What kind of side effects might occur from taking Vitamin B12 vitamins?

Your situation is serious. Seek doctor’s advice ASAP and medical treatment fast. (I’m not a doctor.

I only know where to search for medical data. ) Let’s start from Vitamin B12. B12 deficiency is big issue.

B12 is not only for energy. merck.com/mmhe/sec12/ch154/ch154h.html?q... Vitamins B12 B12 deficiency can cause: 1. Anemia: “Symptoms of anemia are paleness, weakness, and fatigue.

If severe, anemia causes shortness of breath, dizziness, and a rapid heart rate. Occasionally, the spleen and liver enlarge. Younger adults who have pernicious anemia (due to lack of intrinsic factor) are more likely to develop stomach and other gastrointestinal cancers.

€ 2. Nerve damage “the legs are affected earlier and more often than the arms. Tingling is felt in the feet and hands, and sensation in the legs, feet, and hands is lost.

People become less able to tell where their arms and legs are (position sense) and to feel vibrations. Mild to moderate muscle weakness develops, and reflexes may be lost. Walking becomes difficult.

Some people become confused, irritable, and mildly depressed. Advanced vitamin B12 deficiency may lead to delirium, paranoia, and impaired mental function, including dementia. € 3.

B12 deficiency can also cause http://www.merck.com/mmhe/sec20/ch235/ch235e.html?qt=B12&alt=sh Toxic amblyopia (nutritional amblyopia), damage to optic nerve cell. Read the symptoms there. Ghlights: “can cause other serious symptoms such as coma, difficulty breathing, vomiting, and abdominal pain.

€ 4. A http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T0G-3P6BGMV-H&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=bb299391374a46a93b088c16fd344948 paper that says B12 affects sleep. B12 deficiency may cause sleep disturbance.

Wikipedia has good info too. http://www.merck.com/mmhe/sec06/ch081/ch081b.html?qt=insomnia&alt=sh insomnia http://www.merck.com/mmhe/sec06/ch079/ch079c.html#sec06-ch079-ch079c-227 migraine Read the cause portion. One of the causes for migraine is insomnia.

B12 deficiency may be the root cause of your many problems. It causes sleep disturbance, then insomnia. Information about B12 http://www.drugs.com/ppa/cyanocobalamin-vitamin-b12.html Scroll until drug interaction, adverse reactions.Read.. the symptoms you mentioned seems to be in the adverse reactions.

How you administer B12? Do you take the drug listed there that can interact with B12? It seems there isn’t overdosage for B12 Now scroll to end: patient information… It says: Instruct patient to report the following symptoms to health care provider: irregular heartbeat, muscle weakness, shortness of breath, vision disturbances.

I think you better go and see doctor now. http://www.drugs.com/cdi/amitriptyline.html Info on amitriptyline Overdose symptoms: “flushing, fast or irregular heartbeat, dry mouth, drowsiness, confusion, agitation, enlarged pupils, seizures, loss of consciousness, hallucinations, stupor, mydriasis, hyperpyrexia, paralytic ileus, urinary retention, decreased GI motility, cardiovascular toxicity, rhabdomyolysis, renal failure, respiratory depression, cyanosis, shock, diaphoresis, aspiration, ARDS, hyperthermia, hypothermia, polyradiculoneuropathy, muscle rigidity, disorders of ocular motility, vomiting. € Seek medical attention right away if any of these SEVERE side effects occur: “evere allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; dark urine; delusions; difficulty speaking or swallowing; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; new or worsening agitation, anxiety, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; numbness or tingling in an arm or leg; one-sided weakness; seizures; severe or persistent dizziness or headache; severe or persistent trouble sleeping; slurred speech; suicidal thoughts or actions; tremor; trouble urinating; uncontrolled muscle movements (eg, of face, tongue, arms, legs); unusual bleeding or bruising; unusual or severe mental or mood changes; vision problems; yellowing of the skin or eyes.

€ I think you better go and see doctor ASAP. Tell him/her your symptoms and you take B12, amitriptyline. After the symptoms subside, you may need to do tests to find out whether you still have B12 deficiency and root cause of it.

Refer to link above on B12 deficiency. Are you a vegetarian? Hope this helps.

Your situation is serious. Seek doctor’s advice ASAP and medical treatment fast. (I’m not a doctor.

I only know where to search for medical data. ) Let’s start from Vitamin B12. B12 deficiency is big issue.

