[52F] Experiencing fatigue, muscle pain, and weight gain

What might be happening

Based on the information you've provided, the following conditions might be contributing to your symptoms:

• Chronic Fatigue Syndrome (CFS): This condition is characterized by extreme fatigue that can't be explained by any underlying medical condition. It often worsens with physical or mental activity, but doesn't improve with rest. The cause of chronic fatigue syndrome is still unknown.

• Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It's believed that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.

• Hypothyroidism: You mentioned that you have Hashimoto's hypothyroidism. This condition can cause fatigue, weight gain, joint or muscle pain, and memory problems. It's possible that your thyroid hormone levels are not optimally controlled.

• Adrenal Insufficiency: This is a condition in which the adrenal glands do not produce enough cortisol. Symptoms can include fatigue, muscle weakness, loss of appetite, and weight loss. However, you mentioned weight gain, not loss.

• Vitamin B12 and Leptin Imbalance: High levels of B12 can indicate liver disease, diabetes, or certain types of leukemia. High leptin levels are often found in people with obesity and can be a sign of leptin resistance. Low cortisol levels can be due to adrenal insufficiency or certain medications.

What you can do

1. Consult with your healthcare provider: Given the complexity of your symptoms and medical history, it's important to discuss these symptoms with your healthcare provider. They can help determine if these symptoms are due to your existing conditions or if there's something else going on.

2. Monitor your symptoms: Keep track of your symptoms and any potential triggers. This can help your healthcare provider in diagnosing and treating your condition.

3. Maintain a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help manage symptoms of fatigue and muscle pain.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

• Severe pain
• Difficulty breathing
• Severe fatigue that prevents you from getting out of bed
• Rapid, unexplained weight loss

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with your healthcare provider for accurate information.