Why am I experiencing extreme fatigue for the past eight months?

Hello,

Welcome to icliniq.com.

Thank you for your query.

I reviewed your query. You are taking Vitamin B12, Vitamin D, and Folic acid, but I could not find levels of these vitamins. Other tests show (attachment removed to protect the patient's identity) muscle enzyme CK (creatine kinase) is high and a mildly elevated ACTH (adrenocorticotropic hormone). In the present scenario, I suggest you to get a blood test to check for the levels of vitamin B12, vitamin D3, and TSH. And, if the TSH levels are elevated beyond 5 mIU/mL, then kindly check T4 levels.

I also want you to answer the questions mentioned below,

1. How is your appetite?
2. Do you sleep well?
3. Do you have dry hair and skin?
4. Do you have constipation?

Kindly provide the above details and revert.

I hope this has helped you. Thank you.

Hello,

Welcome back to icliniq.com.

I reviewed your reports (attachment removed to protect the patient's identity). You have consistently high CK (creatine kinase) and ACTH (adrenocorticotropic hormone). Your vitamin levels are low, and PTH (parathyroid hormone) is normal. Also, there are a few abnormalities in the complete blood picture. Your calcium levels are on the higher side, but it can be due to increased calcium absorption since you take Vitamin D. Your TSH (stimulating thyroid hormone) and thyroid function are normal. It seems there are some muscle issues as CK is secreted from muscles. Otherwise, your reports are normal. I suggest you to stop taking vitamin B12 and continue with vitamin D3. Kindly consult a specialist, talk to them and take the medications with their consent. I also suggest you to check for a peripheral smear, ANA (antinuclear antibody) and autoimmune screening.

I hope this has helped you. Thank you.