Question: Since Friday I have been experiencing the following symptoms with increasing intensity: night-sweats (I wake up drenched), full-body fatigue, off and on headaches, chills (sometimes lasting hours) alternating with "hot flashes," and random body aches. Even the smallest amount of activity causes me to nap for 2-3 hours, and I am a generally healthy and active person. No recent lifestyle changes, no new meds or medication changes, no family history of chronic fatigue, cancer, thyroid problems, or other pertinent/related illness. Skin/hair appear normal, regular bodily functions.

I went to a walk-in clinic and the doc said it could be anything from anemia to a low-grade virus; blood work was done but I have not gotten the results yet, which suggest to me that they didn't find anything worth calling about. I have been staying hydrated, eating well, and trying to stay active, but even walking up the stairs tires me out. I have not been out of the country recently or traveled to areas that pose a high risk for West Nile or Lyme disease (northern NC a few weeks ago, currently reside in Great Falls, MT). The only known exposure I have had recently to illness was being exposed to a sinus infection (both the kids I nanny had sinus/ear infections), but I have no upper respiratory problems, no cold-like symptoms, just the fatigue, like after you donate blood and your body is low on RBCs and you just feel generally weak and tired? That's how I feel.

Wondering what it might be, how it might be treated, and what I can do to return to normal function.

Sorry if this is a duplicate message, I thought I submitted this but maybe it did not go through?

I am not sure if this would have have any effect on my endocrine system but it is probably worth mentioning: my periods are regular, but only because I use birth control to regulate them (since 2008). I am currently on Reclipsen (thinyl estradiol and desogestrel) but have also tried Yaz, Gianvi, and Ortho Tri-cyclen Lo, which were not successful in terms of period regulalation (although the Yaz was stopped because of its possible side effects). Could that be a contributing factor to the symptoms I am currently experiencing? I started on the Reclipsen about 4 months ago., and it seems to be working for me in regards to regulating my period (other history: not sexually active, no chance of pregnancy, no other hormone therapies).

And my second question, although not specifically medically-related: how can I follow up with this walk-in clinic Doc I saw to request that additional blood tests be run (based on your suggestions)? She is not my regular doc so I am not sure how best to follow up on the blood work that was done to see what they tested and additional tests they might do. When the techs took my blood sample today, they collected 3 vials (red top, light purple top, and light green top), but I am unsure which specific panels the dr. ordered.

Thanks for your insight!