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Old 07-12-2015, 07:24 AM #11
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Lightbulb

B12 is not in a standard chem screening panel.

It has to be requested separately.

Doctors have various agreements with various lab facilities.
The term fatigue labs is easier to write out than the various tests for fatigue separately. It is like using speed dial on your phone.

I have never heard of "fatigue labs"...so that may be unique to that particular doctor or lab setting.
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Old 07-12-2015, 08:52 AM #12
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Thanks for the info. What's are the relevant blood tests to ask for? Do they do hormone screening as well, or would you have to see an endocrinologist for that?
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26 year-old PhD student in evolutionary biology, slipped on ice in Feb 2014 while clipping my fingernails and walking to save time (dumbest reason for PCS ever?). Initially just had headaches and didn't feel quite right, but a minor head bump 5 days later started a downward spiral of anxiety, depression, insomnia and fatigue. Had trouble concentrating on reading/looking at screens

April 2014 - did exertion test, passed, started exercising and doing more, but didn't feel much better.

May 2014 - Went on backpacking trip OK'd by doctor, trip itself went fine, but felt worse a few days after getting back, more difficulty concentrating, worse headaches.

June 2014 - Bumped head on ceiling walking slowly down stairs, no immediate symptoms, but caused worsening headahces, more difficulty concentrating and looking at screens. Have not felt as good as I did before this since this bump.

December 2014 - after feeling relatively better I went xc skiing and fell but didn't hit my head (something my psychologist who specializes in brain injuries told me he hoped would happen so I saw it was OK), felt worse

Feb 2015 - back in grad school, light teaching load and some research, nowhere close to operating at my full capacity. Still have constant headaches, difficulty reading/looking at screens, mild anxiety and depression, and just not feeling like my normal sharp self.

Trying, but struggling, to believe that I'll get back to my old self, or at least get close.
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Old 07-12-2015, 09:01 AM #13
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Lightbulb

Many GPs order hormone tests, thyroid tests, etc. Interpreting them however, may be good or poor, depending on the education of the doctor.

The B12 test is often poorly interpreted, with really low values still being called "normal". Many doctors still don't know that 400pg/ml is now considered the new acceptable low.
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