Q: I am a middle-aged female. I recently went to my family doctor because I have been feeling run down, tired, and have been having trouble with my memory. My blood pressure has been running higher than normal and I have gained 40 pounds in just three to four months with no change in my diet. I have also suffered with migraines for many years which I was told were menstrual related.

My doctor ordered blood work and the results were that I had a high CSV level and my vitamin B12 level was too low. She sent me to a hematologist who started me on weekly B12 shots. He reran the blood tests and the results came back with a high CSV level but my B12 was back to normal. He said my symptoms were not CSV-related and referred me to an endocrinologist. That specialist said my thyroid level was in the normal range but started me on Synthroid.
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