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1448748 tn?1312956208

I DESPERATELY NEED HELP SOON !!

I have been for 10 months now been experiencing extreme fatigue, I can't even drive myself home from work unless I take an energy drink first to keep me awake.  I had always been normal in this departmenmt.   I tried everything to relieve the exhaustion to changing my diet to exercising more, to exercising less.  I also quit taking birth control to see if that would help, and have recently taken a test so Im not pregnant. I can't lose weight even though I'm exercising 5 times a week at an hour and a half (800-900 cals burned)  & eating right foods ( 1800 cals or less per day, 6 small meals per day), depressed, forgetful, exhausted, trouble concentrating, headaches, low body temp, joint pain, low libido, extremely painful cramps, vertigo, moodiness, etc...) .  These things are hugely affecting my life, help!

I have had a long haul here. I had a grandmal seizure almost a year ago this march. It resulted in a major concussion where I didnt remember anything for 15 min not even my name.  My memory returned to normal and nobody could ever find the cause. I found out I have factor 5 lieden and protein s def. which means my blood clots easier.  so about 2 months after, I began getting so tired I could not drive TO work even after 12 hours of sleep. Tried everything to see if it would help for 2 months. Nothing so I saw a dr. did thyroid tests and a barrage of other tests with everything seemingly normal.  My lipase was high, albumim, mean platelet, but dr.s not concerned.  I have every hypo thyroid symptom out there and my pain is especially bad. I have to take percocets to function. It seems as though the only test I haven't done is hormonal tests.  My thyroid Results were as follows:

My thyroid were as follows:

TSH 1.0 (.3-3.0)

Free t 4  .8 (.8-2.0)

Free T3   3.25(2.3 to 4.2.)

I was reading and saw that Pituitary can be damaged by head trauma.  And the timing of it all makes sense, but my question is are my labs abnormal enough to warrant testing on my pituitary or should I keep  looking for something else for all my symptoms, I have gained 35 lbs in the past 3 months.  PLEASE HELP ME I DONT KNOW WHAT ELSE TO DO.

what could this mean? should I rule out thyroid and pituitary and look somewhere else or could the borderline low free t4 be causing all my symptoms? And how do I ask my dr. to do hormonal testing without seeming like I dont trust him to do the right tests on his own?"
4 Responses
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1448748 tn?1312956208
I have done all of those.  I am quite convinced it could be my hormone levels and pituitary issue.  My t4 levels are low and my tsh is low for my free t4 being so low.  I have read that any free t4 levels of .9 or lower and a TSH the low/normal range or at or below 1.0 points to pituitary disfunction and possible central hypothyroidism which would explain all my symptoms right?
Helpful - 0
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Extreme fatigue could be due to low testosterone in males, anemia, diabetes, hypothyroidism (ruled out), 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.  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.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP for primary examination followed by proper referral. Take care!
Helpful - 0
1448748 tn?1312956208
Have already had sleep studies done. Its not the fatigue that bothers me as much as the pain.
Helpful - 0
1542096 tn?1293162924
It may be helpful to have some sleep studies performed to see if you are getting quality sleep and if you are having problems in that area.
Helpful - 0
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