Thyroid UK
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Helpless and unemployed because of my fatigue n pain

Am 29 yrs man having symtoms which is not getting digonosed since past six months , those are dificulty having proper sleep(3-5 hours daily ) ,too much sweating above neck part ,constipation,gastric,unable to live or work in air conditioned office ,fatigue is there most of the time,muscles and joint pain especially back pain ,etc .

I went for varous tests already i.e complete blood test, liver function,uric acid,thyroid ,Hiv,hb,lipid profile ,calcium, vitamins,

8 Replies

Could you post your Thyroid results and Vitamins with the ranges. It will give us an idea on what to suggest. Are you being treated for anything at the moment?


Have you asked for thyroid antibody test to check for Hashimoto..


I am sorry you haven't yet been diagnosed.

I myself was undiagnosed for quite a few years.

What you should do is ask for a new blood test for hypothyroidism. If GP says you've had one say you have taken advice from the NHS Choices and you have to have a new test. Request:

TSH, T4, T3, Free T4, Free T3 and thyroid antibodies. Also ask for B12, Vit D, iron, ferritin and folate.

This test has to be as early a.m. as possible, fasting (you can drink water). If you were taking thyroid hormone replacement you'd allow a 24 hour gap between your last dose and the test and take afterwards as taking hormones before a test skews the results.

If you are diagnosed, all tests thereafter you should follow the same practice.

Get a print-out of the results from the surgery and post on a new question for comments.

The GP probably wont do all of the tests for thyroid gland that I've suggested as they've been told that TSH and T4 is sufficient but he may do so. Tell him you are sick of being unwell with no-one bothering to find out the root cause.

If your GP says you have had all the tests above and they were all negative. You tell him if you haven't had a Free T4 or Free T3 blood test not all your options have been taken to exclude hypothyroidism or hashimotos, i.e. FT4, FT3 and thyroid antibodies. (The lab may not do as he requested and I don't know if you can afford FT4/FT3 being unemployed as they can be done through a private lab).

First things first though, see how many of the blood tests the GP is able to do. You can also give him copies of the following and highlight your symptoms.


I witnessed a man of your age going through problems with his parathyroid gland and he ended up in hospital. (He's ok now, but diabetic.) The critical indicator was blood calcium levels which were ridiculous. Weirdly, vitamin d can be low in both hyper and hypo parathyroid and I'd check with your GP about that specifically, as it'll also help to know if you've also got (we suspect) low thyroid - important to have good vit d levels. Magnesium can also be low in both and given your problems with constipation, muscles and sleep, it'd probably be a good thing to start supplementing with Magnesium in the evening.

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From my own experience, but I am not a doctor, sleeping only a few hours points more to your cortisol levels. My cortisol was upside down, ie not increasing at 6am but instead at around 10pm so I was awake til around 4 or 5 am, then sleeping for up to 18 hours. You can get a private cortisol test from Blue Horizon, but as you aren't working I do understand that money is an issue. You could well still have a low thyroid level, and low vitamins/minerals. Good luck


Michael Mosely's programme on sleep issues pointed towards walking in morning sunlight to reset the body clock - not so easy when it keeps on raining / or its light at 4am. A high fibre evening meal including plenty of veg was found to be very helpful too and prebiotic drink before bed.

Low vit D can effect cortisol production (vit D is actually a hormone) and cortisol can deplete vit d, so you can see how that could play out badly for you if you're already stressed AND not getting enough vitamin d. In my experience, magnesium is a mineral that makes a big difference to lowering stress, but if you're in total crash state you should only take oral magnesium as excess just passes through (not sprays) and you must keep up your (sodium + potassium) salt levels, so baked potatoes are good.


Please ask your provider for copies of all your test results, then post them here. If your fatigue is thyroid-related, a TSH test only isn't very helpful. Also if you have poor digestion, that can cause inability to digest protein, which can lead to muscle/joint pain. My previous bouts with back pain were related to low blood protein.


Dear Leolodoe, so sorry to hear how bad you are feeling. I can't advise but am just sending sympathy and support, others on here will be able to guide you.


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