Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello Marcia,

Welcome on icliniq!

I understand your concern and would explain that your symptoms could be related to a metabolic disorder or peripheral neuropathy.

I would also like to know your current therapy because these symptoms could also be related to drug adverse effects.


Coming to this point, I would recommend consulting with your attending physician and performing some tests:

- complete blood count for anaemia
- a resting ECG and cardiac ultrasound to examine your heart function and structure
- fasting glucose
- kidneys and liver function tests
- vitamin D levels and vitamin B12 levels for possible deficiency
- blood electrolytes
- thyroid hormone levels for thyroid dysfunction
- a Doppler ultrasound of the carotid arteries.

If all these tests result normal, I would recommend performing nerve conduction studies to investigate for possible peripheral neuropathy.

In the meantime , it is also necessary to closely monitor your blood pressure ( low blood pressure, could mimic this clinical situation)

You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Kind regards,

Dr.Ilir Sharka, Cardiologist

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