Since her
TSH has reportedly been normal on multiple occasions, other possibilities such as
iron deficiency,
vitamin B12 deficiency,
vitamin D deficiency, nutritional deficiencies, stress, anxiety, inadequate sleep, or other medical conditions should be evaluated.
A detailed medical history, menstrual history, weight changes, and physical examination are important to identify the underlying cause.
Next Steps
Get basic investigations done such as
CBC, Serum
Ferritin (Iron studies),
Vitamin B12,
Vitamin D, Blood
Sugar, and
Thyroid Profile reports for review.
• Maintain adequate hydration, balanced nutrition, and regular sleep
• Share any recent weight loss, menstrual irregularities, fever, stress, or other associated symptoms with the doctor.
Health Tips
Persistent dizziness, significant weight loss, severe weakness, fainting episodes, or worsening symptoms warrant prompt medical attention.
Since she is only 19 years old, identifying and treating the underlying cause early usually leads to good recovery.