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This is Dr. David. I am reviewing your question now and will be with you momentarily.
I am sorry you are having fatigue and trouble sleeping.
what is your height and weight?
what do you eat daily?
are you able to improve your diet and get some exercise to help improve your energy levels?
more regular exercise can help you sleep better.
you may benefit from going on a birth control pill to help regulate your periods so they are more regular.
you are much too overweight for your height.
you need to eat more protein and nuts and fruits and vegetables and cut out carbohydrates and sugars and sodas and alcohol and quick meals out of your diet.
quick meals are no good for you and hurt your health and increase your body weight over time.
you mean depo hormone shot implant to keep you from not getting pregnant?
some depot implants can cause these foggy headaches and side effects.
what hormone implant did you get?
norplant contains levonorgestrel which can cause headaches, dizziness, fatigue type symptoms
it may not be the right type of contraception for you.
you may have to have the implant removed to get rid of the hormone and see if you feel better.
why do you take sertraline? do you have bad anxiety symptoms?
bad anxiety symptoms can cause brain fog and dizziness and headache symptoms as well.
that is good you feel in a better place
you should continue the sertraline
you may benefit from talking with a psychotherapist regularly
you may benefit from improving your diet and getting regular exercise which can help
you can go back to your doctor and talk about your foggy head and bleeding.
it may be a side effect of your norplant.
you may need to switch to a different birth control agent.
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