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Flares of fatigue and brain fog

58 replies

BestWatcherInTheUnit · 14/10/2020 21:01

For about the past three years I’ve been experiencing flare-ups of fatigue and brain fog, and it feels like they’re getting worse.

It’s starting to really affect my life. When I feel “bad”, I need two naps in the day and still can’t concentrate properly. I’m a lawyer, so I need to be able to think fast and usually this is fine. However, when I have these flare ups I make stupid mistakes and take ages to do anything, which makes me worry about holding onto my job. It also makes me very frustrated and bad-tempered. Today I had to take a nap at 11am for 90 minutes because I couldn’t keep my eyes open and then couldn’t concentrate on a simple draft letter which took me all day. I felt like I could have slept all day instead. It also makes me very clumsy - I knock stuff over and misjudge space badly, walk into doorframes etc. It basically makes me feel completely useless.

I also get random pains - there is a particular part of my scalp where I sometimes get a creeping pain that’s hard to define. I tried migraine medication (it is only on one side of my head) but it didn’t help. I also sometimes get random stabbing pains.

I also used to have a really good memory until this started, but now it is terrible. I put that down to having a stressful job and also being reliant on smartphones, Google etc. but I wonder whether there is more to it.

I have Ehlers-Danlos Syndrome, so have been putting it all down to that, but I don’t actually have that many problems with joint pain or the classic symptoms - really the fatigue is the worst and the most frequent thing. The brain fog episodes are less frequent but they are really debilitating.

I would love to know what is causing it so that I can sort it out, I eat well and do a sensible amount of exercise, and am a normal weight. I had full blood tests last December which came back fine except for low vitamin D and slightly high TSH (6.2). I took a vitamin D supplement and tried to have a healthier lifestyle, and in June my TSH was 5 and vitamin D levels were good. I know that fatigue is a symptom of hypothyroidism, but I don’t have ANY other symptoms of that. My hair and skin is fine, as is digestion and periods, and I am naturally slim and don’t find it hard to lose weight. I gained a couple of pounds on holiday in August but it just disappeared when I got home and went back to my normal routine. The doctor said in June that my TSH could be “normal for me” and said I would only need to think about medication if I got other symptoms besides fatigue.

I have an appointment with the GP on Monday to talk about it, but I was wondering if anyone had any advice or ideas about what it might be.

OP posts:
Hazelmazel · 23/10/2020 08:44

Oh, meant to add the haematologist said she'd never consider medicating anyone with a TSH under 7, and it'd usually have to be 10+. She was awful!

Livingmagicallyagain · 23/10/2020 08:57

@Hazelmazel that’s shocking! I’d really advise you to post on Health Unlocked, and try to get a GP with proper thyroid experience. I think the British thyroid (foundation? Not sure as not in UK) has guidelines on their page too.

Hope you get sorted!

Hazelmazel · 23/10/2020 09:56

To be honest, I've given up livingmagically, it was a couple of years ago I saw the haematologist and I was just so sick of arguing with doctors. I have pernicious anaemia (b12 deficiency) and now that's fully treated, I've felt pretty ok for the last year or so.

Hazelmazel · 23/10/2020 09:59

The best I could get was an agreement to monitor my TSH levels annually as they did concede I am at higher risk of developing hashimoto's. I had the latest test last week, TSH was 2.9. Hmm

NeurotrashWarrior · 23/10/2020 11:04

Do you have symptoms Hazel?

Yes the antibodies are an indicator it could get worse. Definitely ask for continued monitoring

Hazelmazel · 23/10/2020 11:43

Hard to tell neurotrash, the pernicious anaemia (plus perimeno!) made/makes me feel pretty dreadful anyway, exhausted, brain fog etc. I'm pretty limited in what physical activity I can do, it's only in the last year I've been able to confidently walk for 20-30 mins plus. I've felt so shit for so long it's hard to know what's normal for a mid-40s woman.

NeurotrashWarrior · 23/10/2020 14:27

Pernicious anaemia can go in hand with auto immune hypothyroidism.

I'd also on health unlocked for some advice. 2.9 would be tricky to get medication for but 4+ might, how ever the existence of thyroid antibodies might swing it. You poor thing Thanks

Elisemp93 · 27/02/2023 22:07

Hi, how did you get on with this? Did you ever get to the bottom of it?! Xxx

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