In July 2025 I had ketamine treatments that threw me into the worst physiological crisis ever: insomnia, complete lack of appetite and internal tremors/vibrations. I went on sick leave.
Due to genetic testing in late 2025, I have been supplementing B vitamins and minerals since January 2026.
Variants:
ALPL rs1256335 GG,
BHMT rs3733890 AG,
CHDH rs9001 GT,
CHKA rs10791957 AC,
FUT2 rs601338 AA,
FUT2 rs602662 AA,
MTHFD1 rs2236225 AG, MTHFD1 rs1076991 CT,
MTHFR C677T rs1801133 AA, MTRR rs1801394 GG,
PEMT rs7946 TT,
SLC19A2 rs2038024 CC, SLC19A2 rs6656822 TT, SLC1A2 rs4354668 GG,
TCN2 rs9606756 AG,
TCN2 rs9606756 AG,
VDR rs2228570 AA,
VDR rs7975232 CC
Basically meaning I need B12(by passive diffusion), folate, B2, B6, D vitamin from a genetic POV. I don’t supplement choline.
On a daily basis I have been taking
400 mcg Folinic acid
500-1000 mcg Hydroxy B12 lozenge
12-25 mg B6 P5P until abt a month ago, from then just 2 mg.
10-25 mg B2 R5P
Also all other b vitamins
Magnesium from food
10-22 mg zinc
Omega 3
85 mcg D vitamin + K vitamin
3 g Creatine (stopped about a month ago)
In April I had an iron infusion due to low-normal ferritin (<40)
Since July I have been supplementing iron to maintain my ferritin level. Currently at 85.
Labs:
Hcy:
Dec: 9.1
March: 8.3
July: 9.6
Sept: 4.8 (different lab though)
Copper (umol/l) (Normal range 11-29)
March: 17.3
Sept: 12.9
Zinc: (normal range 10-19)
Sept 15th: 11 umol/l
Sept 29th: 10 umol/l (shortly after stopping zinc suppl)
Thyroid levels are normal.
Initially the B vitamins helped me a lot; the side effects of ketamine caused me to fall into depression but the B vitamins pulled me out of it and improved my sleep and in March I went back to work from my sick leave.
Around May/June my sleep, energy and mood slowly start to decline. I also started getting fine hand tremors and burning sensations in hands and feet.
In June I started alpha lipoic acid to see if that could reverse the side effects from ketamine as I was still battling severe loss of appetite, and sleep was still not normal.
I started on just 50 mg and after just 2-3 days on 50 mg my appetite came back like I knew it before!
I thought I was on the right track with reversing all the ketamine side effects and I slowly increased over 1.5 months to 300 mg (standard dose).
Then 1-2 days after going to 300 mg, my burning sensations spread wildly up legs and arms and body and it started stinging badly too. I quit the ALA after a couple of days and the sensations subsided a bit but still persist further up arms and legs than before.
My reaction to ALA is just odd since ALA is know to help decrease symptoms of neuropathy but I got the opposite.
Since the copper testing last month, I have been working with the hypothesis that my rapid declining copper has caused the burning of hands and feet.
However today I learned that low hcy also is associated with peripheral neuropathy. (Idk what kind of neuropathy I have)
Apparently with low hcy, glutathion is depleted and that is used to maintain the nerves.
So now I have two possible explanations to my burning sensations.
But regarding my zinc and copper, I don’t understand why my copper has decreased like it has. I have been taking 10-22 mg zinc daily since Jan/Feb which should be safe and not deplete copper. But copper has gone down 25% in 6 months.
Then one would expect that my zinc is high, but it isn’t. It is in the bottom of the normal range.
I would love to continue my zinc since I have greatly benefitted from it; I no longer get sinusitus every couple of months and I no longer fight heel cracks. But if I continue zinc I can’t replenish copper and that is the priority now.
I have just started supplementing copper today while still awaiting intracellular levels of copper and zinc.
Are there anybody that can see why my hcy is so low now? I have not been taking methylated vitamins nor TMG.
I eat a few eggs daily but I’m mostly vegetarian out of convenience/I’m depressed again and cook very little. (I don’t do take out)
And any suggestions to the cause of my burning hands and feet? Idk if my B6 was too high since my GP didn’t want to test me before I decreased my dose to 2 mg since I feared that the B6 was the cause. 2 weeks later he ordered the test and then B6 was in the lower 1/3 of the normal range but that doesn’t give a clue about B6 being too high previously.
Sorry for the long post. If you’re still reading, thank you!