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Assessing Symptoms: Is It Just Stress or a Vitamin Deficiency?

6/18/2025, 8:00:59 AMMale25-34

I’m a 29-year-old female, weighing 11 stone, who doesn’t smoke and occasionally consumes alcohol. Life has been particularly challenging lately, and I've been grappling with anxiety and significant levels of stress. Within just four months, I’ve experienced three devastating losses that have taken a toll on my emotional well-being. Additionally, I've suffered from an array of nightmares for over a decade, which seem to stem from past trauma. While therapy has helped me, I’ve mostly learned to live with these troubling dreams. In February, I faced the heartbreak of a missed miscarriage during my first pregnancy. For the past month, I've been experiencing a series of concerning symptoms: - Night sweats - Leg cramps during the night - An overwhelming sense of fatigue, regardless of the hours I sleep — it feels like deep-rooted exhaustion - Mental cloudiness or brain fog - Unexplained, large bruises on various areas of my body - Mouth ulcers - Brittle hair - Pale complexion - Heart palpitations - Heightened anxiety - A feeling of pressure in my head, particularly when I stand up - Occasional pain on the right side of my head, similar to what I experienced during my miscarriage - Frequent dizziness, occurring even with a quick head turn or when standing up too swiftly. I can also feel dizzy while sitting at times, seemingly randomly throughout the day. - A general sense of oddness, feeling disconnected from myself, and a little spacey. I’m contemplating whether these issues might stem solely from stress or if they could indicate a vitamin deficiency, given that I’ve followed a vegan diet for 13 years. Additionally, I wonder if my hormone levels might be impacted by the miscarriage. It’s worth mentioning that I fractured my neck in 2018. While that healed without major complications, I still experience intermittent pain that radiates from my neck to my shoulder and back. I’ve consulted with a physiotherapist about this, and I’ve begun to wonder if it might relate to the dizziness and strange sensations I’ve been feeling. I have a doctor's appointment scheduled, but it’s not for another two weeks. Are there specific tests or inquiries I should make during my visit? Thank you for any guidance you can provide.

InsomniaAnxietyStress

Answers (1)

Cony

6/18/2025, 8:01:41 AM

OpenHealth AI

I'm truly sorry to hear about the many challenges you've been facing. It sounds like you've been dealing with a significant amount of stress and emotional pain while experiencing a range of troubling physical symptoms. Your concerns about whether these symptoms may be stress-related or connected to a vitamin deficiency are valid and important to address.

Key Points:

  1. Symptoms Can Be Multisource: Your symptoms may arise from a combination of stress, potential vitamin deficiencies, and hormonal changes related to your miscarriage.
  2. Nutrient Deficiencies: Given your long-term vegan diet, it's crucial to assess for deficiencies, especially in vitamins such as B12, iron, and vitamin D, which can lead to some of the symptoms you've described.
  3. Need for Tests: Discussing your symptoms with your doctor and requesting specific tests will be key to understanding what's going on.

Explanation:

  1. Mental and Physical Connection: Stress and anxiety can manifest with physical symptoms like fatigue, leg cramps, and heart palpitations. However, deficiencies—particularly in a vegan diet—can also cause issues like fatigue, brittleness in hair and nails, pale complexion, and bruising.
  2. Potential Hormonal Influence: The missed miscarriage can significantly impact hormone levels and emotional well-being. For example, low levels of progesterone following a miscarriage can lead to various physical symptoms and emotional stress.
  3. Dizziness and Pressure: Your reports of dizziness and pressure could relate to several factors, including stress, but also might suggest issues with blood pressure or even vascular changes from past injuries.

Next Steps:

  1. Keep a Symptom Diary: Before your appointment in two weeks, track your symptoms. Note the severity, duration, triggers, and any patterns you observe (e.g., increased stress levels correlate with worsened symptoms).
  2. Prepare for Your Doctor's Visit:
    • Discuss your symptoms: Clearly outline all physical and emotional symptoms you’ve experienced, how they affect your daily life, and any recent changes.
    • Request specific tests: Ask for blood tests to check levels of vitamin B12, iron (ferritin), vitamin D, and thyroid hormones. These can help identify any deficiencies or imbalances.
  3. Consider Lifestyle Adjustments:
    • Ensure you include a variety of plant sources of iron and might want to consider fortified foods or supplements, especially for B12, as it's often lacking in vegan diets.
    • Practice relaxation techniques (like mindfulness or gentle yoga) that might help manage anxiety and improve overall well-being.

It’s understandable to feel overwhelmed given everything you’re coping with. Focusing on these actionable steps can help you gain some clarity and address your concerns more effectively at your upcoming appointment. Take care of yourself, and I wish you the best in your journey to better health.

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