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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified MD
Category: Medical
Satisfied Customers: 63757
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I am am feeling really unsteady on my feet. My legs feel tight

Customer Question

I am am feeling really unsteady on my feet. My legs feel tight from under the knee down and although I don't fall over I feel like I am. I have some discomfort in my lower back. I get these episodes on and off sometimes worse than others have been to doctor countless times and they all say it's anxiety. Sometimes I can walk for miles no problems and on occasions it's difficult walking a few steps and when I worry about it it's even worse. Can you suggest anything to relieve these symptoms?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.
Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Have you had any blood tests?

Dr. Shahzad MD :

Have you had your vitamin B12 and thyroid tested?

Dr. Shahzad MD :

Do you drink?

Dr. Shahzad MD :

Please let me know.

Customer: Yes had loads of bloods tests? Had thyroid checked and I take riboflavin for a genetic disorder I have MCAD.
Customer: es I would drink at wkends
Dr. Shahzad MD :

Have you had your vitamin B12 checked?

Customer: Im
Customer: I'm not sure but think so
Dr. Shahzad MD :

I think that you should have vitamin B12 tested

Dr. Shahzad MD :

Plus I also think that you should be on a SSRI if that is normal.

Dr. Shahzad MD :

Are you on anything for your anxiety?

Customer: What is SSRI?
Customer: no I was see a therapist big not anymore
Dr. Shahzad MD :

ssri are used for anxiety.

Dr. Shahzad MD :

SSRI stands for selective serotonin reuptake inhibitors.

Dr. Shahzad MD :

I would like that you should be on something like citalopram.

Dr. Shahzad MD :

To see if that helps you with your symptoms which will usually improve if they are due to anxiety.

Dr. Shahzad MD :

are you with me?

Expert:  Dr. Thomas, MD replied 2 years ago.
Hello
B12 would be one of the last of my concerns on working this up.
First
Heart problems, EKG and 24 hour holter to rule out heart rhythm problems.
Secondly: thyroid studies and TSH should be between .3 and 2.5. That is a narrower range than what is considered "normal".
ENT problems need to be ruled out.
Autonomic nervous system dysfunction should be ruled out, often hard to do, but if indicated, a tilt table test.
I would test for inflammatory markers if not done.
And of course a very good neurological exam is needed.
As far as vitamin tests, B12, B1, 2, 3, 5, 6, and folate would be a complete panel.
Iron and ferritin are far more important.
magnesium
vitamin D.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

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