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What is going on?

Hello-
I have been deteriorating in health for a while now or at least that's what I think. I've always been so healthy, never smoked or anything. So I wasn't surprised when my labs came back perfectly fine. TSH was 2.27. All my vitals are fine too. O2 was 99%, can't really get much better than that. However, they took all my vitals while sitting. I feel totally different on my feet. I can't stand for more than 10 minutes without feeling faint. I feel so weak, and completely exhausted, my neck and throat hurts. My coordination is off, it takes effort just to speak. I'm loosing weight because I'm loosing muscle and I can't do much of anything besides sit. The doctor thinks I'm completely delusional. I don't normally go to doctors. And that's why! Doctors completely rely on routine labs and I understand that I guess. Only I know how I really feel. But he relied exclusively on TSH for thyroid function. Now I was going to school to be a nurse and from what I remember about the thyroid from my anatomy classes, seems more complex than that. He didn't even feel for a goiter or anything, because the TSH was within normal range. I have all the symptoms of Hashimoto's but I also have 95% of the symptoms for Lyme, which came back negative via ELISA btw. I have so many symptoms, I probably did sound like a mental case. Something systemic is going on and I don't know where to go or what to do. A LLMD will be my last option as I'm not sure if I could afford one. I can only imagine how much they charge. Any advice? I'm completely on my own here!

Thanks!
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351246_tn?1379685732
Hi!
I agree thyroid disorders are complex. However, with a normal TSH, you are not likely to get anyone to look at it deeply. You can wait for three months and ask for a repeat test with complete thyroid profile, T3, T4, TSH and thyroid antibodies. Meanwhile you could rule out all other possibilities of your symptoms.
Extreme fatigue could be due to hormonal imbalance of PCOD, anemia, diabetes, hypothyroidism, or due to kidney or liver problems. Another possibility is sleep disturbances (like sleep apnea, imbalance of rapid eye and non rapid eye movement sleep etc.). You may sleep your customary 7-8 hours and yet feel fatigued. You need sleep studies to rule this out. Other possibilities are chronic fatigue syndrome, depression, low Vit B12, low iron, low calcium, sodium and potassium. Hyperthyroidism too causes increased sweating and tiredness.   Postviral fatigue syndrome is another possibility. Persisting EBV infection or mono can also be the cause. A comprehensive investigation is required keeping all the points in mind. Do discuss this with your doctor and get yourself examined. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
2 Comments Post a Comment
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351246_tn?1379685732
Hi!
I agree thyroid disorders are complex. However, with a normal TSH, you are not likely to get anyone to look at it deeply. You can wait for three months and ask for a repeat test with complete thyroid profile, T3, T4, TSH and thyroid antibodies. Meanwhile you could rule out all other possibilities of your symptoms.
Extreme fatigue could be due to hormonal imbalance of PCOD, anemia, diabetes, hypothyroidism, or due to kidney or liver problems. Another possibility is sleep disturbances (like sleep apnea, imbalance of rapid eye and non rapid eye movement sleep etc.). You may sleep your customary 7-8 hours and yet feel fatigued. You need sleep studies to rule this out. Other possibilities are chronic fatigue syndrome, depression, low Vit B12, low iron, low calcium, sodium and potassium. Hyperthyroidism too causes increased sweating and tiredness.   Postviral fatigue syndrome is another possibility. Persisting EBV infection or mono can also be the cause. A comprehensive investigation is required keeping all the points in mind. Do discuss this with your doctor and get yourself examined. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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4451049_tn?1387157037
Thanks for the advice!

According to the lab work: RBCs are fine as well as iron; glucose; kidneys; liver; calcium; sodium; and potassium. So I suppose it's safe to rule all that out.

I've considered CFS OR ME as I have a lot of the other symptoms associated with it. But I'm pretty sure I have a thyroid goiter. I have bumps in my neck that no one else seems to have but it's weird because I have two. One that seems like an adoms apple, even though I'm female and the other one is in the area of the thyroid. Unless their enormous, abnormal thyroid goiters are hard to pin point in my opinion.

Thanks again :)
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