Discussions By Condition: Endocrine conditions

Fatigue after exercise, for days

Posted In: Endocrine conditions 144 Replies
  • Posted By: Anonymous
  • June 22, 2007
  • 07:25 PM

I've had multiple instances of severe fatigue 30-90 minutes after moderate exercise that lasts for 2 or more days. I'm fine while exercising -- I even feel good -- but just "crash" later. The exercise is walking, and this has happened both with 45-minute walks and 10-minute walks.

My doctor ordered a cardiac stress test, but that showed I was above average for my age. She also tested for Lyme disease and did a full blood test. Nothing came up unusual.

Since it's exercise-related, she suggested I might be hypoglycemic. Tired of the merry-go-round, I bought a glucose meter and started testing. My BG was rather normal before and after exercise (around 100-120) and dropped only to about 90-100 after exercise, and often normalized by the time I felt symptoms. She ran an HbA1c and the results were 5.9, which isn't either low or high. She's going to have me meet with the diabetes educator and see if we can figure it out. Her hunch is that I'm having highs and lows and just not catching it on the glucose meter.

Could it be anything else? I know diabetes causes fatigue, but I thought it was a generalized fatigue (which I also have, though much milder). I've cut my carbs to low levels, but I'm still eating a slice of whole-wheat bread every day, plus other complex carbs occasionally.

I had Hepatitis C 5 years ago and successfully underwent 8 months of Interferon/Ribavirin treatment. The doctor hasn't checked viral load because my ALT and AST are normal and it's her thought (and the hepatologist's) that those numbers would be high if the disease had returned. My liver biopsy before treatment showed moderate/severe fibrosis (3 on a scale of 4), but I've been told that that should be reversing itself.

Anyone have any recommendations what I should ask my doctor about next?

Thanks!

