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Hypoglycemia? Pancreatic Defect?
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Hypoglycemia? Pancreatic Defect?

Hello,
I am concerned that my pancreas is malfunctioning or there is some sort of neoplasm. Let me explain, I have been feeling fatigued with brain fog for about 1-1.5 years now and it has been a steady feeling throughout that time. About 5-6 months ago I started feeling this pain in my mid back that is localized the the left upper quadrant of my back(although more midline). I ignore it but it waxes and wanes.
So, I had countless tests performed for my fatigue etc, sleep study(negative), EKG(negative), Head MRI(negative), CBC, CMP, Mono, Lymes, TSH all negative.
I read somewhere that D-Ribose helps with fatigue, and to my surprise, it actually does. This is my 4th day on it and I can def. notice a slight difference already.
My question is, could I have some sort of glucose deficiency? (Maybe overactive pancreas producing insulin?) Because, immediately after i take my ribose, my cognition and brain fog immediately vanishes, and I can concentrate and study with an immense improvement.
What blood test should I request to evaluate my sugars etc, to rule out any pancreatic causes of this?

thanks for your help!
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1711789_tn?1361311607
Hi there!

Fatigue is a very non-specific symptom and could occur due to stress/ anxiety, inappropriate diet, low blood sugar, low blood pressure, micronutrient deficiencies, anemia, hormonal/ endocrine abnormalities/ metabolic disorders, primary neuro-muscular causes, sleep disorders, systemic causes such as infections/ inflammations, electrolyte abnormalities, a few auto-immune, side effect of a few medications/ drugs etc. Getting blood fasting and post-prandial levels may help rule out hypoglycemia as a cause. You may consider an initial evaluation by an internist and depending on the cause diagnosed/ suspected, this can be managed accordingly or specialist care may be sought.
Hope this is helpful.

Take care!
2 Comments Post a Comment
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1711789_tn?1361311607
Hi there!

Fatigue is a very non-specific symptom and could occur due to stress/ anxiety, inappropriate diet, low blood sugar, low blood pressure, micronutrient deficiencies, anemia, hormonal/ endocrine abnormalities/ metabolic disorders, primary neuro-muscular causes, sleep disorders, systemic causes such as infections/ inflammations, electrolyte abnormalities, a few auto-immune, side effect of a few medications/ drugs etc. Getting blood fasting and post-prandial levels may help rule out hypoglycemia as a cause. You may consider an initial evaluation by an internist and depending on the cause diagnosed/ suspected, this can be managed accordingly or specialist care may be sought.
Hope this is helpful.

Take care!
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Avatar_m_tn
Thanks Doctor.

I am still experiencing the back pain and fatigue constantly. I did get blood work recently and its fine. What can be causing this that cannot be detected via blood work? Do you recommend a CT or CXR?

Thank you
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