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<blockquote data-quote="Cataceous" data-source="post: 249832" data-attributes="member: 38109"><p>By "normal blood tests" do you mean CBC, CMP and lipids? These should all be done. Comprehensive thyroid testing isn't a bad idea. Panels such as <a href="https://www.discountedlabs.com/thyroid-panel-comprehensive" target="_blank">this</a> or <a href="https://www.lifeextension.com/lab-testing/itemlc100044/thyroid-panel-with-reverse-t3" target="_blank">this</a> plus <a href="https://www.lifeextension.com/lab-testing/itemlc100004/thyroid-antibody-panel-blood-test" target="_blank">this</a> will tell you if anything is going on there. Vitamin D status and zinc are additional candidates. Cortisol could be worth looking at, although the blood test is said to have limited value.</p><p></p><p>Your symptoms could also be tied to neurotransmitter activity, which is not easy to measure. There are some fairly safe supplements and medications with which you can experiment. If the issue is low dopaminergic activity then one could try the supplement N-acetyl-L-Tyrosine (NALT). Medications include selegiline and bupropion. Other supplements can be used to augment acetylcholine and excitatory neurotransmitters.</p><p></p><p>How do you respond to caffeine? In theory it should ameliorate some of your symptoms, at least temporarily.</p><p></p><p>How is your sleep? Any chance you have apnea?</p></blockquote><p></p>
[QUOTE="Cataceous, post: 249832, member: 38109"] By "normal blood tests" do you mean CBC, CMP and lipids? These should all be done. Comprehensive thyroid testing isn't a bad idea. Panels such as [URL='https://www.discountedlabs.com/thyroid-panel-comprehensive']this[/URL] or [URL='https://www.lifeextension.com/lab-testing/itemlc100044/thyroid-panel-with-reverse-t3']this[/URL] plus [URL='https://www.lifeextension.com/lab-testing/itemlc100004/thyroid-antibody-panel-blood-test']this[/URL] will tell you if anything is going on there. Vitamin D status and zinc are additional candidates. Cortisol could be worth looking at, although the blood test is said to have limited value. Your symptoms could also be tied to neurotransmitter activity, which is not easy to measure. There are some fairly safe supplements and medications with which you can experiment. If the issue is low dopaminergic activity then one could try the supplement N-acetyl-L-Tyrosine (NALT). Medications include selegiline and bupropion. Other supplements can be used to augment acetylcholine and excitatory neurotransmitters. How do you respond to caffeine? In theory it should ameliorate some of your symptoms, at least temporarily. How is your sleep? Any chance you have apnea? [/QUOTE]
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