Many have to employ Endocrinologists and Internists plus Chiropractors and just about everyone that has a sheepskin. You are going to prioritize your symptoms according to what is the worst. I am just saying don't hold back on the help you seek. Looking back over my journey, getting good sleep gave me more bang for the buck. Secondly for me it was pain but in your instance it sounds like there is more that an Endo could look at. Maybe your gut is full of the wrong Bacteria. Use the search here and there is TONS of stories about digestive disorders in conjunction with PN. For many there has been times when getting by day to day was too much of a stretch. They had to cut it down to hour by hour. Your symptoms will change so seek help and hang on. Good Luck, Ken in Texas.