Hello and thank you for the question Mike.
Answers given are for informational purposes only and are not meant to replace an exam by an in-person.
I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.
This is from vitamin D deficiency as well as low B-12.
I would not consider MS at this point, but if there is significant health anxiety, having an MRI of the spinal cord and brain will help rule out any serious possibility and will put your mind at ease.
But again, i would consider this MRI totally in-necessary at this point.
You should focus on Vitamin d and b-12 replacement; and your symptoms should improve gradually with in 2-4 weeks.
Also you should focus on anxiety treatment; a short course of benzodiazepines and using SSRI's long term will help.
For severe fatigue, you can use co-enzyme q-10 supplements, which are very helpful in such kind of situations.
So i will suggest you to stay relaxed; keep your self adequately hydrated; and focus on vitamin replacement and anxiety treatment.
This is most likely not any thing serious like MS.
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