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Suggest Treatment For Chronic Pain And Insomnia
Question: I have Hashimotos, hypothyroidism, fibromyalgia, chronic pain, arthisis, interstitial of the bladder, chronic kidney stones, ovarian issues, and a slight heart irregular beat, insomnia, sleep most of the day, and chronic depression. I'm tired all the time, I workout when I can. I take 4 prescriptions. Venlafazine ER 75mg, was on 150mg a year ago. Levothyroxine 0.100MG (1000MCG), for my thyroid, Metoprolol Tartrate 25 MG, Probiontic, and Alprazolam 2MG (as needed, like the airport or crowds). Is there something I can take or get from my Dr. for energy. I am 41, I was 110lbs, until 3 years ago. I fight to stay at 139lbs. I don't care about the weight, but sleep 12 plus hours a day.
Brief Answer:
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms.
Make sure your thyroid is well regulated. The TSH and free T4 need to be in target range.
Once your thyroid is controlled adequately, search for other potential reasons for your low energy.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day.
The results will give some clues as to possible causes
Thyroid
Detailed Answer:
Sorry to learn about your bothersome symptoms.
Make sure your thyroid is well regulated. The TSH and free T4 need to be in target range.
Once your thyroid is controlled adequately, search for other potential reasons for your low energy.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day.
The results will give some clues as to possible causes
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I can't take Ambien as I drove my car and had no idea. Is there a medication like Ambien, but not in that family. Also, is there something for energy? I sleep 10-14 hours a day.
Brief Answer:
Follow up
Detailed Answer:
To my knowledge, there is no medication for sleep that will not have similar side effects like Ambien.
To improve energy levels, it is important to first diagnose the cause for it such as under-active thyroid or vitamin deficiency. Once the cause is determined, treatment can be offered accordingly
Follow up
Detailed Answer:
To my knowledge, there is no medication for sleep that will not have similar side effects like Ambien.
To improve energy levels, it is important to first diagnose the cause for it such as under-active thyroid or vitamin deficiency. Once the cause is determined, treatment can be offered accordingly
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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