
What Causes Severe And Persistent Balance Issues?

I m sorry I just can't think.. as I said I've seen lots of doctors. I just am ready to give-up. sorry for this waste of time
I take Effexor 75 bid OxyContin 40 bid I've taken these meds since 1997
agree that a full neurological assessment is needed
Detailed Answer:
HI, thanks for using healthcare magic
It would be best, as your doctor suggested, to see a neurologist for a complete assessment.
A neurologist would be able to assess you and perform the necessary investigations
Workup for XXXXXXX gehrig disease (also called amyotrophic lateral sclerosis) requires genetic testing , neuroimaging (such as CT or MRI), biopsy of muscles and nerve conduction tests may also be needed
Blood tests are also a requirement and it is possible that you may done some of these.
Blood tests include serum protein electrophoresis (used to diagnose multiple myeloma), vitamin b1 levels, syphilis testing, thyroid function tests, parathyroid hormone levels.
May also want to rule out myasthenia gravis.
Multiple sclerosis also requires testing , normally repeated MRI are done to show changes that occur with each attack.
With the degree of muscle weakness that you are experiencing, it would really be best for you to be fully assessed so that a cause can be found
I hope this helps, feel free to ask any other questions

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