I can explain away to my autism except maybe a couple of motor tics. For four months, now I clap too, but I do not click. My laboratory reports revealed I have low levels of vitamin D, iron, and vitamin B12. Since I have taken supplements as per the doctor's requests, all other reports were in the positive range. I am a little frustrated with no answers for my condition. What should I do?

Please give me your suggestions.