Bless you. I am so sorry. The medical field has changed a lot since COVID. I think doctors and nurses are burnt out to be honest. Not to mention, short staffed.

A friend of mine has severe fatigue from having chronic fatigue syndrome & narcolepsy. She was put on prescription Xywav and it has helped give her more energy during the day. It has given her a lot of her life back.

Some things come to mind if I may ask?

1) Have you had all of your thyroid levels checked? TSH, T3 , T4 and Thyroid antibodies and antiglobulin? I had to go to an endocrinologist. My Hashimotos (Hypothyroidism) did not show up in the TSH, T3 & T4, but did in the other test. Hair loss, dry skin, joint pain and fatigue and a lot of the other symptoms you describe can go along with Thyroid Disease

2) Have you had COVID? It can cause hair loss, fatigue & brain fog. Long COVID can cause these symptoms to continue.

3) Have you had all of your hormone levels checked? Cortisol level? An endocrinologist can do this.

4) Have you had all your levels checked for autoimmune diseases? A Rheumatologist or some primary doctors will do this. Have you had your B12 & D3 level checked? These being low can cause joint pain and fatigue. Your primary doctor can check these.

5) Fibromyalgia & Chronic Fatigue Syndrome tend to go hand 'n hand. I have both. A lot of the symptoms you describe fit under these two. They are hard to get a diagnosis on because there is no test for them. They can only do tests to rule out MS, Rheumatoid Arthritis & Lupus. They palpate all the trigger points to see if you are tender/painful in those areas. Your primary doctor could run a sed. rate to rule out the 3 mentioned autoimmune diseases.

Sometimes you have to be a little assertive and say something like, "Do you think I could have an autoimmune disease?" "Can we do a complete panel and check for it please?"

I know how frustrating this can be. Don't give up. Praying for you to feel better and get a diagnosis and get treated.