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37 Mom - “Normal” Results - At A Loss

Started in 2014 after my 2nd C-Section... full time working mom of 2 boys 1 1/2 years apart.. I will start off by saying I have general anxiety but have never had a panic attack. My HR not on stimulants is typically 57 bpm with good, low BP. Chronic fatigue (I think reasonably, haha) and I have been on Vyvanse 30mg for 2 years so thats not "new" but here is whats new:
30 lb drop in 7 months - no appetite, nauseous
bad taste in my mouth and i feel like i brush my teeth and plaque is back in an hour (gross)
shortness of breath and I had a stabbing pain bottom left chest 4 times (one woke me up)
my feet are always are so cold (like ice cubes) at the end of the day and swollen ankles
my right shin is painful to the touch and
charlie horses in my right back thigh nightly
wake up in morning
mid back pain on both sides (like an ache)
my EF was 68% 2016
now its 50-55
my GFR was 83 in 2016
now it is 80
1 test showed elevated d-dimers in 2016
I have move 3 states in 4 years so all different docs and tests and records.
At 1 point i had narrow artery in my left leg but my heart arteries are now proven perfect. Can you have narrow leg arteries but zero calcification via heart pics?
Also, when I’m not on the Vyvanse for a few days I have radiating groin and armpit pain.. almost like the flu feeling..
I have had 4 abdominal surgeries (2 c-sections, hysterectomy and laporotomy)
Im tired, I Feel off.. like are all my insides jumbled up and maybe that’s what all this is?
My doctor think its anxiety but thats been my life and ive never felt THIS.. my shrink also cleared me of that.. haha I know, sound nuts but I’m reaching here.. like the weight loss and rest of stuff..

Multivitamin worked some with my fatigue..
just at a loss, feel stupid and crazy and i think my doc is fed up. Everything is “normal”

any ideas of next step suggestions would be appreciated, even if its "check yourself into a mental institute" lol

Family History of stroke, heart disease, lung cancer, clots in legs and kidney stuff.
Smoked for 25 years but quit
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Avatar universal
I have to add a question about d dimers. If it was once elevated should it be checked regularly?
Helpful - 0
1530171 tn?1448129593
Peripheral artery disease would explain the leg arterial stenosis .
The elevated d-dimers could be due to inflammation, infection etc. so a one time testing is  not  very useful.
Mild vynance withdrawal symptoms  could explain the flu-like  feeling. Its mild analgesic  effect may cause the  pains you mention when not taking it.
Aren't amphetamines contraindicated for patients who have anxiety???
Weight loss is  a potential side effect of vynance.
Have you been  checked for  estrogen dominance?  Conventional doctors don't usually check this.
Look it up online for more details.
Stress could be the underlying cause of many of your health concerns, both physical and psychological.
A comprehensive stress profile may be very useful  (for info look into HPA Stress profile  by Biohealth labs)
Magnesium is one of the deficiencies you may have which should be checked and corrected soon!
Ask for an RBC electrolyte test for that, as  standard blood tests don't indicate Mg deficiency in the tissues.
This is just my educated opinion and not a substitute for medical advice.
I hope it helps you though.
Best wishes,
Helpful - 0
Wow Niko, thanks! I will definitely look into your suggestions but one question.. can you have PAD without CAD? A fancy state of the art camera showed zero calcification in my heart arteries. Thoughts? I hope you like doing this for fun and not obligation.. very enlightening and thoughtful.
Thanks again!
1530171 tn?1448129593
It's possible, however, addressing PAD by implementing  a comprehensive  approach which also encompasses lifestyle changes, will also serve to prevent CAD.

Here are some studies (titles) which you may find useful:

1. Restoring vascular nitric oxide formation by l-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease.

2. Lower levels of folate and vitamin B6 increase the risk of atherosclerosis

3. Vitamin B for preventing peripheral artery disease.
(Primarily B9 and to a lesser extent B6 and B12)

4. Vitamins and fiber-containing foods reduce the risk to develop peripheral arterial disease.
(Vitamin E and C)

It just happened that I had been reviewing  scientific literature on this subject a few days ago,
so it came...handy.  And I don't call this coincidence, I call it synchronicity.  lol!

If you  have trouble accessing  these studies  or need any other information please let me know.
(We're not supposed to use websites or links in our posts here.)

You could say  I'm doing this  out of  personal interest  and definitely not out of "obligation"!



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