It appears that your B12 is marginally low. 400 is the new acceptable low. But other nutrients are affected by long term
proton pump use.

B12
folate
calcium
magnesium
zinc
some other low dose minerals like copper.

I'd recommend getting your kidneys checked, as new information suggests, kidney side effects from proton pump inhibitor use:

Kidney Damage & Failure: Symptoms, Causes, Link to PPIs

Get tests for kidney, and B12, folate. Stop any supplements for at least 3 days (preferably 7) days before testing.

A DNA test also would be a good idea. MTHFR (methylation) failure is fairly common, and would show you if you need methylfolate form of folate.

I'd take methycobalamin 5mg (active B12) once a day for 3 months and get a retest (stopping a few days before the test).
A goal of 1000 or more would be a good result. You can reduce to 1mg a day if you are testing high enough. Always take B12 on an empty stomach so passive absorption can work for you.

Thanks.
I forgot to add that I was on a multi vit for about 2 weeks when the Dr did the test last...I told him and he said it was not a problem....a few days after I just got busy and stop taking any vit...
So I will stop all supplements...I week out.
Thanks

An RDA dosed multivit would skew your results to show "normal"...when you may have been low to start. They are not likely to show high blood results however.

A multivit with higher than RDA will show higher blood levels in some people if it is not stopped before testing.

The high B12's we use here to help fix low B12 can show a high blood level and spook the doctors most likely. This is not a problem and to be expected. A vitamin with high B6 in it will also give high blood tests. These are called factitious results.

For over all blood vessel and nerve health with possible regeneration what other Vits and supplements would you recommend.
EPA
DHA
FLAX
GLA
D3
B1
ect...
Thanks

It is best to start slowly.... Just the nutrients you know you may be low in... the list I gave that are blocked by proton pump inhibitors.

The B12 should have a clear path, so you can see if your symptoms are improved simply in the beginning. You can add in things as time passes, slowly every 2 weeks. Much of deciding nutirents to supplement, is observation.

B12 is a powerful supplement. People notice its improvements fairly quickly...you want to see this too. If other things are there cluttering up your progress you won't know what part the B12 is playing.

Thanks I got my blood test next Thursday. I understand how much b12 to take at first. How much of the other owns when I slowly introduce them. Can I still soak my feet in epson salt every couple days. The first time I did that it was amazing how great they felt.

Thanks so much for the help. I or the DNA test 23 and me

Yes, you can do the epsom salts any time. Your clear response to them suggests you have some poor circulation going on.

Magnesium opens up blood flow to the extremities. It also blocks NMDA pain receptors, to send pain signals.

Since you notice improvement with epsom salts suggests you should consider oral chelates as a supplement. 200mg elemental
magnesium or 2 Slow Mags a day is a good place to start. Oxide form does not dissolve in the GI tract and is not absorbed, so avoid products with Magnesium Oxide in them.