fatigue

lethargy and fatigue, low mood, headaches, high cholesterol and PMS

My client came to see me initially to lose weight, but it became clear there were underlying factors that may be prohibiting weight loss. She suffers from lethargy and fatigue, low mood, headaches, high cholesterol and PMS. She has also previously suffered from alopecia areata during times of high stress.…

19 yo F with digestive complaints and weight loss

Female, 19yr old, many digestive complaints and weight loss, then weight gain but numerous tests showing normal…any suggestions? 19yr old female client (medical student), came in with her mum. Main problems: severe constipation, huge bloating, nausea and upper abdominal pain (usually with the bloating), very putrid flatulence, low energy. Also…

21 yo F with shaking hands, weak legs

21 year old female with shaking hands, weak legs (often unable to stand), fatigue. No specific medical diagnosis yet but suspected Leucoencephalopathis or dystrophy or similar (myelin etc). Dr prescribed Epilim and Keppra but not diagnosed as epileptic, plus monthly contraceptive injection. Also has mild learning difficulties and memory problems.…

TSH

Hi, I have a patient with TSH of 4.32 and Free T4 of 15.8. I understand that the TSH is too high but the free T4 seems to be within range so would this suggest impaired conversion of T4 to T3? Her Ferritin is 103ng/m which appears to be within…

migraine

I have a patient who suffers from chronic migraine 10-15 days pcm, depression, fatigue-cannot get out of bed once/mth. Medication has led she feels to obesity (bmi 32). After full & lengthy Gp investigations she has been referred for nutritionist advice. Migraine triggers include BS lows, dairy, msg, citrus, hormonal…

31 yo F with urinary incontinence

My patient is a 31 year old female whose main complaints are urinary incontinence – in particular she complains of loss of urine when she runs, hyperhydrosis and fatigue. She has had a diagnosis of coeliac disease (diagnosed June 2009). The symptoms of coeliac and the urinary incontinence began around…

39 yo M with GI Health, anxiety and fatigue

Male 39, 5’4, now 64kg. Needing some expert pointers, GI Health, anxiety and fatigue. I have a client who I first saw a year ago. We have made a lot of progress but have now reached a point where I need to try something else with him and could really…

Gall stones

Patient with gall stones, chronic fatigue and history of nodular lymphiod hyperplasia. Hi, I have patient who had emergency surgery following nodular lymphiod hyperplasia and peritonitis 10 years ago. Her appendix and caecum were removed (including her ileo caecal valve) and also part of her small and large intestine adjoining…