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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2418
Experience:  GP with over 27 years experience including emergency medicine
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I am a seventy-nine year old male with a very health

Customer Question

I am a seventy-nine year old male with a very health regarding history. I have a pacemaker which I understand is to supplement the AV node in my heart. At four years old the battery is only half way through its life and continues to pass its yearly tests. So far I haven't required any regular medication.
When I rise in the morning I feel quite well, however, at around 10:00 or 11:00 am I become aware of a tiredness or "wooziness" in my head which becomes more noticeable when I rock my head from side to side. I tire very easily and when I go out I feel vulnerable, less agile and uncertain of my balance. As I move about outside I feel that my balance is less automatic, requiring more conscious input from me. Inside my symptoms are less troublesome, but I am not at my best until after 6:00pm.
I have had all the tests which my doctor is permitted to give me including vitamin D and testosterone all of which have returned negative results.
Until recently I have been able to take an eight-mile cycle ride once per week, but I am unwilling to do so now. I am unaware of anything which either aggravates or alleviates my condition. My daily supplements are as follows: Vits B12, B50 Complex, C 1,000mg, D3 400 i.u., Magnesium Citrate 300mg, and Zinc Citrate 15mg.
James A. ********
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.

This is Dr. David

I would ask your doctor to test your thyroid hormone levels

and also check your blood pressure and glucose blood levels in the morning to see if they are low

one last test you should take is an AM cortisol level

your blood steroid levels should be highest in the morning and decline as the day goes down

if your adrenal glands are not producing enough steroids for your body, you could be having more fatigue and balance issues in the morning.

let me know if you have questions.