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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Nausea,fatigue And Hair Loss

Hi, I have been experiencing fatigue for about 3 months, I wake up tired. Now its accompanied with nausia (I feel like I'm going to get sick everytime I eat anything) as well as DRAMITIC hair loss. The hair loss has been happening for about 2 months and the nausia started about a week ago. I dont have any prior health problems nor am I takeing any medications. Thanks for any help
Mon, 30 Jan 2017
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Endocrinologist 's  Response
Hello and thank you for asking!

I have gone carefully through your concern.

The symptoms you described are suggestive for a large range of pathologies (Hormonal imbalances, electrolite distrubances, adrenal insufficiency ect.)

I would recommend to see a physician in person for a detailed clinical examination and to recommend some blood test such as:

-CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
-Electrolytes (Sodium and Potassium in particular)
-HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average).
-Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
-Cortisol level at 8.00 a.m.
-Kidney function tests (BUN, Creatinine)
-TSH (checks your thyroid)
-Free T4 (this too checks your thyroid)
-25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
-Calcium

I would be happy to review your performed tests for another professional opinion.

Best wishes,
Dr.Mirjeta
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Suggest Treatment For Nausea,fatigue And Hair Loss

Hello and thank you for asking! I have gone carefully through your concern. The symptoms you described are suggestive for a large range of pathologies (Hormonal imbalances, electrolite distrubances, adrenal insufficiency ect.) I would recommend to see a physician in person for a detailed clinical examination and to recommend some blood test such as: -CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) -Electrolytes (Sodium and Potassium in particular) -HbA1c (Glycosylated Hemoglobin = your last 3 months glucose average). -Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) -Cortisol level at 8.00 a.m. -Kidney function tests (BUN, Creatinine) -TSH (checks your thyroid) -Free T4 (this too checks your thyroid) -25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) -Calcium I would be happy to review your performed tests for another professional opinion. Best wishes, Dr.Mirjeta