Mar2a

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  • How about hypothyroidism? Was that tested? Any TSH above 3 in the range of 0.4 - 4.12 is considered hypothyroidism. Also sleep apnea could cause those symptoms too. Do you snore? Do you wake up refreshed? Do you take naps during the day?Do you have any other symptoms besides the exercise intolerance? BTW, that's what this is called.
    Anonymous 42,789 Replies Flag this Response
  • Also one of my symptoms. Mine is also excersize induced. No idea what casues it and I have been tested for everything under the sun. Keep us posted... Kiera
    Anonymous 42,789 Replies
    • September 17, 2008
    • 09:44 PM
    • 0
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  • Anyone ever figure this out. I exercise and feel like im stoned (haven't smoked pot in years!). Exactly the same as the rest of you. I'm fine for about an hour after walking, then i just CRASH...must sleep. Gotta be some sort of chemical thing.
    Anonymous 42,789 Replies
    • February 27, 2009
    • 10:25 PM
    • 0
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  • I'm experiencing the same symptoms as listed above. I will feel fine while I'm exercising but about a hour or two after I will ‘crash’…. For the following 2 days or so I will feel absolutely fatigued, muscles aches, heart palps and I feel really on edge. I can’t focus at work and wake up several times during the night- like I’m just buzzing with adrenaline but cant do anything with it because of the fatigue and pain. I also experience little ‘jolts’ that wake me up which are really scary.I have also had the cardio stress test done along with many other heart tests and like the first poster have been told that my heart is better than average. Although it has been told I have a harmless ectopic beat.Likewise, my endo suggested that I have hypoglycemia but I’m not sure how that could make me feel so rotten for the next few days- especially as I eat after exercise.If anyone finds the answer to this… please please please let me know! (jelliebeaners@hotmail.com) I used to be able to bust out 3 cardio classes in a row and feel fine. Now I suffer from 30 minutes of walking..... Please help!I have been tested for nearly everything (including thyroid and adrenal function)- and all has come back fine (except for slight adrenal fatigue).Thanksrines
    Anonymous 42,789 Replies Flag this Response
  • I wish someone could figure this out. I have been struggling with this issue for 3 years now. Extreme fatigue lasting 2-3 days after minimal exercise. My doctor has tested for everything! Thyroid, cardiac test, saw the sleep doctor, etc. Every test comes back normal. This is the most frustrating thing I have ever experienced! I have to basically give up exercise because of the dreadful side effects.....
    Anonymous 42,789 Replies Flag this Response
  • I wish someone could figure this out. I have been struggling with this issue for 3 years now. Extreme fatigue lasting 2-3 days after minimal exercise. My doctor has tested for everything! Thyroid, cardiac test, saw the sleep doctor, etc. Every test comes back normal. This is the most frustrating thing I have ever experienced! I have to basically give up exercise because of the dreadful side effects.....I am dealing with this same problem. Every doctor I go too runs tests and everything turns out normal. So fatigue after exercise even messes up my ability to think straight. I also become very moody and feel as though I have the flu after exercise. If I keep pushing through trying to exercise and try to get things done I just feel more and more miserable, like I could die sometimes. It takes a very long time to recover.I know this seems like a weird question but do any of you have silver fillings in your mouths? I have some and was told by the dentist that they are leaking. I have read that this can leak toxins into your body that can cause fatigue. Some doctors say that mercury silver amalgams being harmful is just nonsense and they are perfectly safe. I don't know what to believe.So I am wondering if any of you have any silver fillings in your mouth like me. Please reply.
    Anonymous 42,789 Replies
    • September 27, 2009
    • 09:56 PM
    • 0
    Flag this Response
  • I found this thread while diagnosing my symptoms, looking for things I can get checked out. Whatever we have apparently does not exist. I eat 6 meals a day spaced out, get plenty of sleep and still feel fatigued after exercise. I want to exercise more but I can't. If I try to fight through it and exercise anyway, I get more run down and feel worse for longer. I race motorcycles on Sundays, and takes until Friday before I start feeling normal. Also I have stopped drinking alcohol because I get the same symptoms. A hangover from just 2-3 drinks can leave me with the same fatigued feeling for 2-3 days or more. One drink a night will catch up to me after a few days and get same feeling. I am starting to think it is all some kind of dehydration issue that is not curable just by drinking lots of fluids. I drink at least a gallon of water a day. Once I got severely dehydrated and was given 2 IV's at the same time and then put on a drip overnight. I felt better than I can ever remember. Clear headed and confident. I think about it so much I have starting researching how to give myself IV fluids. I will bookmark this thread in hopes that somehow this strange DISEASE gets solved...
    Anonymous 42,789 Replies
    • September 30, 2009
    • 10:42 PM
    • 0
