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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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Question, I'm a 33 year old male. History hypertension (but

Customer Question

Question
JA: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?
Customer: I'm a 33 year old male. History hypertension (but it's under control with 10mg lisinopril daily), generalized anxiety/depression/panic disorder. I went to PCP last Friday as a follow-up to an appt. I had earlier that week when my cat bit and punctured my left thigh. CPK 1914, Aldolase 20.7
JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?
Customer: From test results from last Friday, CPK = 1,914. Aldolase = 20.7. But C-reactive normal (< 0.40) and ESR normal (7). Lyme disease ruled out, as was thyroid issue. I have had similar episodes like this in the past (same symptoms, although I never had a doctor check CPK and Aldolase). When I get these symptoms, I become hypersensitive to caffeine and alcohol and become much more anxious (but on the same set dose of my Sertraline and Wellbutrin).
JA: Anything else in your medical history you think the doctor should know?
Customer: 5 days before the blood work, I worked out (lifted) hard, lifting more weights than I should have, which caused pretty severe muscle pain in traps, shoulders, and especially my biceps. In addition, I had a deep tissue massage done on the evening before my Friday appt.
Submitted: 1 month ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 month ago.

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

Expert:  Dr. Phil, MD replied 1 month ago.

How old are you?

Customer: replied 1 month ago.
33 male. No fever. c-reactive normal; sed rate normal. I've complained about these symptoms previously over the years. But last week the pain was quite intense after having worked out pretty hard that previous Saturday. I recall I felt stronger than normal muscle pain for a week or two after the last time I started to lift weights. (I had only been lifting for about 2 weeks).
Customer: replied 1 month ago.
I take 125mg sertraline in AM; 150xl bupropion in AM; 10mg lisinopril in AM; vit. D 5,000 IU in AM; 0.5 Ativan PRN. I keep experiencing body-wide fatigue, restless sleep, caffeine/stimulant/alcohol sensitivity, foggy mind.
Expert:  Dr. Phil, MD replied 1 month ago.

So did you have an infection?

Customer: replied 1 month ago.
No. No infection, no inflammation.
Expert:  Dr. Phil, MD replied 1 month ago.

It could be due to your meds

zoloft and bupropion