Real-life Case Story- an eye opener

 Real-life Case Story:

📍
“A 50-Year-Old Walked in With Fatigue. Here's What We Found.”

📍
Fatigue isn’t always from a busy day. A simple blood test revealed a silent duo working against his energy: anaemia and hypothyroidism. Here's the real-life case.

A Tired Tale — But Not from Work

A 50-year-old gentleman, let’s call him Mr. Raj (name changed), walked into my clinic complaining of chronic fatigue. He was a working professional, managing a moderately active lifestyle. But for the last 6 months, he had been feeling “just off.”
No major pains. No weight loss. Just an overwhelming tiredness.

“I sleep, but I wake up more tired,” he said.

Subtle Clues We Almost Missed:

Upon further discussion, Mr. Raj mentioned:

  • Craving tea 3-4 times a day to “stay active”
  • Breathlessness while climbing stairs
  • Occasional constipation
  • Feeling cold even when others didn’t

On examination:

  • Pale lower eyelids
  • Slight swelling around the neck
  • Brittle nails

The Lab Report Tells the Story

🩸 Blood tests were ordered — and here’s what we found:

  • Haemoglobin: 9.2 gm/dL (Low)
  • TSH: 8.5 mIU/L (High)
  • Serum Ferritin: 15 ng/mL (Low)

✅ Diagnosis:
Iron Deficiency Anaemia with Subclinical Hypothyroidism

Head with gearsUpcoming- “Subclinical hypothyroidism — a topic I’ll elaborate on in an upcoming blog very soon."

Connecting the Dots:

Both anaemia and hypothyroidism can cause fatigue — but together, they amplify the exhaustion.
Low iron also affects thyroid function. And in return, low thyroid slows gut absorption, creating a vicious cycle.

What We Did:

Mr. Raj was started on:

  • Low-dose thyroxine replacement
  • Oral iron supplements with vitamin C
  • Diet changes (more green leafy veg, citrus fruits, jaggery)

Follow-up in 6 weeks showed remarkable energy improvement. Haemoglobin rose to 11.5 and TSH started normalizing.

EyeTakeaway for Readers:

🛑 Fatigue is a signal, not a lifestyle consequence.
💉 Get your blood work done if fatigue lingers beyond 3-4 weeks.
🧠 Think beyond stress — your body might be telling you something deeper.

👨‍⚕️ My Note:

If you're often tired, don’t ignore it. Fatigue might be your body whispering before it starts screaming.

#ThePreventivePulse 🔍 Smart insights | 🧠 Preventive strategies | 💪 Everyday health hacks

📍 Follow the movement:

🌐 thepreventivepulse.blogspot.com

Stay informed. Stay ahead. Stay healthy.

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