UK Accountant,

Welcome to NeuroTalk. Wow, what an experience. As rmschaver said, rest is the most important. It appears you took time off to rest but did not use it well to get good rest.

As I call it, quiet rest is the only worthwhile way to recovery. You are fortunate that your memory appears to be good. You long post demonstrates that. It also shows you are struggling with anxiety. This is common. Anxiety is the worst thing for recovery from PCS.

You really need to arrange an extended period of time off. If you do not get ahead of this, it will eat your life and spit it out. Quiet rest with controlled simple stimulation to keep a moderate blood flow to your brain will be best. You need to learn to recognize when you have tried too much. Getting spacey eyed or a bit dizzy or any change in perception means you need to stop and rest with your eyes closed.

Your B blood work was good but the normal range is too low for someone with a brain injury. Your B-12 level should be about 1000 pcgs/mL. The low normal starts at 200-300 pcgs/mL. A 500 to 1000 mcg B-12 daily would be good plus a B-50 complex and high potency multi. No caffeine, MSG, alcohol, or artificially sweetened drinks. Get good meat protein.

When you start feeling better, wait a week or two before adding an activity. Good days does not mean your brain is healed. You need the good days for your brain TO heal. It heals very slowly when you are fighting PCS symptoms. Linking as many good days together as possible is best. Two steps forward and one step back will not be much help. Just because you can do an activity and not feel bad that day does not mean that activity is OK. Most relapses are delayed to the day after the activity that caused the relapse.

There are likely more things to consider but I am having a slow day. Sundays/weekends tend to wear me out.

My best to you.