After a year of proper supplementation I became all but pain free and and only had slight numbness in my toes. I turned my focus to fatigue. This is the understanding and solution that I came up with. Acknowledging it may just be the supplementation taking effect.
I surmised that I had become very good at mitigating and going past a fatigue. Pretty much until I could no longer do so after losing 100 pounds, after years of un-diagnosis and misdiagnosis. I was hospitalized with my level of B12 being below detectable limits, given two transfusions and fasted for 6 days while procedures were done and sent on my way with 8 weekly injections and then oral cyanocobalamin and folic acid for life. Problem solved for the physicians. You know the rest of that story.
So for about a week I tried to be aware of when I went past a fatigue and did not try to take any measures to alleviate the fatigue. I surmised that the fatigue was ever present and what I saw as being not fatigued was really I was able to mitigate it and go past it. I concluded I was always fatigued.
I then through intuitive intelligence more than anything else came up with that I should sleep as best I could whenever ever I could feel I was going past a fatigue which happens before I feel fatigued. If that was not possible I took an image in my head of where I was so I could get back to going past the fatigue. It gets weirder.
In the TWW realm )Too Weird for Words) I came to what I call my CCN (Comforter Couch Nap) It evolved into clearing my head by doing simple games on my phone or solving a non-nonsensical problem in my head that I would never actually do. Like how would I cut a car in half, or how could I design a drone that could put another bigger drone together. I would then experience a 'state', it was not sleep as I knew it, it was not a state that I had experienced from meditation. It was new at least in my adult life.
I would leave this state and kinda be out of it for a while but not uncomfortable so. I would then be drawn to 'now I can eat better, exercise etc.' Or as I call it my "run faster and jump higher phase." I surmised that this was a reaction left over from when I could go past a fatigue. I did as little and as much as I could without going past a fatigue.
Twice it seems I could not get to my CCN and that state was experienced during night sleep and I woke up feeling well. That did not last long. It feels like it is a start.
It was helpful for me to write this all out and to share. Thank you all so much.
Journey on.