When I was tested early last year, my B12 levels were around 260 so they had me begin using a B12 nasal spray which the doctor said is about as efficient as the injections except that you can do it at home (no needles). I noticed no effect on the RSD...or anything for that matter. It didn't hurt anything though. Doesn't hurt to get tested.

If you are looking for something besides medications to help with inflammation, definitely check out Hooshmand's 4 F's diet. There are diets designed to help with inflammation. I've been sticking to the 4 F's diet (Lit Love has given a lot of good information about this and the few things that are a little outdated) and it seems to have helped with the inflammation. I'm not taking any meds right now for the inflammation either...I'm worried about the long term effects of taking so many meds when I am only 28 years old. Eating healthier cannot hurt and if it has the potential to make me feel better (which I think is working) then why not give it a shot?

I have also heard that vitamin C infusions have helped some. That may also be something worth looking into. I don't have experience with it myself though and cannot speak to its effectiveness. There have been several posts about this though and if you do a search you can probably find them.