Conversation: The conversation between human and AI assistant.
[|Human|] I ve been super tired, like when I wake up from a good nights sleep it feels like I haven t slept at all. I was taking the Gummy version of HAIR, NAIL, SKIN with Biotin 4/day and was wondering if something in those are doing this to me. I am not on any other meds except hormone replacement which I ve been on for 10+ years and have had no symptoms ever from them. I just checked my blood pressure and it s 129/65 (the first number being higher for me than normal). I exercise regularly and have had a suspicion of kidney probems but saw a dr and he did urine tests twice and said everything was fine yet continue after 1 1/2 years to have pain in that area front and back. I m worried this tired, sluggish, hazy feeling could be related - any thoughts?
[|AI|]  Hello! Thank you for asking on Chat Doctor! I understand your concern, and would explain that your symptoms seem to be related to a metabolic disorder. A comprehensive differential diagnosis between different disorders like chronic anemia, thyroid gland dysfunction, a Chat Doctor.  Depression could also mimic this clinical scenario. I recommend consulting with the GP for a careful physical examination and perform a resting ECG, a chest x-ray, an abdominal ultrasound and some blood lab tests: - complete blood count (for chronic anemia)- inflammation tests (fibrinogen, PCR, sedimentation rate)- thyroid hormone levels-cortisol plasma levels-blood lipid profile-fasting glucose-blood electrolytes- kidney and liver function tests, etc. You should consult with your GP on the above issues. Hope to have been helpful! Best wishes,