To go back to the doctors again?

[Nn9011]

Have comented but never posted before so hope this is the right thread.
I am in my late twenties and since I was in my teens I have been having issues with fatigue. Sometimes I will need to go for a nap during the day quite suddenly and if I don't I will not be pleasant to be around - think hanger but for sleep. I can also fall asleep mid sentence and quite literally could sleep 24 hours ans still feel tired. This isn't normal tiredness as it is having an impact on my life and ability to live normally.
Since I was 16 I've seen the gp for this maybe 3/4 times to try and get help, last time being about 8/9 years ago. Each time I have gone they have done blood tests and on a few occasions they have said my thyroid was borderline but on further testing acceptable.

I am being assessed for ADHD and I know that this can cause some fatigue issues, especially if overloaded sensorywise however for the past couple of years I've started loosing my hair. My hair is so so thin when previously it was so thick my hairdresser would complain about it. I now have bald patches practically in places.

I've tried to eliminate environmental factors for my hair, I've started hair vitamins, bought hairdresser quality shampoo/conditioner, limited heat damage and don't sleep with it in a bun but none of this is helping the tickness of it.

I have lost so much confidence because I don't consider myself good at make up or particularly good looking but I was always able to do my hair and at least have that help my confidence

I'm just wondering is it worth going back and asking for help again and pushing for them to do more? .

And if I do go back, do you have any recommendations for what I push for or ask them to consider?

Stop the supplements and go back to the Dr to request blood tests.
Thyroid issues cause hair loss and fatigue, as do B12 deficiency, low ferritin & vitamin D deficiency.
Supplements will skew any blood test results so you do need to stop those. Get a copy of your blood test results this time.
Things that can be in the low end of the normal range can still cause symptoms, for example, Drs often mark ferritin as normal at around 20 but it needs to be above 70 to support hair growth!
I hope you find some answers, & effective treatment, soon.

Do you snore? Could be sleep apnoea

Thank you for your advice, wouldn't have thought to stop the vitamins before going back. Do you think a month off them would be long enough to go back to my base levels?

They did think this at one of the appointments but I was referred to the sleep clinic and had a study done with oxygen monitoring and they said I didn't have it because my levels were normal. Unfortunately once they got that result they didn't do anything else and I left it.

Totally second this advice! A borderline thyroid result is basically a result that tells you you have thyroid disease (usually autoimmune) but you just haven't reached the NHS's threshold for treatment yet! I was subclinical for years (that means borderline on blood tests but felt like shit). Then all of a sudden I became very unwell, thyroid had packed in completely but because of previous attitudes I couldn't be bothered to go to the doctor, literally too tired to fight, until the final hour. When diagnosed as quite severely hypothyroid, I was also deficient in all vitamins mentioned. You can't absorb them properly when your thyroid is failing. If you can afford it, a full and comprehensive blood test privately, somewhere such a medichecks will give you much more insight (you prick your finger and fill up a vial) hope you feel better soon xx