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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 not feeling well.
how old are you?
have you had your thyroid hormone levels checked? high thyroid hormone levels can raise up your metabolism and cause fast heart rate, poor sleep, dry skin
as winter is coming, the air becomes more dry
you may need to use moisturizers on your skin to treat dry skin.
you may need blood testing to check your iron and ferritin levels.
you may have to improve your diet and exercise to help improve your energy levels.
you should have your vitamin D levels checked.
you should avoid alcohol and smoking as well
I see. what is your height and weight?
do you drink alcohol?
do you have bad anxiety symptoms?
did your doctors check for autoimmune conditions?
ANA anti nuclear antibody testing
ESR erythrocyte sedimentation rate?
C reactive protein levels?
these are more advanced blood tests which are not usually checked with routine blood work.
folate deficiency is pretty rare now a days.
most people get enough folate in their system from foods and breads we eat
most foods in the US and UK are fortified with folate
your fatigue and your symptoms are caused by your folate deficiency
but the question is what is causing your folate deficiency.
folate deficiency can be caused by excessive alcohol intake and not enough normal food intake. but you don't drink alcohol
inflammation of your stomach or your bowels, allergy to gluten, inflammatory bowel disease can cause inflammation of your bowels which can keep your bowels from properly absorbing folate.
these should be checked for.
Some people have a genetic mutation that hinders their body from properly and efficiently converting dietary or supplemental folate to its usable form, methylfolate.
it can take several weeks to months to get your folate levels up
but if you have a genetic mutation, it may take longer.
there are more expensive blood tests to check for these genetic mutations.
there are blood test to check for celiac gluten allergy disease as well.
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do yo have diarrhea? mucus in your stool? you may need a colonoscopy to check for bowel inflammation.
do you have inflammation of your stomach or gastritis? this can cause poor folic acid absorption.
you may need stomach acid reducing medications to help decrease stomach acid.
drink plenty of water
you may have to see a GI specialist to see why you are not absorbing folate properly
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