Hi again I replied to the other thread but had another thought with this. Do you have bowel issues? You mentioned diet as well and I wonder if you had said you were tested for gluten or had any other stomach conditions. I do know for me my stress and severe anxiety does not help my pain or symptoms. I went back to a psych about 3 months ago and though I am still on constant edge I do see some benefits. So you may want to look into that. The fatigue with low b levels that can be but also have you been tested for fibromyalgia cause I think low d levels can have that as a sign as well. Feel better