I'd get that TSH repeated. Really low like that may be pointing to elevated thyroid functions.
Hypothyroid people are put on hormone and kept at the 1-2 range, (rarely below 1) but your reading is pretty low for someone not taking supplemental hormone.
The acidosis from the Topamax should go away when you discontinue it.
Give the B12 and D time to work, and if the pain continues, come back and we can discuss supplements for that.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
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Weezie looking at petunias 8.25.2017
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