34 yo female h/o depression and anxiety. current symtpoms, constipation x 6 months,back ND NECK STIFFNESS, FATIGUE,CLUMISNESS, PINS AND NEEEDLES pain, weak upper and lower extremities, brief vertigo, memory issues, skin sensationd raw/burning/cold mild but long nausea,, night sweats, skin itching, slight hand tremors MRI Brain negative