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  • Wow. I posted this message two years, three months ago, and I still haven't found the answer :-(A few days ago I was talking to a runner and he asked if I ran. Before I could even finish my sentence, he finished it for me: "After an hour an a half, you're exhausted, right?" I explained that after an hour and a half I *had* to sleep, often sneaking out to my car at work for a quick nap because I couldn't stay awake.We both agreed that it sounded like I was depleting my glycogen stores, and during the time my body was trying to fill them back up, I was exhausted. He asked if I had been athletic (no). His theory was that because I never did any exercise and because women tend to have less muscle tissue anyway, the problem was that I didn't have enough muscle tissue to store enough glycogen.In other words, I can't store enough glycogen because I don't have enough muscle tissue to store it in.So, what I'm going to try now is this: LIGHT (and I do mean light) weights to slowly build up arms and shoulders, leg llifts and walking to build up legs/hips. I walk only 15-20 minutes a day at a much slower pace than I can actually handle, and eat before I walk. I'll let you know how it works out.I did a Google search last night to see if I could find anything to back up his theory, but the closest I came was to find references to "deconditioned" people having to build back very slowly. (The references were to deconditioning in those who were bedridden for a long time.) Most of the references I found were from people like us who have been battling this a long time with no luck :-(
    Anonymous 42,789 Replies
    • October 5, 2009
    • 06:33 PM
    • 0
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  • Have any of you ever had mononucleosis( forgive spelling) in the past? I was diagnosed with an after affect of having it called CFS-Chronic Fatigue Syndrome. Common belief is that you get mono from someone who has it, but in my case,it was an attack my own body did to itself to force me to sleep, which is something I often went without. I have relapses frequently and truthfully there is very little you can do about it. I would also get tested for Lyme Disease. I was diagnosed with that recently and my specialists believes that I have had it for years. Please understand that most tests that your family physician use to test for Lyme are extremely innacurate. The only way to really be tested for Lyme,is to see a Lyme specialist. Check out Lymenet.org for more accurate information. They have been a tremendous help to me.
    Anonymous 42,789 Replies
    • October 6, 2009
    • 05:13 AM
    • 0
    Flag this Response
  • Have you had your CPK levels tested after exercise? You might want to contact a neuromuscular specialist and look at something like myositis or a metabolic disorder. I had similar symptoms and was diagnosed with a metabolic myopathy after a muscle biopsy.
    Anonymous 42,789 Replies
    • October 14, 2009
    • 08:56 PM
    • 0
    Flag this Response
  • I am dealing with this same problem. Every doctor I go too runs tests and everything turns out normal. So fatigue after exercise even messes up my ability to think straight. I also become very moody and feel as though I have the flu after exercise. If I keep pushing through trying to exercise and try to get things done I just feel more and more miserable, like I could die sometimes. It takes a very long time to recover.I know this seems like a weird question but do any of you have silver fillings in your mouths? I have some and was told by the dentist that they are leaking. I have read that this can leak toxins into your body that can cause fatigue. Some doctors say that mercury silver amalgams being harmful is just nonsense and they are perfectly safe. I don't know what to believe.So I am wondering if any of you have any silver fillings in your mouth like me. Please reply.I have also been struggling with very similar symptoms of overwhelming fatigue & sickness after exercise, even with very minimal exercise. I use to be very active as a younger person & I never went to a dentist until I was 21 years old. At that time I had several cavities that were filled. After that my health went downhill. I read about the mercury that leaks from these fillings & what that poison can do to your body & I am convinced that is what is causing my fatigue, depression, anxiety disorder, & other multiple health issues. Something needs to be done about it, but I'm not sure what. Those mercury fillings should be outlawed as they were in other countries. I think Americans are rather stupid when it comes to health. They think they know everything, but if you look at the health issues we have here & compare to other countries you'll see we are one of the sickest countries in the world. We need to turn away from all the drugs & junk that is being produced & sold to us, & turn back to pure natural things that come directly from our earth given to us by God. Even the fruit & vegetables in stores today are jammed full of unnatural junk to keep it looking good & lasting longer, but that stuff will kill us in the long run. ~Angela~
    Anonymous 42,789 Replies
    • October 16, 2009
    • 06:20 PM
    • 0
