<s>[INST] I am 32 yr old female and I ve had numbing and tingling into my feet, legs and hands for a few months. Recently I have started to get muscle aches all over, body twitches and stiffness in my hands and feet on waking or when at rest. I ve also had some dizzy spells and it feels like my fingers and toes are loosing their feeling. I had an MRI of my spine and neck and it was clear. My blood work has also been fine. However, I continue to experience these symptoms and I m extremely fatigued and feel like I m loosing muscle. Any suggestions? [/INST] Hi, when you mention with tingling, numbness etc. it will make feel of spine issue, but even you mentioned that the MRI was clear then need to focus on the Nervous system. You should meet the neurologist and discuss with him. May be a brain scan, EMG, ENG, etc. may be needed. You should try doing some regular exercise, but I highly recommend meeting a neurologist and discuss your case. Losing muscle feeling more fatigue is not healthy. Try meeting a neurologist for nervous system checkup and physical therapist for some knowledge about exercise and how to perform certain exercises as to delay the fatigue. So the physical therapist can help you learn how to balance things. Thank you </s>