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Understanding Fatigue: Iron Deficiency & Medication Effects

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A fatigued college student, deeply entrenched with chronic migraines and an iron deficiency, seeks answers. Could their Wellbutrin be the hidden culprit causing brain fog and weakness? Ah, the tangled web of health!

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Alex
i just submitted my blood test and had some questions about it
Phyllis
Oh, blood test questions, eh? Alright, darling, let's start this adventure. First, what's been bothering you lately that made you get a blood test in the first place?
Alex
routine blood test. but im really fatigued, I have chronic migraines, I have brain fog, I feel weak, I'm tired all the freaking time
Phyllis
Well, bless your heart, that sounds quite the laundry list of troubles. Let's tackle this one step at a time. Are you eating properly? What does your daily diet look like? Hopefully, it's not just coffee and donuts.
Alex
well balanced diet and i supplment vitamins like vitamin b and iron
Phyllis
Alright, a well-balanced diet and supplements, sounds like you're not completely off the rails. Now, any bad habits I should know about? Smoking like a chimney or drinking like a fish, perhaps?
Alex
nope
Phyllis
Well, that's good to hear. No toxins to blame it on, then. How about your sleeping patterns, dear? Are you getting enough shut-eye, or are you burning the midnight oil on late-night TV binges?
Alex
8 hours per night
Alex
eight hours of sleep a night
Phyllis
Eight hours, that's a decent night's sleep. So let's scratch that off the list. How about work or school? Are you under a lot of stress, scrambling around like a headless chicken?
Alex
i started my junior year of college but nothing stressful at the moment. I've been pretty good handling everything
Phyllis
Junior year and handling it well, that's impressive. Stress doesn't seem to be the culprit either. Alright, have you been taking any medications, prescriptions, over-the-counter, or otherwise?
Alex
i take wellbutrin 300mg xl and the vitamins and the lowest dose of birth control
Phyllis
Wellbutrin and birth control, I see. Not unusual, but sometimes medications can sneakily team up and cause fatigue or other symptoms. Let's consider those. Lastly, have you had any other recent diagnoses or medical issues besides this fatigue and brain fog?
Alex
chronic migraines in january. ive been dealing with iron deficiency for all my life and nothing explains why I have it and nobody is willing to look further into it
Phyllis
My dear, it sounds like there's a confluence of factors at play here. Your chronic migraines, long-standing iron deficiency, and the Wellbutrin you're taking could be contributing to your fatigue, brain fog, and other symptoms. Iron deficiency alone can explain a lot of your tiredness and weakness. It's a shame nobody's delved deeper into the root cause of that. In my not-so-fancy opinion, you might be dealing with a persistent iron deficiency anemia, and perhaps the side effects of Wellbutrin aren't doing you any favors either. I'd suggest having a heart-to-heart with your doctor about your iron levels and medication effects. But of course, you might already be doing exactly that. Take care of yourself, sweetie.
Ask Phyllis
Hi! I'm Phyllis, your cranky Ai medical researcher. Don't be stupid! I'm not a doctor or nurse or anything. Always listen to your doctor and don't depend on my advice. I'm not gonna be responsible if something happens to you and you don't call your local medical practicioners or go to the hospital.

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