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DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 65671
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I have been suffering from non painful muscle

Customer Question

I have been suffering from non painful muscle twitches/spasms all over my body but most noticeably in my calf's. I have also had fatigue, minor pins and needles in my hands and low mood.
I have been diagnosed with low B12 at 105 and I have received 12 injections but haven't seen much improvement.
I'm really worried that the low B12 isn't the issue. Do the symptoms above sound B12 related and do I need to give it time?
Submitted: 1 year ago.
Category: Medical
Expert:  DrRussMD replied 1 year ago.


This needs immediate evaluation , exam and labs.

By the way, B12 can be the issue.

If it really was deficiency: all b vitamins should be checked, vitamin D, magnesium and thyroid function as well.

I am not sure what your specific medical question is, but this is obvious.

Th twitches are not the big concern, these are usually benign.

But the pins and needs can indicated things such as

spinal problems


anemia...iron deficiency

B vitamin deficiencies


hidden infection or malignancy

and other problems

bleeding gums can simply be gum disease or a sign of a more serious disorder.

See an internal medicine doctor asap.

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. Also, please click a positive rating [hopefully excellent—that’s how we are paid, per rating]. If you forgot something, just use reply and come back. I am here

Customer: replied 1 year ago.
Hi,Apologies I may have been a little vague.I have seen a doctor and he has diagnosed low B12 and prescribed B12 injections. He thinks the twitches/spasms are a neurlogical symtom related to the low B12 and it may take months to heal.I have had lots of bloods done but other than the low b12 nothing was found. I also had a stool test done which found helicobacter which he believed may have caused the low b12. This has recently been treated with antibiotics.I'm just getting a little worried it might be something else due to the lack of improvement. I mentioned MS to the doctor but he said I have no 'red flag' symptoms. If i was reassured it was all low B12 related I could possible relax and wait to recover in due course.
Expert:  DrRussMD replied 1 year ago.


Not MS

Please see my list.

Go over that list with your doctor.

I think this is more anxiety than anything, but talk with your doctor about the list I gave you.

Please click a positive rating.

Find me as needed.