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  • There is a rare condition called glycogenosis that cause fatigue after exsercise. You can search this website for that or glycose storage desease. More common reason is candida infection and adrenal fatigue I may have.My problem is also digestive problem like reflux and my doc said I have glycogenosis seen in esophagus during endosopy. I wonder if somebody have such problem? I've had multiple instances of severe fatigue 30-90 minutes after moderate exercise that lasts for 2 or more days. I'm fine while exercising -- I even feel good -- but just "crash" later. The exercise is walking, and this has happened both with 45-minute walks and 10-minute walks. My doctor ordered a cardiac stress test, but that showed I was above average for my age. She also tested for Lyme disease and did a full blood test. Nothing came up unusual. Since it's exercise-related, she suggested I might be hypoglycemic. Tired of the merry-go-round, I bought a glucose meter and started testing. My BG was rather normal before and after exercise (around 100-120) and dropped only to about 90-100 after exercise, and often normalized by the time I felt symptoms. She ran an HbA1c and the results were 5.9, which isn't either low or high. She's going to have me meet with the diabetes educator and see if we can figure it out. Her hunch is that I'm having highs and lows and just not catching it on the glucose meter. Could it be anything else? I know diabetes causes fatigue, but I thought it was a generalized fatigue (which I also have, though much milder). I've cut my carbs to low levels, but I'm still eating a slice of whole-wheat bread every day, plus other complex carbs occasionally. I had Hepatitis C 5 years ago and successfully underwent 8 months of Interferon/Ribavirin treatment. The doctor hasn't checked viral load because my ALT and AST are normal and it's her thought (and the hepatologist's) that those numbers would be high if the disease had returned. My liver biopsy before treatment showed moderate/severe fibrosis (3 on a scale of 4), but I've been told that that should be reversing itself. Anyone have any recommendations what I should ask my doctor about next? Thanks! Mar2a
    imsinfo 4 Replies
    • October 19, 2009
    • 03:24 PM
    • 0
    Flag this Response
  • I found this thread while diagnosing my symptoms, looking for things I can get checked out. Whatever we have apparently does not exist. I eat 6 meals a day spaced out, get plenty of sleep and still feel fatigued after exercise. I want to exercise more but I can't. If I try to fight through it and exercise anyway, I get more run down and feel worse for longer. I race motorcycles on Sundays, and takes until Friday before I start feeling normal. Also I have stopped drinking alcohol because I get the same symptoms. A hangover from just 2-3 drinks can leave me with the same fatigued feeling for 2-3 days or more. One drink a night will catch up to me after a few days and get same feeling. I am starting to think it is all some kind of dehydration issue that is not curable just by drinking lots of fluids. I drink at least a gallon of water a day. Once I got severely dehydrated and was given 2 IV's at the same time and then put on a drip overnight. I felt better than I can ever remember. Clear headed and confident. I think about it so much I have starting researching how to give myself IV fluids. I will bookmark this thread in hopes that somehow this strange DISEASE gets solved...This is my problem exactly! I have been tested for EVERYTHING! Nothing has showed up but I can't exercise without repercussions and have had to stop drinking alcohol as well. Both take days for me to recover from. Has anyone been able to figure out what this is? It's so frustrating as I am NOT lazy and really want to be fit but my body is working against me.
    Anonymous 42,789 Replies
    • October 25, 2009
    • 07:15 PM
    • 0
    Flag this Response
  • With all of the symptoms you are describing, it sounds like thyroid and adrenal issues need to be ruled out. I would suggest getting serum TSH, Free T3, Free T4, and A.M. Cortisol labs done. You can order these labs on your own through www.econolabs.com or www.healthcheckusa.com without a doctor's order. If you want to post results I can comment on them.Tricia
    Lyra19 7 Replies
    • November 21, 2009
    • 06:48 AM
    • 0
    Flag this Response
  • I have similar symptoms, for me, cutting all simple carbs and sugar, caffeine, will reduce the symptoms dramatically within less than a week.Along with this, eat plenty of fresh green veggies and protein. Sounds overly simple, but it just works wonders.Wow. I posted this message two years, three months ago, and I still haven't found the answer :-(A few days ago I was talking to a runner and he asked if I ran. Before I could even finish my sentence, he finished it for me: "After an hour an a half, you're exhausted, right?" I explained that after an hour and a half I *had* to sleep, often sneaking out to my car at work for a quick nap because I couldn't stay awake.We both agreed that it sounded like I was depleting my glycogen stores, and during the time my body was trying to fill them back up, I was exhausted. He asked if I had been athletic (no). His theory was that because I never did any exercise and because women tend to have less muscle tissue anyway, the problem was that I didn't have enough muscle tissue to store enough glycogen.In other words, I can't store enough glycogen because I don't have enough muscle tissue to store it in.So, what I'm going to try now is this: LIGHT (and I do mean light) weights to slowly build up arms and shoulders, leg llifts and walking to build up legs/hips. I walk only 15-20 minutes a day at a much slower pace than I can actually handle, and eat before I walk. I'll let you know how it works out.I did a Google search last night to see if I could find anything to back up his theory, but the closest I came was to find references to "deconditioned" people having to build back very slowly. (The references were to deconditioning in those who were bedridden for a long time.) Most of the references I found were from people like us who have been battling this a long time with no luck :-(
    getwell 2 Replies
    • November 23, 2009
