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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64342
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I have a gland (I assume) that is swollen and sore under my

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I have a gland (I assume) that is swollen and sore under my chin, am also extremely tired all the time, pains all over ( although I do have fybro myalga, also under active thyroid, which I am on 200mg a day) but I lose concentration and forget things and names. I do work hard and long hours so I do put most of the above down to this, have been to the doctors a couple of times and blood results seem ,'normal', but am fed up being exhausted all the time, can you please advise, thankyou
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.
Hello
Many people find glands in the neck.
If your doctors have not found anything, we should first look at your thyroid levels.
What is your TSH?
Customer: replied 2 years ago.

My last blood test said it was normal, but am on 200mg daily, before I moved back here last year my old GP said my thyroid was low and that they needed to up my thyroid, but my new GP said everything is normal

Expert:  DrRussMD replied 2 years ago.
Normal is a wide range
Do you know your TSH value?
Customer: replied 2 years ago.

No, I have never been told what it is sorry!!

Expert:  DrRussMD replied 2 years ago.
OK
If you are fatigued, and you have a TSH of 3, which is still "normal" it is not optimal, and should be brought down to .8 to 1 with a slightly higher dose of medication.
If this is the case, then this would address the symptoms.
You also have to consider that fibromyalgia is part of a fibromyalgia chronic fatigue spectrum, and that you might need more adjustment to diet, relaxation, exercise and physical therapy.
All relative deficiencies should be ruled out as well: iron, B vitamins, magnesium and vitamin D, if these have not been checked.
OK, so that is an initial answer….
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