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History: Mid 40s male presenting with debilitating anxiety and Hashimoto. Extremely low testosterone levels checked prior to starting treatments. Will check again after 6wks of treatment for improved levels. Male stating that he wakes every night and can not go back to sleep. Wakes in morning with extreme pain and anxiety. Needs to medicate prior to function in daily activities.

Outcomes: Male stating waking has gotten less painful and is able to shortly fall back asleep. Zero pain in the mornings upon waking. No need for medications to start his day. Will recheck testosterone levels in 4 more weeks to see if those levels have improved.

History: fatigue 6 years, Chronic, Interrupting daily activities

Outcomes: The fatigue I have felt for 6 long years was gone on the 4th morning I woke. I usually need many cups of coffee to keep going so I don’t crash at 2/3pm. To my amazement this feeling had left me. I’ve been free of fatigue that has chronically effected my productivity as a mom, spouse, and friend to those around me. I feel like I am 25 years old again. My energy is endless all day with no stimulus needed to keep me going. My sleep is amazing and I wake at same time every morning now with no alarm. Truly amazing!