Brief Answer:
Kindly follow up with additional details

Detailed Answer:

Hello,

Please follow up with the following additional details so that I can give you a definite answer

- How long ago did you start noticing these symptoms?
- How much weight did you lose over what duration? Was the weight loss unintentional?
- Are you having these symptoms just in the morning? Does it occur every day? Dies the symptoms subside after breakfast?
- Any dry skin or hair loss?
- Have you noticed any change in your urinary habits?
- When was the last time you had a routine physical? Were you given laboratory tests at that time? Was everything ok at that time?
- Have you been diagnosed with any medical conditions?
- Are you in any medications-both prescription or over the counter?
- Any other concerning symptoms?
- History of substance abuse, smoking, and alcohol consumption?

Awaiting
Dr.Lekshmi

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Brief Answer:
Rule out hyperthyroidism, diabetes, depression

Detailed Answer:

Hi,

Such rapid weight loss, dry skin, and other associated symptoms are most concerning for Hyperthyroidism (increased thyroid hormone level) and diabetes(high blood sugar levels).
Please see whether thyroid function test, blood sugar levels, and HbA1c were tested few days ago.
If those are within normal limits, then depression is a major concern, especially with the significant weight loss. You can follow up with your primary provider to assess for the presence of depression. Both panic attacks and depression are treated with the same class of medication called SSRIs. Lorazepam is not ideal for long-term use. You may discontinue lorazepam if you are not tolerating it well.
If you just took 4 caffeine pills, then it is not the likely cause for your symptom. However, if you are regularly consuming caffeine pills, it can cause such symptoms and should be discontinued.
The single episode of seeing something which is not true is not indicative of hallucination or delusion. It can happen normally at times.

Regards,
Dr. Lekshmi

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