instruction: hello doctor a little over two years ago I experienced some stress in my life that resulted in a high level of anxiety and depression I was prescribed pail and took it for one year at the time I was also taking divan and atenolol for hypertension pantoprazole for reflux and simvastatin for high cholesterol one positive side effect of the stress was that I lost 25 labs and went from 195 labs to 170 labs I also started to eat more healthy foods and started to exercise regularly one effect of my anxiety and depression is that I would awaken frequently during the night and morning between am and am and feel very agitated and get panic with upsetting thoughts over the past year or so I have managed to improve my condition with counseling meditation etc I am also no longer taking any medicine since my health dramatically improved I am at the point where I am doing well but still awaken very early about or am no matter when I go to bed I feel very anxious and my heart starts to pound I used to have bad thoughts but I have managed those and now just feel the physical feelings the thoughts diminish gradually throughout the day and seem to end at about am I am wondering whether I have a cortisol or adrenaline problem what are your thoughts regarding the same please guide
output: hi have a thyearoid function test done first for given weight loss and heart pounding you should also consider seeing a primary care physician pop and have an electrocardiogram ekg done revert back with the details asked and to an endocrinologist online