[35F] Experiencing severe fatigue and various symptoms

What might be happening

Based on your symptoms and medical history, here are a few possible conditions:

• Hypothyroidism: You have a history of hypothyroidism and are taking levothyroxine, which is used to treat this condition. Hypothyroidism can cause fatigue, weight gain, constipation, and brain fog. An enlarged thyroid (goiter) can also occur in hypothyroidism. However, it's important to note that your medication dosage may need adjustment if you're still experiencing these symptoms.

  • Treatment typically involves taking a synthetic thyroid hormone, such as levothyroxine, which you're already doing. It's important to have regular check-ups to ensure the dosage is correct.

• Hemochromatosis: This is a condition that causes your body to absorb too much iron from the food you eat. The excess iron is stored in your organs, especially your liver, heart, and pancreas, which can lead to life-threatening conditions such as cancer, heart arrhythmias, and cirrhosis. Symptoms can include fatigue, weight loss, and joint pain.

  • Treatment for hemochromatosis usually involves regularly removing blood from your body, much as you would during blood donation.

• Vitamin Deficiency: You mentioned a history of vitamin deficiency and are taking several supplements. Deficiencies in certain vitamins, such as B12 and D, can cause fatigue and brain fog.

  • Treatment typically involves dietary changes and supplements, which you're already doing.

What you can do

1. Schedule an appointment with your doctor to discuss your symptoms. They may want to adjust your levothyroxine dosage or investigate other potential causes of your symptoms.
2. Keep a symptom diary. Note down when your symptoms occur, what you're doing at the time, and anything that makes them better or worse. This can help your doctor identify any patterns and make a diagnosis.
3. Try to maintain a balanced diet and regular exercise routine. This can help manage symptoms of fatigue and brain fog.
4. Stay hydrated and get plenty of rest. Dehydration and lack of sleep can exacerbate feelings of fatigue and brain fog.

What you should look out for

Seek immediate medical attention if you experience:

• Severe abdominal pain
• Chest pain
• Difficulty breathing
• Sudden, severe fatigue
• Confusion or difficulty concentrating

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.