Flexiril and thyroid

Any ideas for help or assistance for diagnosing
32f worsening migraines dizziness past 6 months
32 year female . 5ft 165 lb non smoker . Firstly I'm under medical care I'm followed by a neurologist and I am a registered nurse but I'm desperate because my symptoms have been worsening overall the past years but especially the past 6 months . Never had imaging . Had new eye exam 2024 pending BVD rule out this month.
Migraines with aura since teenager Aura right eye visual floaters and sometimes 1/4 visual field cut Doesn't happen all the time Others right sided headache nausea photophobia nausea Dizziness seems to come and go all the time Triggers are period No birth control since summer 2022 due to higher risk of stroke Alcohol- no alcohol since new year 2024
Recently got iwatch since I noticed elevated heart rate in AM. Heart rate daily 55-136 Heart rate goes to 130s very quickly on short distance brisk paced walks. 1 flight of stairs 120s . Walking around 100s-115s only have coffee on the weekends . Prior to knowing such elevated heart only had 1 caffeine beverage. I drink well over 2l a day with Gatorades and coconut water intermittently.
Now pending MRI of brain dye request . Plan on requesting cardiology appointment had recent lab work cbc cmp thyroid all normal .
Supplements I do omegas with high epas , coq10 100mg bid magnesium Meds Flexiril.10mg Maxalt 100mg topamax nightly Phenergan 12.5 mg Tried Aimovig shots didn't do anythinf And Botox every months Tylenol Motrin and excedrin
Have TMD do grind wear mouth guard in invislaign have hyper mobility pending 2 year wait list for EDS eval of have +family members diagnosed
On my own I've done and do massage acupuncture cupping cranial sacral massage Iv infusions via a service if bad bc it's too expensive to do at hospital
This is consuming my life at this point .

32f worsening migraines dizziness past 6 months
32 year female . 5ft 165 lb non smoker . Firstly I'm under medical care I'm followed by a neurologist and I am a registered nurse but I'm desperate because my symptoms have been worsening overall the past years but especially the past 6 months . Never had imaging . Had new eye exam 2024 pending BVD rule out this month.
Migraines with aura since teenager Aura right eye visual floaters and sometimes 1/4 visual field cut Doesn't happen all the time Others right sided headache nausea photophobia nausea Dizziness seems to come and go all the time Triggers are period No birth control since summer 2022 due to higher risk of stroke Alcohol- no alcohol since new year 2024
Recently got iwatch since I noticed elevated heart rate in AM. Heart rate daily 55-136 Heart rate goes to 130s very quickly on short distance brisk paced walks. 1 flight of stairs 120s . Walking around 100s-115s only have coffee on the weekends . Prior to knowing such elevated heart only had 1 caffeine beverage. I drink well over 2l a day with Gatorades and coconut water intermittently.
Now pending MRI of brain dye request . Plan on requesting cardiology appointment had recent lab work cbc cmp thyroid all normal .
Supplements I do omegas with high epas , coq10 100mg bid magnesium Meds Flexiril.10mg Maxalt 100mg topamax nightly Phenergan 12.5 mg Tried Aimovig shots didn't do anythinf And Botox every months Tylenol Motrin and excedrin
Have TMD do grind wear mouth guard in invislaign have hyper mobility pending 2 year wait list for EDS eval of have +family members diagnosed
On my own I've done and do massage acupuncture cupping cranial sacral massage Iv infusions via a service if bad bc it's too expensive to do at hospital
This is consuming my life at this point .

