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should i go to the doctor for my fatigue?

hi! so um im not sure if this is serious enough to go to the dr for, so i want to get yalls opinion :)


SO heres whats been going on: ive been extremely tired, to the point that i can basically only walk from my bed to my desk and drive to work (where im so tired i can barely even do ANYTHING at all). i havent even been able to shower recently, the most i can bring myself to do is a quick 5 min wash to make sure im not absolutely disgusting. additionally, im EXTREMELY dizzy, maybe about 1/4 of the time im so dizzy i can barely walk and i stumble around, hell i can barely even move my head. finally, ive been EXTREMELY EXTREMELY hot, as in i have my ac set to 60 (15c) at FULL blast pointed directly at me, and im still sweating a ton


what ive tried so far

so far, ive tried drinking more water, adding electrolytes to my water, eating more, eating more balanced, eating less, taking iron supplements, and just taking general vitamins.
so far, it feels like the water w electrolytes MIGHT help a bit, but still not really sure if im just making that up.

this has happened before, and it took about 4 months for me to fully feel better. when it happened, they did a full metabolic panel on me, and there were no issues at ALL. genuinely, nothing was wrong, everything was completely ideal.


please help me yall, should i go to the doctor for this? and if anyone has any ideas on what this might be / how i could try to treat it, PLEASE let me know, this is genuinely impacting my life severely.


tysm for any feedback <3 ily guys


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MAD SCIENCE

MAD SCIENCE's profile picture

TL;DR My personal non-medical professional advice just from reading your post is that either you are suffering from microclots due to a past covid infection. The fatigue you are experiencing can arise even weeks after recovery, it's called LONG COVID. Given that you had it happen for 4 months previously that would have been your first round of long covid. Each successive covid is generally worse and creates more damage.

Importantly, a metabolic panel doesn't check for clotting, and doesn't check the functioning of your thyroid. You might have hyperthyroidism. Do you have lumps in your neck? Regardless a TSH, T3, T4 blood test can't hurt. Especially if you feel any of the following, itchy, moody, have trouble sleeping, are thirsty a lot, losing hair, losing weight unexpectedly, shortness of breath, or have a lower libido than normal.

Other differential diagnosis is Fibromyalgia or CFS.

PERSONAL, PRACTICALLY FREE, DIAGNOSTICS DEVICES:
1. Measure your SPO2% (Spatial oxygen) using painless harmless finger clips which are like 20-40$. Very useful gadget to have. If it's under 95% chronically you are likely having issues getting oxygen into your blood. There are many causes of this, carbon monoxide poisoning could cause your heme to not carry oxygen in which case you need methylene blue to treat or it's gonna be a long road as your red blood cells steadily get replaced with functioning hemoglobin.
1.b. Having low SPO2 can also mean your body is fighting an infection which may be chronic since it sounds like this has gone on a while.
1.c. Low SPO2 can also mean your lungs aren't exchanging oxygen into the blood properly. Possibly due to clotting, heart arythmias, or damage from inhaling certain chemicals, and a few other things.

2. Get a blood pressure cuff and check your blood pressure. IF your blood pressure is 20-30+ points lower than it normally is when you go to the doctor's office you will likely feel really dizzy. Also if the systolic/top number is lower than 100 that may be the reason as well. There are MANY potential causes of low blood pressure ranging from severe heart problems, to something as simple as taking too much magnesium. Make sure you get a blood pressure cuff that also checks for arythmias.

3. ECG, you can buy a portable ECG like KardiaMobile realtively cheap and you can spot check your heart signal when you feel off, or you can at least show it to a doctor later for examination. IF you have anything that doesn't look like a "normal sinus rythm" either look it up or show it to a doctor or nurse or two who can read an ECG. Basically if it's all over the place, you probably need to go get a pacemaker or kill the malfunctioning heart cells with targetted microwave energy.


SUPPLEMENT ADVICE:

1. Be careful with Iron supplements, it's easy to do more harm than good unless your blood panel shows low iron. Since your metabolic panel came back clean personally I would avoid taking any extra.

2. A lot of the research I have seen has found that up to 10,000IU's of vitamin D3 a day is usually a great idea in almost anyone unless you are outdoors in the sun all the time. This will give your immune system the power to fight off infections.
2b. Taking vitamin C and Zinc supplements are a great idea for immune health and fighting infections as previously stated.

