The 43-year-old woman sitting across from me in my exam room is exasperated. “I just don’t feel like I have the energy or stamina I used to,” she tells me. “I could run 5 miles a day no problem when I was 23.” Today we are reviewing her labs, all of which are normal. She has been my patient for several years and recently lost 50 pounds. In many ways, she feels better. Despite all that, despite a normal exam, vital signs, and labs, she just doesn’t have the energy she used to. Something must be wrong. Read the rest…
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