Our expert says:
Dear Thirty Years Old
I hear what you are saying and can imagine that you feel totally frustrated and so exhausted. I would recommend that you firstly make an appointment to see your gynae because it is important that the gynae should check your female hormone levels if you have not menstruated since last November. Please describe your symptoms to the gynae because the tiredness, irritability, etc, could be associated with female hormone imbalances or insulin resistance linked in turn to polycystic ovary syndrome (PCOS) and/or thyroid hormone deficiency (the latter 2 would also hamper weightloss). Also ask the gynae to check if you are anaemic because iron-deficiency and vit B12-deficiency anaemias can make you feel exhausted, forgetful, irritable and depressed. Once the gynae has had the various tests done and if you do suffer from PCOS or insulin resistance or hypothyroidism, then please consult a registered dietitian (visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area). This is particularly important if you have insulin resistance (with or without PCOS) because the correct diet is one of the most important factors in treatment.
So approach this problem in stages - first the gynae, then the dietitian.
Holding thumbs for you that the gynae can pinpoint what is making you so knocked out and hampering weightloss.
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