comments:
First off, low b12 and ferritin are almost definitely why you feel so foggy and tired all the time. For both low iron/ferritin AND b12, you can get direct help: b12 shots are available many places and can be prescribed, and do not go through your stomach. Likewise, you can get a rx for an iron transfusion to treat your iron deficiency. This way, it won't need to go through your digestive tract and you will feel the difference almost immediately. If you are chronically low, this is likely to be easy to get a script for. It's likely to really help with your energy levels and general feelings of hopelessness and depression, so I'd say do this first if at all possible. This does not need to be done by your gastro, you can go to a PCP or even an online virtual appointment to get the rx. Consider asking your new doctor about a fecal transplant. This is what they use with really severe cases of C. Diff and it could maybe be appropriate for a case as severe or recurring as yours. They basically put someone else's gut bacteria into your system to rebalance all the bacteria with healthy ones. Something I've had a lot of success with recently is 1,000-2,000mg curcumin. I use this one: https://www.thorne.com/products/dp/meriva-500-sf-120. I was insanely bloated for months, and adding this, adding back my DHA supplements (https://a.co/d/0bySQzjF), and I take one florastor and one Align anti-bloating probiotic every morning has debloated me an insane amount. Finally, I'd recommend the book Plant Powered Plus. The doctor who wrote it is a gastroenterologist who specializes in the gut biome. He's highly credentialed and his approach has worked really well for me. I really hope this helps, and just know that there are always more options to try!