3. Being extremely hot is an important sign, but it also matters WHEN you are hot. Are you only hot at night or is it at all times? IF you are hot all the time, it's possible that your circulation is low, meaning your blood pressure is likely low or you are clotting (ESPECIALLY if you have had COVID/been sick somewhat recently.)
3.b. IF you did have covid or got sick before the onset of these fatigue symptoms I recommend taking one 81mg aspirin (baby aspirin) per day to help lower your clotting potential, prevent clots/strokes, and free up your veins. If you have problems with bleeding for whatever reason currently and what not don't do this though. Also this will not cure you either unfortunately but it will help prevent serious damage.
3.c. If it is LONG COVID, Mitochondrial function is impaired often it seems. So even if you have oxygen you can't turn it into ATP/useable energy for your cells. Vitamin K2 seems to help this slightly, but this is dangerous because with LONG COVID you are suffering from clotting; and K2 will thicken your blood/increase clotting which can kill you so definitely take Aspirin with it if it's for that reason to cancel the effect out.


Unfortunately IF it is long covid there is almost nothing that can be done to help, almost every treatment/physical therapy keeps the patient at neutral symptoms or makes the patients worse especially in the case of physical therapy. Also it's of paramount importance that you do NOT get sick while having long covid, doing so can greatly set you back or kill you.

I know this is very hard and heavy stuff to deal with. There are millions out there dealing with the same problems as we speak yet there aren't many people talking about it. Possibly because those millions are just trying to shower and eat/survive and don't have the energy to socialize and tell people their plight. The good news is most people do steadily recover, but it's on a month to month basis to notice the recovery, and it can take years.


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all i can say is that i likely have some sort of vitamin D absorption issue, since my vitamin d levels were 7ng/mL (average is 30 - 100), and i go outside a toooon and eat lots of foods w vitamin d (oily fishes n whatnot)

however, my dr said that it would only worsen symptoms, not cause them.
he thinks its EDS, since i have many of those symptoms

by lucia; ; Report

EDS doesn't cause extreme heat and dizziness though.

by MAD SCIENCE; ; Report

im not rly sure tbh im not. too familiar w the full effects of it or whatnot, he wanted to do some more testing but i had to leave for college so idrk right now

by lucia; ; Report

So what happened before you became fatigued all the time this time around?

by MAD SCIENCE; ; Report

nothing really. i had a manic episode end a bit beforehand (a week or two maybe), but besides that, not much. in nashville it did get rly rly hot, but the previous time i was extremely exhausted was in winter.

by lucia; ; Report

The previous time you were exhausted in the winter were you still hot the same way?

by MAD SCIENCE; ; Report

MZIH

MZIH's profile picture

I was in the mood to something ironically philosophical but do get fresh air, grain rice and vegetable carbs, and water.


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Vini543

Vini543's profile picture

i think going to the doctor would be the best choice, hope everything goes well!


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San

San's profile picture

We have a habit of self diagnosing where I from, but please go see a doctor if this keeps up. But from what I am seeing it could either be anemia or iron deficiency. both of those make you dizzy, and anemia makes you very tired. But since you actually recovered at one point (and you can recover from those on your own) it makes me preeetty sure of it.

Not a doctor tho, and this habit of brazil is very irresponsible so go se a doctor if ur still sickly // get sickly again


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Safestdanger

Safestdanger's profile picture

Woah, that sounds concerning. I was gonna say go to the doc immediately, but after reading that you got a full metabolic panel and everything came back normal I changed my mind. During the four months it took for your recovery, what happened exactly? Probably tough to remember, but did you just go about your life as normal and wait for your body to catch itself up? I was doing a little bit of searching, and there are SO many causes of fatigue apparently...https://www.mayoclinic.org/symptoms/fatigue/basics/causes/sym-20050894

So I guess it's not too crazy that the panel didn't pick up anything, but you'd think it would pick up something at least. I think you should go to the doctor though, just to be safe. This seems like it may be a thing that'll continue reoccurring, and if anyone knows how to deal with it, it will be a professional. I hope your condition improves soon. I wish I had some proper advice to give


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this happened last october - this jan/feb, and really i just tried as hard as possible to live w the fatigue but mostly i slept nearly all day just so i could go to school

by lucia; ; Report

florence ✰

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I def think you should, especially if it has happened before


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Trudie! ˶ˆ꒳ˆ˵

Trudie! ˶ˆ꒳ˆ˵'s profile picture

I would highly suggests going to a doctor and not asking people on the internet! BUT you may have anemia from what im reading. Again take what I (and everyone else says) with a grain of salt! Pls go to a doctor <3


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no no def im not taking anything from the internet too seriously, i just wanna knowif anyone has had similar experiences or knows what it possibly could be! im mainly asking if i should go to the dr bc i dont really know

by lucia; ; Report

Oh ok! In my opinion you should see someone asap. It sounds like depression symptoms but it could be something more.

by Trudie! ˶ˆ꒳ˆ˵; ; Report