B12 is not only for energy. merck.com/mmhe/sec12/ch154/ch154h.html?q... Vitamins B12 B12 deficiency can cause: 1. Anemia: “Symptoms of anemia are paleness, weakness, and fatigue.

If severe, anemia causes shortness of breath, dizziness, and a rapid heart rate. Occasionally, the spleen and liver enlarge. Younger adults who have pernicious anemia (due to lack of intrinsic factor) are more likely to develop stomach and other gastrointestinal cancers.

€? 2. Nerve damage “the legs are affected earlier and more often than the arms.

Tingling is felt in the feet and hands, and sensation in the legs, feet, and hands is lost. People become less able to tell where their arms and legs are (position sense) and to feel vibrations. Mild to moderate muscle weakness develops, and reflexes may be lost.

Walking becomes difficult. Some people become confused, irritable, and mildly depressed. Advanced vitamin B12 deficiency may lead to delirium, paranoia, and impaired mental function, including dementia.

€? 3. B12 deficiency can also cause http://www.merck.com/mmhe/sec20/ch235/ch235e.html?qt=B12&alt=sh Toxic amblyopia (nutritional amblyopia), damage to optic nerve cell.

Read the symptoms there. Ghlights: “can cause other serious symptoms such as coma, difficulty breathing, vomiting, and abdominal pain. €?

4. A http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T0G-3P6BGMV-H&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=bb299391374a46a93b088c16fd344948 paper that says B12 affects sleep. B12 deficiency may cause sleep disturbance.

Wikipedia has good info too. http://www.merck.com/mmhe/sec06/ch081/ch081b.html?qt=insomnia&alt=sh insomnia http://www.merck.com/mmhe/sec06/ch079/ch079c.html#sec06-ch079-ch079c-227 migraine Read the cause portion. One of the causes for migraine is insomnia.

B12 deficiency may be the root cause of your many problems. It causes sleep disturbance, then insomnia. Information about B12 http://www.drugs.com/ppa/cyanocobalamin-vitamin-b12.html Scroll until drug interaction, adverse reactions.Read.. the symptoms you mentioned seems to be in the adverse reactions.

How you administer B12? Do you take the drug listed there that can interact with B12? It seems there isn’t overdosage for B12 Now scroll to end: patient information… It says: Instruct patient to report the following symptoms to health care provider: irregular heartbeat, muscle weakness, shortness of breath, vision disturbances.

I think you better go and see doctor now. http://www.drugs.com/cdi/amitriptyline.html Info on amitriptyline Overdose symptoms: “flushing, fast or irregular heartbeat, dry mouth, drowsiness, confusion, agitation, enlarged pupils, seizures, loss of consciousness, hallucinations, stupor, mydriasis, hyperpyrexia, paralytic ileus, urinary retention, decreased GI motility, cardiovascular toxicity, rhabdomyolysis, renal failure, respiratory depression, cyanosis, shock, diaphoresis, aspiration, ARDS, hyperthermia, hypothermia, polyradiculoneuropathy, muscle rigidity, disorders of ocular motility, vomiting. €?

Seek medical attention right away if any of these SEVERE side effects occur: “evere allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; dark urine; delusions; difficulty speaking or swallowing; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; new or worsening agitation, anxiety, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; numbness or tingling in an arm or leg; one-sided weakness; seizures; severe or persistent dizziness or headache; severe or persistent trouble sleeping; slurred speech; suicidal thoughts or actions; tremor; trouble urinating; uncontrolled muscle movements (eg, of face, tongue, arms, legs); unusual bleeding or bruising; unusual or severe mental or mood changes; vision problems; yellowing of the skin or eyes. €? I think you better go and see doctor ASAP.

Tell him/her your symptoms and you take B12, amitriptyline. After the symptoms subside, you may need to do tests to find out whether you still have B12 deficiency and root cause of it. Refer to link above on B12 deficiency.

Are you a vegetarian? Hope this helps.

Side effects of vitamin B12 or the preservatives in it can be "*Mild diarrhea *Anxiety attack or panic attack *Insomnia *Heart palpitation *Breathing problem *Chest pain *rash, hives or itchy skin" This information was taken from bodybuildingforyou.com/vitamins-minerals... Also, Vitamin B12 deficiency is usually come with anemia. So taking folic acid along with B12 can correct some of the problems associated with anemia. If you are taking any other medication, it can interact with the B12 supplement.

