instruction: hello doctor I am a 25 year old female I have been experiencing worsening symptoms over the past three months I was thinking pregnancy but that was tested negative with a gynecologist and pc two blood labs for hug and one abc as well as a thyearoid and hormone test my symptoms are frequent headaches and shock like pain below the right temple migraines that last for days dizziness even when resting in bed weight gain fatigue and sleep for 14 hours straight change in taste I toothpaste taste like hairspray and kombucha tastes like hairspray smelling burning plastic and no one else can smell it losing balance when trying to do yoga and work seeing shiny flex of light pain in back stiffness in shoulders and neck numbness in the foot for a week tingling in arms and fingers painful electric shocks in the leg mood changes crying and laughing for no reason menstrual changes show shorter cycles and never before pregnant but nipples have left yellow streaks in the bra fumbling with tools at work my current medications are effexor 37 my smarty pants multivitamin vitamin complex I also consume daily probiotics
output: hi your symptoms apart from migraines are due to nerve involvement causing parosmia altered taste sensation most probably due to vitamin b12 deficiency methylcobalamine or vitamin b12 supplement 1500 mug per day for a few weeks is usually advised and you are already taking it for migraines you can try aspirin ibuprofen 400 my to 800 my every six to eight hours naproxen initially 500 my then 250 my every six hours ketoprofen 25 to 50 my every six to eight hours one of these can be tried should be available over the counter if one of these is not effective then you may need one of the prescription medications mentioned below specific for migraines g sumatriptan zolmitriptan eletriptan naratriptan