a_skeleton_03
<Banned>
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Thanks, yeah getting a spinal tap will be hard but I think I might pursue it. The major issue is that I am an American in Germany. Finding someone to explain things to is difficult. My GP and her practice is Americans. They have a few specialists here and there that they work with that speak enough English like the rheumatologist I saw that was an hour and a half drive away. The rest of the things they can sometimes refer to the US military hospital but not everything. That is the neurologist that was yawning through my explanation and scoffed at my labs. My wife has done three champagne taps on newborns but I doubt I could get her to tap meI really hope you don't have it, and I know you said you had an MRI, but a lot of your symptoms match MS even though that was already suggested by Kirun. In about 10% of cases, especially in younger people, the scar tissue indicating MS is not visible/very hard to detect on an MRI. The speech problem, numbness, headaches, light sensitivity, fatigue, and twitching are classic early MS. If you can't figure it out with the other things suggested, you could ask for a spinal tap. Yeah they're no joke but they can find stuff in there that could indicate autoimmune or any other oddness.
Some other things you may want to get checked: Testosterone/thyroid levels if they weren't covered in the lab. It's not likely, but you could have concurrent issues like low T (which can cause fatigue, joint pain, and some mental confusion if the drop in T is relatively sudden) + something else.
Best of luck.
I will look into testosterone and thyroid after I have done the other things.