I do have other autoimmunes, so they tell me I am complicated. I get tested for b12 and I take it sublingually daily because I am missing the part of my stomach that releases intrinsic factor.
You gave me an idea when you said that mestinon helped with gastroparesis so I bumped it up just a bit yesterday and today and the symptoms were much better. No nausea! Still noisy, but I can live with that. These diseases have such a learning curve!
I have been using kefir yogurt to try to restore good bacteria. My mind continues to race trying to figure everything out. Thank you for your suggestions.