I was diagnosed in May 2020 with b12 deficiency after months of agony. My regular doctor blew me off for 6 months and I ended up at the Cleveland Clinic neurology and was diagnosed in one visit. This was great news. I had injections 7 days in a row and then once a week for a month and then once a month indefinitely. After about 2 week past my first monthly injection, my symptoms started to return and my Neuro was leaving the practice so I got a new Neuro and he explained that the “flare ups” were part of the long term recovery and that as long as I am trending up overall (like symptoms can come and go but I should slowly improve overall), he said that was normal but I asked him if I can inject twice a month for a few months (as needed) and he was fine with it! My recent blood tests were good - b12 is normal and MMA is low and that means that the injections are working and he said the symptoms can come and go but if it made me feel better to inject every two weeks he was fine with it. I am beyond grateful for him. But I am now
Seeing that this is a long road to recovery because even though my levels are good, I’m still having bad muscle pain in my legs - thighs are the worst, and pins and needles in my hands and feet and cheek and scalp, and the bad thing is that my walking and balance are the worst they’ve ever been! He wants me to continue with physical therapy and said it should help with my feet and legs and balance. I feel like I’m walking with Donald Duck shoes on - like my feet feel too big and floppy and I know I’m walking weird but what else is there to do?? He also checked b6 and a few other things to make sure those were ok cuz I guess they can mimic b12 deficiency and all were normal so I guess this is the best I can be for now. Ugh.