Side effects to B12 vitamin is a rare case. Since you have rare kind of illnesses and situations, probably, you may be allergic to the supplements. Another website suggests the side effect can be constipation; darkened or green stools; diarrhea; nausea; stomach upset and vomiting.

From reading all the information, I think, you got many of the symptoms of allergic reaction to B12. But I am not a doctor. So I cannot tell you what is going on exactly.

I had constipation when I took the B12. I didn't experience other symptoms you mentioned. I was having lack of energy for some time.

I read somewhere to have soaked almonds. I soak 10-15 almonds over the night and eat them after removing the skin in the morning. I just took it as a kind of snack.It is working for me.

If you have sleep apnea, then you will get troubled sleep at night and will be tired during the day. Just mentioning, because this was the cause of tiredness to my husband. If you snore at night, tell that to the doctor too.

May be your body is working against the Vitamin B12 by not digesting the food you eat properly. If you can talk to pharmacist sooner, then do so. If you cannot reach your doctor sooner then this can be the best next alternative.

If the symptoms are bothering you much, then I guess, you can call the tele health Ontario on 1-866-797-0000. It doesn't hurt to make a call. A registered nurse will give you some answers.

(I just think that, you said some time before, you live in Ontario. Am I correct?) Gel well soon. Happy new year!

Well ..... this is is supposed to be asked directly to your doctor as they know your medical record. But as far as vitamin B12 is concerned.... following are its side effects:-Dermatologic: Itching, rash, transitory exanthema, and urticaria have been reported. Vitamin B12 (20 micrograms/day) and pyridoxine (80 mg/day) has been associated with cases of rosacea fulminans, characterized by intense erythema with nodules, papules, and pustules.

Symptoms may persist for up to 4 months after the supplement is stopped, and may require treatment with systemic corticosteroids and topical therapy. Gastrointestinal: Diarrhea has been reported. Hematologic: Peripheral vascular thrombosis has been reported.

Treatment of vitamin B12 deficiency can unmask polycythemia vera, which is characterized by an increase in blood volume and the number of red blood cells. The correction of megaloblastic anemia with vitamin B12 can result in fatal hypokalemia and gout in susceptible individuals, and it can obscure folate deficiency in megaloblastic anemia. Caution is warranted.

Leber's disease: Vitamin B12 in the form of cyanocobalamin is contraindicated in early Leber's disease, which is hereditary optic nerve atrophy. Cyanocobalamin can cause severe and swift optic atrophy, but other forms of vitamin B12 are available. However, the sources of this statement are not clear, while an opposing view concludes: "The clinical picture of optic neuropathy associated with vitamin B12 deficiency shows similarity to that of Leber's disease optic neuropathy.

Both involve the nerve fibres of the papillomacular bundle. The present case reports suggest that optic neuropathy in patients carrying a primary LHON mtDNA mutation may be precipitated by vitamin B12 deficiency. Therefore, known carriers should take care to have an adequate dietary intake of vitamin B12 and malabsorption syndromes like those occurring in familial pernicious anaemia or after gastric surgery should be excluded.

It can cause diarrhea, calf pain and swelling. chronicfatigue.about.com/od/exercisenutr....

Sorry to hear you're not feeling well. Because you mention asthma symptoms, my first piece of advice would be to contact your doctor, but it sounds like you have an appointment. I have a question about your question, if you don't mind: could you please describe the B12 supplement you're taking?

Was it a prescription or an OTC brand? According to the label, is it *just* vitamin B12, or is it a B-complex or multivitamin that has lots of other vitamins in it? I ask because I've noticed that 'energy shots' like 5-Hour Energy sometimes make me shaky, headachy, and (later) jittery and unable to sleep.

I can't drink 'em all at once--it has to be spread out in 2 or 3 doses over the course of the day, and even then I have trouble sleeping. (I figure coffee's cheaper anyway. ) 5HE contains high doses of not just B12, but also B3, B6, and folic acid, in addition to caffeine and amino acids and so on (1).

I know this is really going out on a limb, but are you getting high doses of other vitamins besides B12? I hope the mystery gets solved and that you feel better soon. :).

Vitamin B12 is a water-soluble vitamin. Water-soluble vitamins dissolve in water. After the body uses these ... Back to TopSide Effects ... Vitamin B12 deficiencies occur when the body is unable to properly use the vitamin.

Pernicious anemia can make the body unable to absorb vitamin B12 from the intestinal tract.

