Just to emphasize the importance of getting your B12 into the upper part of its range, here is a list of typical symptoms of B12 deficiency.
"A deficiency of vitamin B12 can lead to vitamin B12 deficiency anemia. A mild deficiency may cause only mild, if any, symptoms. But as the anemia worsens it may causes symptoms such as:
weakness, tiredness or light-headedness
rapid heartbeat and breathing
pale skin
sore tongue
easy bruising or bleeding, including bleeding gums
stomach upset and weight loss
diarrhea or constipation
If the deficiency is not corrected, it can damage the nerve cells. If this happens, vitamin B12 deficiency effects may include:
tingling or numbness in fingers and toes
difficulty walking
mood changes or depression
memory loss, disorientation, and dementia"
Yes i know some pharmacies people they give me any medicine without any prescription i work here in reputed company that they believe on me.psuchatrist have tride me almost every antidepressant and benzodiazapine none of work good for me lately doc tried me for clomipramine it shows me little improvement on mood.i think depression is just a symbol of something might be not well for body we have to cure body not just only a depression.if gibson sir gave me suggestion on psychatrisy medicine i will be very thankful to him at present i m in high dose of psychiatrist medicine i have many side effect from it.thanks sir for ur cooperation and single bit of support.
Finding and suggesting a good thyroid doctor from Kathmandu would be a very difficult task for us, being so far away and (I am sorry to say) having so little knowledge about Nepal. You might be the best one to try and find a good thyroid doctor. One place to start would be to ask around at pharmacies that provide thyroid medication, if they know of such doctors. Also ask them if they can tell you of any doctors that prescribe T3 type thyroid meds. Of course you can also ask around among your friends and people you work with if they know of any good thyroid doctor.
As for your question about weaning off the clomipramine and risperidone, perhaps Gibbon can help with that question.
One thing I am curious about is whether you can buy thyroid medication yourself there in Nepal without a prescription from a doctor.
Thank sir,do any member of medhelp know the best thyroid doc from kathmandu..,nepal .i have heard pychatrist medicine should be wean of on supervision of psychatrist doc making does gradually decrease n then wean it of is it true.?
Hard to even imagine it could be related to the Vitamin D. My best suggestions are to continue to supplement with the Vitamin D, and also B12. Your B12 needs to be in the upper part of its range, Vitamin D around the midddle of its range. When both D and B12 are adequate, then you can evaluate how you are feeling and determine if tweaking of your Free T3 level should be considered. Also, don't overlook the suggestion from Gibbon about weaning off the clomipramine and risperidone.
after taking vitamin D for two days i felt very tired today and difficult to walk.is it due to vitamin D or something else?i just scared.what is it?it become me very difficult me to wake up in morning.is there any harm with vitamin D.please suggest me.thanks for your support.
http://endocrine-system.emedtv.com/hypothyroidism/hypothyroidism-symptoms-and-signs.html
As for symptom relief, that tends to lag behind changes in blood levels of thyroid hormones, and is also dependent on severity and length of time you have been suffering with hypo symptoms. It also depends somewhat on the current levels of your biologically active thyroid hormones, Free T3 and Free T4 (not the same as Total T3 and T4), and what amount of thyroid med will ultimately be required to increase your Free T3 level enough to relieve symptoms. And of course you cannot just start with a large dose of thyroid med. You have to start with a small dose and increase in small increments about every 6 weeks, until you achieve symptom relief.
Sorry I cannot give you a more definite answer, but it will take a while. For best results, people with hypothyroidism have to make med changes slowly and be very patient.