    • 03:56 AM
    • 0
    Flag this Response
  • hi there all , after looking for some help on this subject and not finding it i thought my story might help some others as ive been in a similar situation for some time. some twenty years ago i was hit by a car , the doctor gave me antiinflammatories , the end result was stomach ulcers . little did i know but a lot of my food wasnt being digested , some was poisoning me . the result being headaches all the time . my course of action was paracetamol . wrong choice, this took its toll on my liver . now i never had tests for my liver but one little look into paracetamol will show you how bad it is for you . years later i started looking into natural remedies , changing diet , no milk , gluten free , little refined carbs etc and my health was looking better. i started to exercise but my tolerance was very poor . i sought a naturopath , took many supplements and did some cleansing etc and these days i never get headaches at all . my exercise tolerance is much better and so is my general health. im getting healthier but have still a way to go . but what rang true for me was the many people who wrote they couldnt tolerate alcohol . the liver is tied up with so much and alcohol intolerance is one sign of a bad liver . im not saying you all have cirrohsis of the liver or anything like it . i just know that the livers health can mirror ours . some supplements i take are, massive amounts of vit c , 6-8 grams a day , vit b,s , vit e , zinc , sea salt in my water and i limit caffeine and never drink diet coke , aspartame is the silent killer . these are just some of my supplements and wow what a difference it makes to me . i,ll be doing blood tests soon enough and will hopefully have more to offer soon enough . just a thought , hoping it helps. cheers. simon
    Anonymous 42,789 Replies
    • November 23, 2009
    • 11:13 AM
    • 0
    Flag this Response
  • I wish someone could figure this out. I have been struggling with this issue for 3 years now. Extreme fatigue lasting 2-3 days after minimal exercise. My doctor has tested for everything! Thyroid, cardiac test, saw the sleep doctor, etc. Every test comes back normal. This is the most frustrating thing I have ever experienced! I have to basically give up exercise because of the dreadful side effects.....Hi ...yes Ive had the same thing for the last 10 years..with me a too vigorous work out can actually make me sick for months...and as a result I gave up all exercise for a while...BUT the good news is (for me at least) that it doesnt have to be...the key is moderation...I started running for 5 minutes a day (10 years ago I did a marathon) and gradually built up to about 20 mins....more than that and it seems I risk a crash...I can work out with weights for much longer without getting any bad after effects...so its basically a problem only with aerobic exercise. So I've managed to stay in decent shape..running in total for about an hour a week and a total of about an additional 2 hours of weight training...I wish you luck if you decide to give this a try.Best wishesPhil
    Anonymous 42,789 Replies
    • December 2, 2009
    • 03:43 AM
    • 0
    Flag this Response
  • I am dealing with this same problem. Every doctor I go too runs tests and everything turns out normal. So fatigue after exercise even messes up my ability to think straight. I also become very moody and feel as though I have the flu after exercise. If I keep pushing through trying to exercise and try to get things done I just feel more and more miserable, like I could die sometimes. It takes a very long time to recover.I know this seems like a weird question but do any of you have silver fillings in your mouths? I have some and was told by the dentist that they are leaking. I have read that this can leak toxins into your body that can cause fatigue. Some doctors say that mercury silver amalgams being harmful is just nonsense and they are perfectly safe. I don't know what to believe.So I am wondering if any of you have any silver fillings in your mouth like me. Please reply.I am 25 and have been experiencing the same problem. I have the 2-day fatigue and cannot push myself when working out. The nausea workout hangover usually is worse when I workout in the morning. It has effected my ability to focus and I feel very dry and my eyes start to water in the mornings. Now matter how many carbs and fluids I consume, my body does not recharge. Before this happened, I used to get energy from working out and now it seems to drag me down. If I don't workout I become more and more out of shape. It's a catch 22.Anyways, I wanted to reply the post above that I do have silver fillings. I also think there could be a potential hydration problem. My body seems to not re-hydrate properly even though I am drinking sufficient water.
    Anonymous 42,789 Replies
    • December 16, 2009
    • 07:24 AM
    • 0