The ultimate solution to all of these health issues is going to involve some experimentation. I have gone to the doctor before for seemingly inexplicable health issues similar to yours (fatigue, loss of appetite, heart palpitations, etc. ) and was severely unimpressed with the doctor's "treatment" (or lack thereof). Having said that, here are some things you should consider: 1.

Caffeine. The first step is to cut caffeine out of your diet completely. This is really not optional.

Caffeine affects several things: It causes unstable blood sugar, which can lead to your headaches, digestive problems, loss of appetite, and insomnia. Expect some withdrawal symptoms for a few days, including the symptoms you're trying to get rid of (headache and such). But I have personally eliminated a lot of similar problems by taking a week or two long break from caffeine to allow my body time to reset.

You don't have to give it up forever, just break the cycle and then reintroduce it slowly. I drink tea and coffee all the time, but now I know my limits and can avoid the unpleasant side effects.2. B12.

It's extremely unlikely that this is causing any problems. B12 is in a lot of things you already eat, and it's a water soluble vitamin meaning that it doesn't hang around in your body for very long. I have personally experienced the same nausea and awakening in the middle of the night and trying not to throw up.

Every single time I have been able to trace this back to drinking strong tea or coffee before going to bed. It's not just the caffeine; the acids in tea and coffee irritate the lining of the stomach and even your intestines (if it gets that far, which can easily happen when your metabolism is in hyperdrive due to caffeine consumption), leading to a tight or nauseous feeling.3. Sleepiness during the day.

This is actually normal especially considering your mono. It is also caused by your insomnia and hence indirectly by the caffeine. Don't try to treat this as it's actually quite normal considering everything else you've described.

I once had a doctor give me samples of a drug called Provigil for this, which I never took and later found out has some serious side-effects.4. Mono.It's quite common for some symptoms of mono to recur every so often. Once you contract the virus that causes mono (the Epstein-Barr virus or EBV), you never lose it.

There is some speculation that EBV is a cause of chronic fatigue syndrome. Your doctor probably didn't act concerned because, frankly, the doctor can't do anything about it.5. The antidepressant.

I won't advise you on what to do. But if I were in your shoes, I would follow the above steps and stop using the drug.

Your situation is serious. Seek doctor’s advice ASAP and medical treatment fast. (I’m not a doctor.

I only know where to search for medical data. ) Let’s start from Vitamin B12. B12 deficiency is big issue.

B12 is not only for energy. merck.com/mmhe/sec12/ch154/ch154h.html?q... Vitamins B12 B12 deficiency can cause: 1. Anemia: “Symptoms of anemia are paleness, weakness, and fatigue.

If severe, anemia causes shortness of breath, dizziness, and a rapid heart rate. Occasionally, the spleen and liver enlarge. Younger adults who have pernicious anemia (due to lack of intrinsic factor) are more likely to develop stomach and other gastrointestinal cancers.

” 2. Nerve damage “the legs are affected earlier and more often than the arms. Tingling is felt in the feet and hands, and sensation in the legs, feet, and hands is lost.

People become less able to tell where their arms and legs are (position sense) and to feel vibrations. Mild to moderate muscle weakness develops, and reflexes may be lost. Walking becomes difficult.

Some people become confused, irritable, and mildly depressed. Advanced vitamin B12 deficiency may lead to delirium, paranoia, and impaired mental function, including dementia. ” 3.

B12 deficiency can also cause http://www.merck.com/mmhe/sec20/ch235/ch235e.html?qt=B12&alt=sh Toxic amblyopia (nutritional amblyopia), damage to optic nerve cell. Read the symptoms there. Highlights: “can cause other serious symptoms such as coma, difficulty breathing, vomiting, and abdominal pain.

” 4. A http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T0G-3P6BGMV-H&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=bb299391374a46a93b088c16fd344948 paper that says B12 affects sleep. B12 deficiency may cause sleep disturbance.

Wikipedia has good info too. http://www.merck.com/mmhe/sec06/ch081/ch081b.html?qt=insomnia&alt=sh insomnia http://www.merck.com/mmhe/sec06/ch079/ch079c.html#sec06-ch079-ch079c-227 migraine Read the cause portion. One of the causes for migraine is insomnia.

B12 deficiency may be the root cause of your many problems. It causes sleep disturbance, then insomnia. Information about B12 http://www.drugs.com/ppa/cyanocobalamin-vitamin-b12.html Scroll until drug interaction, adverse reactions.

Read.. the symptoms you mentioned seems to be in the adverse reactions. How you administer B12? Do you take the drug listed there that can interact with B12?

