[30M] Experiencing low energy, high anxiety, and other symptoms

Patient Description

A 30-year-old male reports persistent low energy, high anxiety, inability to lose weight, extreme fatigue, and low libido despite having good bloodwork results. The patient has been experiencing high anxiety for 10 years, which worsens when alone, leading to dizziness, anxious thoughts, and feelings of potentially passing out. The patient has not found activities or techniques that effectively relieve anxiety. The impact of these symptoms on daily life and overall well-being was not fully discussed.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. It's also worth noting that anxiety can be a symptom of CFS.

  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease.

  • Depression: This is a mood disorder that causes a persistent feeling of sadness and loss of interest. It affects how you feel, think and behave and can lead to a variety of emotional and physical problems.

  • Generalized Anxiety Disorder (GAD): This is a common anxiety disorder that involves constant and chronic worrying, nervousness, and tension.

What you can do

  1. Consult with a healthcare provider: They can provide a formal assessment and order relevant tests if necessary.

  2. Regular exercise: Regular physical activity can help reduce feelings of fatigue.

  3. Balanced diet: Eating a diet rich in fruits, vegetables, lean proteins, and whole grains can help increase your energy levels.

  4. Adequate sleep: Make sure you're getting enough sleep each night. The National Sleep Foundation recommends 7-9 hours of sleep per night for adults.

  5. Stress management techniques: Techniques such as deep breathing, meditation, and yoga can help manage anxiety symptoms.

What you should look out for

  • If your symptoms worsen or you start to feel depressed, seek immediate medical attention.
  • If you notice any new physical symptoms, such as unexplained weight gain or loss, changes in bowel habits, or persistent headaches, seek medical attention.
  • If your fatigue is so severe that it's interfering with your ability to function at home or work, seek medical attention.

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are some common causes of persistent fatigue and low energy?

Persistent fatigue and low energy can be caused by a variety of factors including chronic fatigue syndrome, hypothyroidism, depression, and generalized anxiety disorder. It's important to consult with a healthcare provider to determine the underlying cause.


How can anxiety affect physical health and daily functioning?

Anxiety can lead to physical symptoms such as dizziness, fatigue, and headaches. It can also impact daily functioning by causing difficulty concentrating, sleep disturbances, and a decrease in overall well-being.


What lifestyle changes can help manage symptoms of anxiety and fatigue?

Lifestyle changes that can help manage anxiety and fatigue include regular exercise, a balanced diet, adequate sleep, and stress management techniques like deep breathing, meditation, and yoga.


When should someone seek medical attention for symptoms like extreme fatigue and anxiety?

You should seek medical attention if your symptoms worsen, if you experience new physical symptoms, or if your fatigue is interfering with your ability to function at home or work. It's also important to seek help if you start to feel depressed.


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