I've had burning feet for seven or eight years, and a 2015 nerve conduction test found that I have mild peripheral neuropathy. Blood tests showed extremely low levels of D3 (15) and B12 (190). I was informed that my oral absorption of vitamin B12 would be extremely low because I have had vitiligo for the past 25 years. As a result, I received weekly injections of B12 for four months before continuing to take 1500 mg once a month. T took 60k sachets of D3 every week for six months. Every night, Gabapin NT 1 Tab was prescribed to me. My burning feet have already decreased by 70%, and vitamin 12 injections appear to be beneficial. But I feel like I've put on weight. I used to weigh 72?74 kg, but now I weigh 81?82 kg. Please advise: 1. Given that my current B12 levels are about 400, which B complex injection is suggested for burning feet? 2. Could Gabapin NT be the reason I seem to be maintaining a higher weight? Can I put an end to it? Or is there a better medication for the burning feet that become noticeable in the evening? 3. After taking 100 mg of Zyloric twice a day, my uric acid level dropped from approximately 9 to about 6. Can I cut back to just one tab per day? Please respond to all three points. I'm grateful
Peripheral neuropathy is most likely the cause of your burning feet, and since your B12 level is already within normal limits, you typically don't require repeated injections. Instead of adding multiple B-complex doses, maintenance with monthly methylcobalamin (or as your doctor prescribes) is sufficient. Gabapin NT may increase appetite and induce fluid retention, which is why you may notice weight gain. Don't stop taking it right away, but talk to your doctor about it; if necessary, a dose decrease or substitutes like pregabalin or duloxetine may be considered. Even if your uric acid levels have improved, you shouldn't stop taking Zyloric on your own because doing so could cause your levels to rise again. Your doctor can make this decision based on more testing. For the best outcomes, keep up the follow-up, maintain a healthy diet, regulate your weight, and do routine monitoring.
