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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes tiredness, shaking, weakness and thumping in head?

I have been feeling very tired all the time, shaky and weak, when I stand up I can get head rush plus a thumping in my head. I had all the symptoms of anemia but I have just had my blood tests come back normal. In also very cold all the time and find myself feeling so weak I need to sit down
Wed, 30 Oct 2019
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Neurologist 's  Response
Hello,

You may be describing symptoms of HYPERGLYCEMIA (associated with either diabetes or pre-diabetes) or you could be describing a thyroid problem or even an adrenal gland problem.

Alternatively, you could have a PITUITARY GLAND or HYPOTHALAMUS problem which are master regulators of the peripheral glands.

I believe you can BENEFIT from a full workup for electrolytes, TSH, FT4, and CORTISOL. You may also be low on Vitamin D, B12, and thiamine.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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