Posted by bleauberry on January 15, 2010, at 18:18:08
In reply to Tired of being tired, posted by metamorphosis on January 12, 2010, at 17:00:59
I wish I had medication to suggest that hasn't already been mentioned. But clearly, if fatigue is the issue and we are not going to explore what is behind it, then symptom improvement will be within the stimulant category...Ritalin or Adderall primarily. Modafinil maybe.
I feel it is a very common misconception to get a full physical and "they found nothing wrong". Well, did they check your saliva cortisol four times throughout a 24 hour period to see what was happening? No. Did they check your free T3, T4, and thyroid antibodies? Most likely no. Did they look at the color of your tongue? Did they ask if you ever feel cold when other people are not cold? Did they look at your teeth for silver fillings or ask if you ever had any?
As was stated already, thyroid augmentation in psychiatry is customary practice, even when lab values appear normal. Keep in mind, each lab has their own interpretation of what a normal range is, and those ranges are so wide that illness symptoms can happen even within that normal range. We can measure thyroid in the blood, but we cannot see what is going on at the receptor level. Sometimes we just need more.
It would be interesting to test your temperature. With an accurate thermomemter, take your temp as soon as you wake in the morning, again around noon, and again in the evening. Keep a log of these readings for two weeks. Look for patterns...lows, highs. If your waking temp is below 97.6, or if your averaged temperatures are around 98 - 98.2, then that is a good hint there is a real problem in the thyroid/cortisol circuits. You need not test these things because you would probably be given the wrong tests anyway, or they would be interpreted through narrow views, or they just plain wouldn't be helpful unless they were grossly out of line. The better thing to do is try pro-cortisol stuff and pro-thyroid stuff to see if your temps change and your energy changes.
I would not really suspect any of your current meds causing the degree of difficulty you are feeling. There is something else going on. My feelings anyway. There are various causes of chronic fatigue.
poster:bleauberry
thread:933400
URL: http://www.dr-bob.org/babble/20100113/msgs/933810.html