any medfags around?
Problem: I always feel tired/exhausted
8-11 hours of sleep: tired
6 hours sleep: equally tired
minimum muscle movement: tired
training/working: tired
studying: tired
blood valuesand thyroid are fine (had both tested)
what could it be?
>inb4 cancer, tumor, aids, at least I hope
pic not related, that's not the reason
Eat more fiber and probiotics
>>686021206
Medfag here. With fatigue, 3 differential diagnoses usually pop straight into mind with most docs.
Anemia, Hypothyroidism, Major Depressive Disorder.
Once anemia and thyroid are ruled out, you check if patient meets criteria for a depressive disorder and explore rarer causes of fatigue (such as cancers, etc.).
You may just be clinically depressed, anon.
>>686021206
We're you tested for vitamin d?
>>686021206
Start less YLYL threads on /b
Exercise more anon
>>686021555
that could help? sounds good and easy enough
>>686021670
thank you, well that's just great, I mean, I've been feeling down for a longer while now, any ways to get rid of it (besides taking a shitton of pills?)
>>686021702
no Sir
>>686021972
Lack of gut bacteria causes depression and other disorders. Increase fiber and start taking probiotics
>>686021972
Where do you live? Do you get much sunshine?
do cardio, see if that tires you out enough to sleep properly
>>686021206
sounds like aids to me
sorry about you luck, anon
Stop shitposting
>>686021972
Medfag again. See your doctor, they will likely check Vit D, B12, and other B vitamins to rule out other deficiencies. If they determine you really are depressed and they offer you medication, let he/she know you are more interested in seeing a therapist for Cognitive Behavioral Therapy (CBT). CBT has been shown over and over in research studies to be equal in effect to antidepressant medication, with no side effects, and no lifelong medication. Bonus: most insurance will pay for CBT nowadays.
>>686022213
Germany, weather is like Britain's, so no
>>686022184
alright, that sounds reasonable, easy enough to do and very helpful, thank you
>>686021206
you're a lazy fuck. buck up and deal with it faggot.
(i have a PhD and the is a valid medical diagnosis)
Fish oil nigga
>>686022435
Ignore the vegan faggot blabbering on about probiotics and fibre. Listen to the medfag advising a B12 and folate test + vitamin d. Chances are if you live in a place with low sunshine..and you're a basement dwelling faggot (you're on /b/) you're deficient.
>>686023001
perhaps I should go out more often^^
>>686022971
took it a while back, but it's supposed to be unhealthy
>>686022392
yeah thanks
>>686023001
Show me your credentials
>>686023001
It's fiber, not fibre
>>686023759
If you're an American cuck it's fiber.. For those of us who actually speak English, it's fibre
Med student here.
Take some vitamin B complex.
See if that helps.
>>686024252
Refugees welcomed
>>686023630
If you're the vegan faggot suggesting that this gentleman increase his dietary fibre to cure his chronic tiredness, you can die in a fire..you're the people who hold science back
>>686021206
I concur with the diagnosis of my colleague, you are indeed a lazy fuck
>>686024870
Stop googling stuff. I'm a real MD with 10+ experience stfu
>>686023609
Try krill oil. Much less mercury
>>686025128
Bullshit.
Fiber is not going to do shit about this, nigger, and you know it.
>>686025574
I said fiber AND probiotics
so, fiber/fibre or not, you guys?
>>686025854
Yes to fiber and sun
>>686025128
Probably being baited... Or you're a medfag only qualified on some remote, hippy ridden island
>>686025854
How often do you poop?
>>686026074
I practice in California. Fully qualified
>>686026164
is that really important?
Well, if it is: since I adjusted my diet to more vegetables (with rice, love the vegetable/rice mix), several times a day
>>686025970
yes to sun would be no problem, but it's been raining for days now
>>686025807
what food exaclty is probiotic? Fiber I get (vegetables)
>>686026284
What specialty? How's practice where you're at? I want to go to SoCal after residency
>>686026558
Take a multivitamin and eat more yogurt/kefir
>>686025854
It won't do anything for your tiredness but you'll have great stools. Buy some colecalciferol 800mcg..see if you feel better in a month or two. Best advice would be to go for a blood test but I appreciate healthcare isn't free everywhere and you sound like a student
>>686025970
He already said he can't get any natural sunlight you dumb fucking faggot
>>686026826
ER right now hope to get into family medicine in the future. I see gruesome shit but it's good.
Taste your pee. If it's sugary then you have diabetes, which will explain your fatigue
>>686026826
I probably wouldn't look to going there if this is the standard of their physicians
>>686026860
yogurt sounds good, don't like kefir though. Every yogurt okay?