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  • Hello:So, I posted here a while back complaining of similar symptoms. I think I may be close to figuring this out. At least for me. Some of the symptoms posted here seem to be different from mine. I apologize in advance for the long post. I want to explain what's worked for me as clearly as possible. I know how horrible it is to suffer from something you can't diagnose. I've seen over 25 doctors and none were able to helpBefore I go on, I should tell you that I'm not 100% sure of any of this. A lot of what I'm going to tell you here is me guessing, so please, please, please don't read any of this as though it came from a medical journal. Most of it came from trial and error, and bits and pieces of stuff I've read online. However, I do seem to have learned how to control my symptoms now. Hopefully my methods will help some of you too.I THINK I have something called HYPOGLYCEMIA, but I'm not completely sure. Hypoglycemia is really difficult to diagnose, and my symptoms are slightly different from those usually associated with the condition. Hypoglycemia is a metabolic thing. There's no definitive cause, but essentially it's an intolerance to simple carbohydrates such as sugar, pasta, rice, bread, etc. These things cause the blood sugar to spike and then come down, causing the symptoms I have after exercise. It seems like my body lacks glycogen and exercise depletes my body of this, causing the symptoms. I used to drink a sugary drink after a workout. While this is the way to go for most people (you may be aware that this helps store energy for the next workout) this is a BAD idea for me. The best I can tell is this causes my blood sugar to spike and then rapidly drop from the insulin my body releases, releasing a lot of stored glycogen and causing the symptoms. The thing is, while most carbohydrates are bad, hypoglycemics like me NEED LOTS OF CARBOHYDRATES. Even more than most people. For me, the solution has been to eat LOTS OF VEGETABLES. ESPECIALLY AFTER EXERCISE. Vegetables burn slower in the system than most carbohydrates, so they are stored as the glycogen I need without the rapid blood sugar spike. I also need to ALL SIMPLE CARBS after a workout, EVEN FRUIT. This causes the blood sugar to spike too.Now, everyone is different, so you're going to have to play with your diet to see what works best for you. But from what I've read and experienced, hypoglycemics are supposed to AVOID CAFFEINE, ALCOHOL AND SUGAR. Sucks, I know. I actually haven't been completely faithful to this. But I've found that I can still usually avoid the symptoms if I eat protein and vegetables after a workout and avoid the simple carbs. But overall, I feel a lot better day to day if do avoid what I listed above. I have cut back on that stuff quite a bit, though, and it's made huge a difference. I hope one day soon to do away with it completely. And yes, I've also found that FRUIT IS BAD. At least for me. Fruit, especially bananas contains simple sugar, which can wreak havoc on my blood sugar. It seems that some hypoglycemics react to dairy as well. So you may want to experiment with that along with everything else. Currently I eat two apple wedges a day and I seem to be OK. I also found that a low carb diet is bad. It makes me feel better for a little while, but it eventually catches up with me. If you haven't seen a doctor yet, I would encourage you to do so. You might try some of the stuff I recommended to see if it works. Then go to the doctor and tell him/her about how you reacted.You should also do your own research. Search "Reactive Hypoglycemia" and read what comes up. You can search "Hypoglycemia" as well. But know that you will come across a lot of stuff that applies to diabetes and not the condition I've described.Additionally, know that you will find a lot of conflicting information. My big breakthrough came when I started avoiding fruit and eating a lot of veggies. I couldn't understand how fruit could be bad, but for me, that seems to be the case.I know how bad it sucks to have these symptoms so I hope like heck that this post will be the beginning of the end of the suffering for some of you. Good luck to all of you!Brendan
    Anonymous 42,789 Replies
    • January 23, 2010
    • 06:11 AM
    • 0
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  • This is fascinating as this is pretty much me right now. I'm 36, used to be a regular runner and snowboarder. Then when I was 26 tore my labrum in both hips and got an RSI. Got horribly deconditioned due to that. I had surgery on my hips and did conservative care with my RSI and started doing regular exercise and working out at the gym again. Slow going, but I was pretty solid in 2007 with doing regular aerobic activity and weight lifting.Then last year I started to get really fatigued after aerobic exercise. It was a slow slide, starting in February and slowly getting worse. It took me a while to figure it out, but in August 2009, spending only 15 minutes with my heart rate barely elevated would cause a crash 30-90 minutes later. Mental decline, irratibility, poor night vision, and deep bone wearying fatigue for 3 days. I'm currently working on a hypothyroid hypothesis. I was already having bone wearying fatigue in the fall of 2008 when one doctor put me on a trial of Cytomel. It was night and day for me. The fatigue I feel now after exercise is very similar to what I felt before the thyroid replacement therapy. After increasing my Cytomel dosage, recovery improved to 24 hours. Still not great, but a clear change. We're now working on adjusting my T4 (levothyroxine) dosage to see if that helps with the remainder. I should point out my thyroid bloodwork (TSH, free T4, free T3, antibodies) has always been within tolerance. No goiter, and ultrasound showed nothing wrong. At this point my Dr is willing to push my numbers towards the other side of the range to see if that helps with the recovery. I've also had pretty extensive bloodwork done for things like testosterone, cortisol, Vitamin D and Vitamin B (both low, now corrected) and everything is withing range.I'm currently drinking caffiene, but like other people, alcohol hits me really hard so I try to avoid it.I'm not really thrilled about the thyroid angle myself, but for now I'm willing to try anything that helps.
    Anonymous 42,789 Replies
    • January 28, 2010
    • 07:01 AM
    • 0
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