It seems there isn’t overdosage for B12 Now scroll to end: patient information… It says: Instruct patient to report the following symptoms to health care provider: irregular heartbeat, muscle weakness, shortness of breath, vision disturbances. I think you better go and see doctor now. http://www.drugs.com/cdi/amitriptyline.html Info on amitriptyline Overdose symptoms: “flushing, fast or irregular heartbeat, dry mouth, drowsiness, confusion, agitation, enlarged pupils, seizures, loss of consciousness, hallucinations, stupor, mydriasis, hyperpyrexia, paralytic ileus, urinary retention, decreased GI motility, cardiovascular toxicity, rhabdomyolysis, renal failure, respiratory depression, cyanosis, shock, diaphoresis, aspiration, ARDS, hyperthermia, hypothermia, polyradiculoneuropathy, muscle rigidity, disorders of ocular motility, vomiting.

” Seek medical attention right away if any of these SEVERE side effects occur: “evere allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; dark urine; delusions; difficulty speaking or swallowing; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; new or worsening agitation, anxiety, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; numbness or tingling in an arm or leg; one-sided weakness; seizures; severe or persistent dizziness or headache; severe or persistent trouble sleeping; slurred speech; suicidal thoughts or actions; tremor; trouble urinating; uncontrolled muscle movements (eg, of face, tongue, arms, legs); unusual bleeding or bruising; unusual or severe mental or mood changes; vision problems; yellowing of the skin or eyes. ” I think you better go and see doctor ASAP. Tell him/her your symptoms and you take B12, amitriptyline.

After the symptoms subside, you may need to do tests to find out whether you still have B12 deficiency and root cause of it. Refer to link above on B12 deficiency. Are you a vegetarian?

Hope this helps.

Side effects of vitamin B12 or the preservatives in it can be "*Mild diarrhea *Anxiety attack or panic attack *Insomnia *Heart palpitation *Breathing problem *Chest pain *rash, hives or itchy skin" This information was taken from bodybuildingforyou.com/vitamins-minerals... Also, Vitamin B12 deficiency is usually come with anemia. So taking folic acid along with B12 can correct some of the problems associated with anemia. If you are taking any other medication, it can interact with the B12 supplement.

Side effects to B12 vitamin is a rare case. Since you have rare kind of illnesses and situations, probably, you may be allergic to the supplements. Another website suggests the side effect can be constipation; darkened or green stools; diarrhea; nausea; stomach upset and vomiting.

From reading all the information, I think, you got many of the symptoms of allergic reaction to B12. But I am not a doctor. So I cannot tell you what is going on exactly.

I had constipation when I took the B12. I didn't experience other symptoms you mentioned. I was having lack of energy for some time.

I read somewhere to have soaked almonds. I soak 10-15 almonds over the night and eat them after removing the skin in the morning. I just took it as a kind of snack.

It is working for me. If you have sleep apnea, then you will get troubled sleep at night and will be tired during the day. Just mentioning, because this was the cause of tiredness to my husband.

If you snore at night, tell that to the doctor too. May be your body is working against the Vitamin B12 by not digesting the food you eat properly. If you can talk to pharmacist sooner, then do so.

If you cannot reach your doctor sooner then this can be the best next alternative. If the symptoms are bothering you much, then I guess, you can call the tele health Ontario on 1-866-797-0000. It doesn't hurt to make a call.

A registered nurse will give you some answers. (I just think that, you said some time before, you live in Ontario. Am I correct?

) Gel well soon. Happy new year!

I am a doctor (15 years in practice) and have given Vitamin B12 to many people - some I think is placebo effect, but some seem to benefit. My job is to be aware of the benefits or side effects of anything I give to any of my patients, and to my knowledge there is no negative to getting too much vitamin B12. It is impossible to be allergic to B12 as it is an essential substance for life (hence a "vitamin" - from the word "vital").

There is no conflict with the amitryptilline either. I will say that the problem with B12 is absorption. It is usually given as an injection because it requires something called "intrinsic factor" to absorb it in the stomach.

People with true B12 deficiency (something called "Pernicious Anemia") can also have specific problems with their stomach (a type of gastritis that can be serious). If you are truly B12 deficient, you should discuss this with your doctor.

To be honest with you, I can also source for any B12 side effects just like our other community members here did. After reading your symptoms, and buy no means I am a Doctor nor pretend to be one, I strongly advice for you to seek for professional help, i.e. , a Doctor that specializes in this kind of problem that you are facing.