>>686026862
healthcare is free here, so that's no prob, but had blood test (without the vitamin tests, at least I think, it's all med-gibberish)
>>686027305
Regular yogurt is ok. There's probiotic pills that you can take as well
>>686027274
eww, sounds reasonable, but damn
>>686027289
Not everything is solved by pills. how do you think our ancestors survived?
>>686027274
The blood test should've revealed the beetus
>>686027752
by reproducing in their early teens and dying in their 30's from infection
>>686025807
Don't listen to this fucking guy, he is full of shit.
Even if he is the real deal, there are few things more dangerous than an MD giving advice outside his area of expertise.
Do the vitamin check.
>>686028051
Show me your credentials
>>686027921
This
>>686027305
Get your Vitamin D, B12 and folate tested. At the very least your Vitamin D. Deficiency is the most common cause of fatigue in places with low sunshine. This Californian hippy faggot wouldn't understand that
>>686027752
You are a fucking moron.
>>686028199
I'm not showing you shit.
You're the one giving shit advice about things outside your line of work, if you even work in this at all...
>>686028797
Johns Hopkins didn't think so
>all these laymancucks recommending holistic shit like vitamins and probiotics
You have depression. Get on an SSRI like everyone else you worthless faggot
>>686028960
Then quit lying and offering shit advice
>>686028610
>Get your Vitamin D, B12 and folate tested.
He wont't have a b12 or folate deficiency unless he's a severe chronic alcoholic you fucking med student
and the vast majority of people with Vit D deficiency are asymptomatic, everyone has Vit D deficiency, except of course your mom cuz I give her the D every night
>>686029170
No, you are accusing me of what you are doing
Now I am convinced you are a fraud.
Get the fuck out of here, poser.
You're a fucking disgrace.
>>686029022
You've missed the point..you're a moron because this isn't about "survival", it's about diagnosing a problem using modern techniques then treating this problem with the correct method..instead of speculating that there's a bacterial imbalance in the digestive system and to eat more yoghurt
>>686029560
Google expert chimes in, I see...
I was taught in multiple classes that for unexplained fatigue in an otherwise healthy, do a fucking vitamin check.
But you wouldn't know anything about that...
>>686029560
This. Don't listen to this fraud
>>686029785
*Yogurt
This is fucking retarded, bullshit artists who seem to actually believe their shit...
OP, you're wasting your fucking time here.
>>686030047
Once again, you're using American English, I'm using British English.
Exercise more, take a multivitamin, and start taking a probiotic (yogurt or pill)
>>686030435
Cuck
>>686030487
Go back to your physician in two months
>>686024638
1st year detected.
>>686029560
Healthcare is free where he is located.. Although rare in younger people it should be ruled out as a possibility.
>>686030895
>Fucking liar WebMD faggot detected.
Kill yourself.
dude its ur fucking sleeping rhythm
pretty simple fix
>go to bed at the same time every night
>wake up at the same fucking time every morning
Like I said, OP.
Don't listen to anyone here, you won't know how to sort through the bullshit.
>>686030947
He already had blood work done
seriously though, taste your pee to check if it's diabetes
blood glucose tests are known to be horribly expensive and most insurance does not cover any of it
>>686028199
>>686029170
How the fuck is a vitamin check shit advise? Are you retarded?
>>686031350
To be honest mate, the people he should listen to are the ones telling him to go back to his doctor (healthcare is free) who will order another blood test. The bullshit he needs to wade through are those telling him to eat yoghurt and fibre and the trolls diagnosing depression without even speaking to the guy
okay, sum up so far seems
-more fiber
-more probiotics (yogurt)
-test on vitamin b12/d
-Bear Grills diabetes test
did I miss anything?
>>686031492
You are literally you dumb to talk to
>>686032021
yogurt and fiber!
>>686029914
This california "doc" is a fucking idiot...
But you are correct, standard of care for fatigue workup should include:
serum glucose
HbA1C (glycosylated hemoglobin for diabetes)
Anemia workup (CBC, Iron, Ferritin, TIBC, usually B12 and Folate)
Basic Metabolic Panel (check for electrolyte disturbances)
Vit D
Thyroid function tests
And others depending upon age, risk factors, and medical history.
Like I said previously, once medical conditions are ruled out, then depression screening is warranted.
Fiber and Probiotics are certainly healthy, but they likely won't help fatigue. For OP's questions, probiotics are live cultures ingested orally to promote healthy gut flora. Most common is lactobacillus, usually found in yogurt, kefir, and other fermented milk products. Also available in pill form.