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HomeAnswersInternal Medicinevitamin b12 deficiencyWhy do I get symptoms like weight gain, fatigue and altered taste with negative HCG test?

I have headache, weight gain, and altered taste with menstrual changes. Please help.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 15, 2020
Reviewed AtNovember 6, 2023

Patient's Query

Hello doctor,

I am a 25-year-old female. I have been experiencing worsening symptoms over the past three months. I was thinking pregnancy but that was tested negative with a gynecologist and PC, two blood labs for HCG and one CBC, as well as a thyroid and hormone test.

My symptoms are: frequent headaches and shock-like pain below the right temple, migraines that last for days, dizziness even when resting in bed, weight gain, fatigue and sleep for 14 hours straight, change in taste i.e. toothpaste taste like hairspray and Kombucha tastes like hairspray, smelling burning plastic and no one else can smell it, losing balance when trying to do yoga and work, seeing shiny flex of light, pain in back, stiffness in shoulders and neck, numbness in the foot for a week, tingling in arms and fingers, painful electric shocks in the leg, mood changes crying and laughing for no reason.

Menstrual changes show shorter cycles and never before pregnant but nipples have left yellow streaks in the bra, fumbling with tools at work.

My current medications are Effexor 37.5 mg, Smarty Pants multivitamin, Vitamin B complex. I also consume daily probiotics.

Hi,

Welcome to icliniq.com.

Your symptoms apart from migraines are due to nerve involvement causing parosmia (altered taste sensation) most probably due to Vitamin B12 deficiency. Methylcobalamine (or vitamin B12) supplement 1500 mcg per day for a few weeks is usually advised and you are already taking it.

For migraines you can try, Aspirin, Ibuprofen 400 mg to 800 mg every six to eight hours, Naproxen initially 500 mg then 250 mg every six hours, Ketoprofen 25 to 50 mg every six to eight hours.

One of these can be tried, should be available over the counter. If one of these is not effective then you may need one of the prescription medications mentioned below specific for migraines e.g. Sumatriptan, Zolmitriptan, Eletriptan, Naratriptan.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Srivastava, Sumit
Dr. Srivastava, Sumit

Internal Medicine

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