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Thanks for your question.
Vitamin B12 deficiency is one possibility.
This should be checked.
Thyroid gland disorder, diabetes also cause nerve related symptoms.
Peripheral neuropathy can be caused by the spine disease --degenerative disc disease is one common cause.
B12 is different from B6
B12 is cyanocobalamine
Ok then next possibility is the spine problem.
Multiple sclerosis is another possibility can cause these type of symptoms uncommonly.
Not necessarily always.
Peripheral neuropathy is likely.
A nerve conduction study should be helpful.
Then based on neurological findings MRI scan of the brain and spine will be next step
Yes that is true --caffeine should be eliminated.
do you drink alcohol?
Please avoid alcohol also as it can affect the nerves.
Lastly, Statins can cause peripheral neuropathy in some individuals.
Hence, this is another concern that should be considered if your problem persists.
I can repost if you want
ok let me repost
Statins can cause peripheral neuropathy.
AHence, if caffeine is not the culprit, the statin can be the cause.
Also avoid alcohol.
Alcohol can affect the nerves.
long term use of statin can affect the nerves.
regarding the soy effect, if your TSH level is normal, then no need for concern.
There are alternatives to statin if needed in future.
Your cholesterol numbers are in control now.
Fenofibrate is one such example.
Ezetimibe is another.
Niacin is another one.
Claritin is not the problem.
Triglycerides --you are talking about.
Yes niacin is in the foods also in supplement form.
ok i got that.
Well Eaton Lambert is different in presentation.
And your symptoms are not yet severe without any other features.
Still, these are not consistently present together--that is reassuring.
I think we covered all the points for now.
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glad to be of help