Hello and thanks for trusting me to help you. I am a board certified consultant with over 30 years of experience.
I understand your concern.
As such you need a detailed physical examination and investigations to rule out any physical cause of your illness.
Anti TPO antibodies(anti thyroid peroxidase antibodies)
LH,FSH,PRL(On third day of cycle)
RA factor Quantitative
Urine complete examination
Vitamin D levels
Anti TTG IgA levels
Ultrasound of whole abdomen
Basically in my opinion all relevant investigations should be done to rule out any physical cause of illness before considering this to be anxiety or depression.
I do think you should start with your Primary Care Physician and go ahead with full body checkup.Basically it is essential to rule out any auto immune disease as a cause of symptoms.
Let the PCP decide if you need refferal to a mental health specialist.
I understand that you are already taking Amitriptyline but still i would prefer a detailed investigations before going with the last resort.
Let me know if you have any further query so we can discuss it thoroughly in every aspect.
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It’s my pleasure to continue this conversation until you satisfy.
Waiting for your response.