instruction: hello doctor I am 23 years old I am a hypothyearoid patient from my years I was taking medication till I was 17 years old then I could not continue with my medications and I stopped it for years one day suddenly I began to feel faint always even while I was sleeping sometimes I would feel fainting it would sweat a lot suddenly my muscles and bones started to pain a lot I could not go alone out of my house especially in the day time in the hot sun if I go then it would sweat a lot feel as if I was going to faint in some more time only if I come home and sit in the fan it will reduce a bit even after drinking a lot of water and eating glucose the feeling will not go I feel like I have only 10 percent energy in my body my pain would be more in the day time and after eating it would reduce so I get little energy in the night after eating all throughout the day I could not continue my life normally then I went to my endocrinologist she found that vitamin was low I corrected by eating heavy dose tablets and it came back to normal but my symptoms continued then I did yoga it reduced by 10 percent then I tested for vitamin b12 after five months it was 69 pig my then I took injections and corrected it but my symptoms reduced by 20 percent only still I cannot go out in the sun confidently I do not know what to do my parents are blaming me that I am simply telling a lie am I having any severe deficiency or disease please help me out I have discontinued my course due to this condition
output: hi I have read through your query in detail please find my observations below if you have a history of hypothyearoidism and have not taken medicine for five years then it is important to review your thyearoid function tests again it is possible that you have again become hypothyearoid and it is essential to know your ash thyearoid stimulating hormone to and to you should also get clinically examined and if required then do a thyearoid ultrasound scan vitamin should be maintained at the normal level if it has come back to normal then you should continue eating foods rich in calcium like rage and milk vitamin 12 should also be taken care of it will help to know what is your present vitamin 12 level this should be in the mid range sometimes it can be at the lower limit of normal and this requires supplements it is important to know if you have any fear or anxiety concerning your health please eat well and also drink an adequate amount of water every day you are in growing age and should take 200 cal food every day include eggs fruits and green vegetables in your diet please spend 30 minutes in the morning sun from am to 30 am every day and this will generate vitamin from sunlight continue doing yoga and stay physically fit and mentally strong sometimes even electrolytes and blood sugar can get low and cause such symptoms it will help to get your serum calcium phosphorus sodium potassium and chloride done and also fasting and post prandial blood sugar test done these are important to know if your low energy problem is due to low electrolytes or sugar getting complete blood count hemoglobin with peripheral blood smear level is also important to know if you are having anemia leaving the course is not a good idea if you have any mental anxiety and stress then please consult a psychiatrist hypothyearoidism can cause laziness and low mood and this can be treated with medicines I hope this helps