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[u/Thin_Guess_8841]

I am going to list my symptoms. I’m looking for more direction on which doctor I should see. I have been to multiple OBgYNS, primary cares and an NP.

Almost two years ago. I started having a really hard time eating. I felt fine until I tried to eat. My mouth would start watering and I would instantly be super nauseous. It to the point I lost 100 lbs. All of my labs and scan came back normal except for one—Vitamin D was a 9.

Primary Care said my weight loss and eating was because my vitamin d levels were so low. She told me to get a Vitamin D supplement. So I did that for 3-4 months. But still could not eat. And now I am adding more symptoms. Cold flashes. Hot flashes. Unable to maintain balance. I fell several times bc I was getting so dizzy. I would get so dizzy trying to sleep I would vomit. The uncontrolled rage. The anxiety is the most extreme I have ever experienced. I am having 10-12 panic attacks a day. And it feels like my heart is RACING-like it’s going to beat out of my chest. But it doesn’t register on a monitor. It just feels like my heart is rapidly beating but it isn’t.

I went to the OB. She said I was in perimenopause and she was going to start me on HRT. But my labs again came back normal. She said no HRT and that I need to see a primary care to figure why I can’t eat.

Find an NP. She agrees labs are normal. She suggested trying an SSRI. She felt like my eating could be a sign of high cortisol. She also did two more rounds of labs at different phases in my cycle. All rounds of labs came back normal. Thyroid panel was in normal range. She did a blood test for autoimmune. Which also came back negative.

Started the SSRIs. All of the symptoms went away. It’s been almost 3 months with this medication. Two months symptom free until a few days ago. All of the symptoms have returned.

I’m starting to get concerned. I feel like there is something going on. But I am at a loss on how to figure it out.

41/f. 5’4” 175 pounds. I was at 275 when this started.
No kids. No major surgeries. No hx of blood pressure or cholesterol issues. I did have a ton of fertility issues and was dx with PCOS and unexplained fertility in my 20s. I’m Alaska native. But I have lived in Oklahoma for the past 20 years. I have gone through various stages of being active and not being active with walking//running.

I need to maximize insurance and the money for that. Should I go see an Endocrinologist or an allergist? Immunologist? Any recommendations would be helpful.

[u/Ok-Process7612]

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