30 year old male, 5'10", 165 lb. Single/Never Married
The men/women in my family are healthy and physically strong, with moderate to large bone structures. We have no history of fatigue or depression whatsoever. We have no history whatsoever of cancer or psychological problems.
· Chronic/Constant Severe Fatigue (lasting over 11 years, progressive.)
Psychological Pain- tangible physiological pain/sinking feeling.
Frequent headaches (feel like dehydration, but I’m not dehydrated)
Deep seated feeling that something serious is wrong
feelings of extreme distress
Elevated Heart Rate (resting rate of 90, 180-200 bpm with exercise).
Fluctuating personality traits
Sense of impending doom/death
Poor bladder control until age 18
Feminine interpersonal traits (passivity, dependency, relational focus)
Developmental Problems (abnormally small bones, sexual underdevelopment,
Cognitive Dysregulation- Verbal IQ = 131 (98%)
- Performance IQ = 99 (47%)
- Processing Speed = 114 (82%)
- Perceptual Organization = 95 (37%)emotional/mental weakness)
Short-term memory almost non-existent (Long-term memory is excellent).
Parasympathetic nervous system essentially not responsive (Age 28)
No “adrenaline rush”, “fight or flight” whatsoever.
Inability to comprehend reading problems, or intricate verbal conversation.
Confined to bed for a 2 1/2 month period (Age 28).
Grinding of teeth, both day and night.
Delayed onset of puberty
Incomplete growth spurt (felt like something was missing).
Sexual overstimulation began at age 16, has not subsided.
Genital underdevelopment (3.5 in. erect, extremely thin).
Solely Heterosexual, but not attracted to women sexually.
Unusual responses to stress, various coping mechanisms
Exercise makes fatigue worse; dietary changes don't dent the problem.
1. 300 mg. Wellbutrin
2. 60 mg. Cymbalta
3. 60 mg. Vyvanse
Note: Mood stabilizers, even in small dosages, greatly magnified fatigue/depressioin.
Possible Causes Ruled Out (Test):
1. Brain Tumor (Standard MRI of Head)
2. Thyroid Problem (Multiple Blood Tests)
3. Testosterone Deficiency (Metabolic Blood Test)
4. Anemia (CBC, MBP Blood tests)
5. Heart Problem (Cardiologist-Echocardiogram, Stress Tests, MRI)
6. Parasite Infection (Stool O & P)
7. Alcoholism (No drinking)
8. Drug Addiction (No drug use)
9. Brain Function (QEEG)- showed excessive alpha waves, indicate fatigue/depress.
11. Kidney Problems (MBP Blood Work)
13. Diabetes (MBP Blood Work)
14. Sodium Deficiency (CBC Blood Work)
15. Potassium Deficiency (CBC Blood Work)
15. Liver Problem (MBP Blood Work)
16. Colon Cancer (X-Ray of Lower Abdomen)
17. Moral problems (Religious education, Spiritual maturity)
18. Mere Psychological Problems (5 years counseling, non-AA 12 step group w/ sponsorship, compete psychic evaluations by 3 psychiatrists in different locations, and a family doctor. One thought Schizoaffective disorder, another bipolar with mixed episodes, the other severe depression/fatigue. Upon administration of medication over 2 year period, psychotic symptoms have improved, but the underlying problem is still progressing. Psychotropic medications merely mask a portion of the symptoms, but have created improvement.
Possible Causes (Mere Speculation):
1. Adrenal Cancer
2. Chemical Poisoning (No history or rememberance of this)
3. Genetic disease/fault
4. Endocrine system imbalance (Blood tests came up normal)
5. Neurological disorder
6. Unidentified Cancer
7. Inability to metabolize nutrients/energy
1. What next? Endocrinologist, Neurologist, Oncologist, Genetics/Metabolism Specialist?
To whomever reads this, thank you for your time!
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