Chronic Fatigue

Hi, my name is Paige61.
I’ve had major depressive disorder (MDD) since age 15 and anxiety issues since around 30. Until the past couple of years, I had not had a depressive episode since 2006 when I received successful day treatment at Mclean Hospital. I’m here because I’m struggling and nobody gets it. My one friend (friend since birth) who mostly got it & who would always listen, when/if I could get the words out, died unexpectedly a few weeks ago. The grief from that & major MAJOR losses the year before, have left me depleted. Numb. Lost. Overwhelmed. Wondering how to keep putting one foot in front of the other. And since COVID, I have become permanently disabled with physical issues, which just turns the depression up along with chronic pain & chronic fatigue. Okay, I’ve spilled it. Can anyone else relate?

Been struggling with different symptoms for 3 years now. First diagnosed with chronic migraine, then ebv, then pcos. Lately things hadn't been adding up. We're suspecting pots, perhaps lupus, or other autoimmune. It's been kinda tough... the anxiety is the worst:(

#PolycysticOvarySyndrome #POTS #AutonomicDysfunction #ChronicEpsteinBarrVirus #Migraine #ChronicVestibularMigraine #Undiagnosed #Lupus #ChronicFatigue

What's hardest for me as an undiagnosed patient is the feeling that I have no place. I'm too healthy for the sick but too sick for the healthy. I'm expected to do everything everyone does, keep functioning, in a body that is just broken. I don't have a valid medical ticket to validate and excuse myself

#Undiagnosed #POTS #AutonomicDysfunction #ChronicFatigue #Migraine #ChronicVestibularMigraine

For years I struggled with unexplained fatigue, body aches, and weight changes that didn’t seem to match my lifestyle. My doctor eventually suggested checking for insulin resistance. That’s when I first learned about the HOMA-IR index.

Like many patients, I found the lab report overwhelming. Numbers were printed, but no context was given. I wanted to know what those numbers meant for my health and how I could follow up.

After some research, I discovered that HOMA-IR is a calculation that uses fasting glucose and fasting insulin to estimate insulin resistance. This is important because insulin resistance can be linked not only to diabetes but also to cardiovascular health, hormonal balance, and even chronic fatigue.

What helped me was breaking the information down into three steps:

1. **Get the right labs.** Always ask your doctor for fasting glucose and fasting insulin. Without both, HOMA-IR can’t be calculated.

2. **Use a reference tool.** Online calculators can help you make sense of the numbers. For example, this [HOMA-IR calculator]After some research, I discovered that HOMA-IR is a calculation that uses fasting glucose and fasting insulin to estimate insulin resistance. is a calculation that uses fasting glucose and fasting insulin to estimate insulin resistance.

lets you enter your results and gives you an estimate. I only use it as a *reference*, not a replacement for medical advice.

3. **Discuss with your healthcare provider.** Armed with the numbers and a bit of understanding, I was able to ask more informed questions at my next appointment.

Learning to understand my lab results didn’t cure my fatigue overnight, but it gave me a sense of control. It turned confusion into a conversation with my doctor, and that made all the difference.

If you’ve ever felt lost looking at lab numbers, know that you’re not alone. With the right tools and the right support, those numbers can become the first step toward better health.

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