I believe that it is just too important to be taking advices here from Mahalo, unless of course it is given by a proven and credible Doctor. This is my advice and I sincerely hope you take it. I wish you all the best of health and a very Happy and Prosperous New Year.

Hi! Sorry to hear you're not feeling well. Because you mention asthma symptoms, my first piece of advice would be to contact your doctor, but it sounds like you have an appointment.

I have a question about your question, if you don't mind: could you please describe the B12 supplement you're taking? Was it a prescription or an OTC brand? According to the label, is it *just* vitamin B12, or is it a B-complex or multivitamin that has lots of other vitamins in it?

I ask because I've noticed that 'energy shots' like 5-Hour Energy sometimes make me shaky, headachy, and (later) jittery and unable to sleep. I can't drink 'em all at once--it has to be spread out in 2 or 3 doses over the course of the day, and even then I have trouble sleeping. (I figure coffee's cheaper anyway.

) 5HE contains high doses of not just B12, but also B3, B6, and folic acid, in addition to caffeine and amino acids and so on (1). I know this is really going out on a limb, but are you getting high doses of other vitamins besides B12? I hope the mystery gets solved and that you feel better soon.

:).

I'm so sorry this is happening to you :( Vitamin B supplements are great for when you are feeling a bit tired, assuming it's not contraindicated (such as an allergy), but if you are having possible side effects, it's not a bad idea to try a lower dose (split the tabs, for example, or take a daily multivitamin with a lower amount of vitamin B, and some other vitamins in there as a bonus). Take it in the morning too (you said you take it in the evening) so that by the time you are ready for sleep, it's metabolized and out of your system. Vitaming B12 can cause sleep disturbances because it's believed to be part of the regulation of the sleep/wake cycle by the pineal gland.

Here are some other side effects that are possible: Itching, red skin flush, and diarrhea. Why don't you ask your doctor about taking melatonin before bed to help with sleep? Maybe the B12 in the morning and the melatonin before bed will be just what you need.

The ultimate solution to all of these health issues is going to involve some experimentation. I have gone to the doctor before for seemingly inexplicable health issues similar to yours (fatigue, loss of appetite, heart palpitations, etc.) and was severely unimpressed with the doctor's "treatment" (or lack thereof). Having said that, here are some things you should consider: 1.

Caffeine. The first step is to cut caffeine out of your diet completely. This is really not optional.

Caffeine affects several things: It causes unstable blood sugar, which can lead to your headaches, digestive problems, loss of appetite, and insomnia. Expect some withdrawal symptoms for a few days, including the symptoms you're trying to get rid of (headache and such). But I have personally eliminated a lot of similar problems by taking a week or two long break from caffeine to allow my body time to reset.

You don't have to give it up forever, just break the cycle and then reintroduce it slowly. I drink tea and coffee all the time, but now I know my limits and can avoid the unpleasant side effects. 2.

B12. It's extremely unlikely that this is causing any problems. B12 is in a lot of things you already eat, and it's a water soluble vitamin meaning that it doesn't hang around in your body for very long.

I have personally experienced the same nausea and awakening in the middle of the night and trying not to throw up. Every single time I have been able to trace this back to drinking strong tea or coffee before going to bed. It's not just the caffeine; the acids in tea and coffee irritate the lining of the stomach and even your intestines (if it gets that far, which can easily happen when your metabolism is in hyperdrive due to caffeine consumption), leading to a tight or nauseous feeling.

3. Sleepiness during the day. This is actually normal especially considering your mono.

It is also caused by your insomnia and hence indirectly by the caffeine. Don't try to treat this as it's actually quite normal considering everything else you've described. I once had a doctor give me samples of a drug called Provigil for this, which I never took and later found out has some serious side-effects.

4. Mono. It's quite common for some symptoms of mono to recur every so often.

Once you contract the virus that causes mono (the Epstein-Barr virus or EBV), you never lose it. There is some speculation that EBV is a cause of chronic fatigue syndrome. Your doctor probably didn't act concerned because, frankly, the doctor can't do anything about it.

5. The antidepressant. I won't advise you on what to do.

But if I were in your shoes, I would follow the above steps and stop using the drug.

I cant really gove you an answer,but what I can give you is a way to a solution, that is you have to find the anglde that you relate to or peaks your interest. A good paper is one that people get drawn into because it reaches them ln some way.As for me WW11 to me, I think of the holocaust and the effect it had on the survivors, their families and those who stood by and did nothing until it was too late.