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Hey thanks a ton man. I appreciate the well thought response. I’ll try hiit for waking up and switching to/from nights! Will definitely check out these lab companies. It sounds like I need to find a good functional medicine doc to work with too.

In residency, if I leave my training will essentially end. The nature of the work/training requires nights, however once these 3yrs are over I will drop down to 12 shifts at 10hrs per shift (ideally). Burnout in ER is crazy high and I don’t want to become another statistic. Trying to prevent...

Thank you for the responses. Edited original post with lab values

30yo M ER provider in underserved inner city trauma center. Work 18-20 shifts 12hrs each with 4-10 nights interspersed randomly throughout the month. Can’t leave the job for 3 years. Once upon a time was a nationally ranked athlete 5%bf, big libido, tons of energy. Since starting shift work...