### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi there, I have been experiencing recurrent neck spasms, and shoulder pain, for about a year, and lower back pain on rising which has become increasingly painful, I also have the MTHFR A1298C polymorphism, generalised anxiety disorder, heart palpitations and regular head aches, alternating diahhroea and constipation, ongoing muscle twitching and fatigue.. recently I have been having muscle jerks too, I have had lots of blood tests, which show low iron, subclinical hyperthyroidism and am always told that I should go on antidepressants which I am not comfortable with. I had glandular fever shortly before my symptoms began approx 2 years ago and I m wondering if its possible that I have fibromyalgia? I also need to find a doctor that is familiar with the MTHFR as none I have seen thus far know about it yet.. I must find out if the doctors listed on this site bulk bill and see if I can get an appointment.. your thoughts are much appreciated. Kind regards

### output:

Hide not worry. Just take folic acid tabs and methycobalamin 1500iu daily, lyrics 100 mg BD, Amitriptyline 10 mg bedtime. You will notice most of your symptoms, diarrehea, constipatiin, body ache, fatigue shall disappear in 2 weeks time or so. Also take tramadol 100 mg BD for pain.it will have miraculous response. Consult a rheumatologist also for any more evaluation. Folic acid and methycobalamin should continue for at least 3 months as mainstay of MTFHR problem...it will improve many processes of metabolism, restoring them Best wishes