Numbness

I have had gastric bypass surgery 2009 and have had no difficulty

Now i am finding that my blood pressure is low, pulse is low, and blood sugar tends to run low.
Feeling weak and shaky at times.
In the last week numbness has started on my tongue and lips and slowly spread down my left side and now has covered my whole body. I have decreased sensation to my whole body.
Had a CT scan, Chest Xray, Blood gases, bloodwork all normal including vitamin D, B12, Liver function and thyroid, cbc lytes, cardiac enzymes.

Can you be hypothyroid and still have normal bloodwork?
Also can old 30 year old fillings in your mouth cause these symptoms. Planning to get a hair analysis done to test for toxic metals. Not sure what else to do.
Do you recommend any suppliments, diets, I am up for anything.
I do not want this to be perminant. I am a nurse and questioning also MS although w have no history  of it in our family.
Any suggestions?

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Gastric bypass can present with neurological symptoms, particularly if supplements are not taken as advised. These symptoms, usually a peripheral neuropathy, may present as early as 1-2 years after the surgery but can present at any time. It would be important to have an evaluation for copper deficiency, vitamins B12, B6, E, folate, and vitamin D deficiencies.

I am not an endocrinologist and cannot comment on the hypothyroid question to the fullest, but I can say that you should have a TSH, and T3/T4 (free levels) checked to determine if you have a deficiency or not.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.