39F, sudden symptom onset in early December right before & after a migraine. Do the cervical MRI results warrant the symptoms? What other tests could my primary order until I see a neurologist? (she’s very open to suggestions but knows she’s a generalist) Are there any other specialties she should consider referring me to? My primary is doing her best bc the neurologist who first saw me wouldn’t let me share my symptoms, then also didn’t answer my primary’s questions when she tried. My outside referral, approved by insurance, was turned down by the med group for lack of appt availability.
PRIOR DIAGNOSES ADHD (hyper type), Fibromyalgia, Migraines, Periodic Limb Movement Disorder (sleep study 2021), Mild asthma (mostly in extreme temps or with fever), PMDD
Meds Gabapentin and trazadone for sleep leg twitches, Adderall XR (was newly on Vyvanse when symptoms started, switched back when Adderall shortage let up), flexeril as needed since symptoms started; Discontinued since symptom onset: Vyvanse, Singulair (due to black box warning w/some symptom overlap), Sumatriptan (not to take it since I’d had an aura); Attempted birth control in case it could interrupt migraines, but it didn’t and made me have a flat affect, so went off.
Migraine history: Onset around 32 w/1 occurrence, which quickly abated after sudden vomiting. Around 35: started having migraine w/out aura at the end of every period, until I discovered that prenatals helped. About a year ago, 38: started having migraines at time of ovulation, which I had confirmed was happening exactly two weeks before every period, regardless of cycle length - prenatals did not help these. Nov 2022: had my first aura, visual, right before a migraine. Dec 2022: was very restless for first two period days, not in my hyperactive/good ideas adhd sort of way, but, if I’m remembering correctly since I didn’t suspect anything and therefore wasn’t tracking, just constant startling and needing to move and getting annoyed. Period day 3: migraine but different bc it was across both eyes, not just eitheor, no aura. This was also earliest I’d had one during a period. I maxed out on Sumatriptan, spacing out as prescribed. Period day 4: woke up w/right side facial numbness, was advised to go to ER. I did, but they quickly surrounded me for a stroke check, I got very overstimulated, then they sent me back to lobby to wait. I became very restless again and ended up leaving when I couldn’t sit still but was somehow also too exhausted to pace for release.
Other History Severe neck injuries at 18 &21ish, medium bad ones at 28ish & 34ish. The ‘vid: I’ve never tested + despite testing when my wife or I have been sick, and she had never tested + either. Before I took Adderall, I would get every cold for two weeks straight, so I’ve been very careful about masking and other preventative steps.
Tests since: Brain: MRI without, later with, contrast; MRA and MRV = all normal Blood (all normal): ANA, thyroid, thyroid antibody, sedimentation rate, CRP, complete blood count, metabolic panel, magnesium level, ACE, Lyme antibody Cervical MRI w/contrast: bulging discs and foraminal stenosis at all points between C3 and C7; mild and moderate spinal stenosis at C3-4, 5-6, 6-7; facet disease at C7-T1. Scheduled: routine EEG
*Symptoms: -twitching in neck and face -muscle tightness, but not like anything I’ve felt before - can feel like energy is coursing through the front of my neck It has gone as far up as my eye(s), is usually on right side but occasionally switches for very short time and even more occasionally is on both sides. (Something I haven’t seen anyone say about muscle tightness: I usually have a low amount of pain at all times, but when this happens, pain is less or gone) -blurry eye(s), usually just right side, or inability to focus eye(s) without facial twitching or pain behind them, and is sometimes accompanied by eye dryness -overstimulation, way beyond my normal for my adhd, primarily with sounds & light, sounds being most frequent -after never having more than two migraines/month, had four in one week, and what feels like migraines, but shorter, more frequently -migraines now worse when changing positions, worst is going into laying down and best is sitting up -new headache type that best matches what I’ve seen called “ice pick” -sound most similar to waves crashing in my ears (started as occasional ringing, but changed to this, happens especially with headaches or when laying down) -difficulty finding words; my primary noted it as describing words, as opposed to knowing them. (This has been weird bc I’m a communications professional) It happened spoken first, now writing just as frequent; once lost ability to verbally speak for a few minutes (got stuck on the “s” sound) -difficulty organizing thoughts & work (this, & word difficulty, causing me to sometimes take hours on tasks I’ve done in 15 minutes) -switching words/letters: I didn’t notice this at first but others pointed it out and I’ve seen when I’ve gone back to review my notes -short, intense mood bursts: remind me of during a migraine, but more frequent and w/o headaches -much more easily stressed, and symptoms are worsened by stress -getting overheated, especially w/attempt to exercise beyond walking 1/4 mile (it’s been 50-60 degrees F) -forgetfulness: that “why’d I walk in here” feeling but, when it’s bad, happens on repeat and can happen while at my desk, in the time it takes to grab a pen to write down what I wanted to remember -restlessness that comes for a day or two at a time and has been bad enough that I wake up after 3 hrs, even w/ Flexiril + gabapentin + trazadone -Occasional nervousness that I don’t know how to describe bc it’s unlike any I’ve felt before
Timing Initially symptoms were around for 2-3 weeks, then mostly gone for a couple, but I’ve only had 2-3 days of less symptoms in March. -symptoms don’t seem to follow patterns, but some seem more likely to be present with certain others, I.e. twitching w/ tightness and forgetfulness w/ disorganization, but have occasionally had other mash ups or many at once
Family history: MOM refused the next steps tests, but stiff person syndrome is suspected; confirmed she has low dopamine but Parkinson’s ruled out; PATERNAL GRANDFATHER: per my dad - his dad was diagnosed with MS, but it was later ruled out and, as far as he knows, my grandpa never received a final diagnoses, then he lived into his 70s - I recall him also having heart issues. DAD and at least 1 of my 2 BROTHERS have had migraines, and my brother mentioned he’s had some very intense visual auras
TL/DR I have a history of pretty common diagnoses, which are often seen overlapping one another, that I’ve had for varying lengths, but my brain has felt broken since December and attempts to see a neurologist keep following through

Extreme exhaustion
Age 26
Sex Female
Height 5’5
Weight 170lb
Race White
Duration of complaint one month
Any existing relevant medical issues PCOS, Anxiety, Hashimoto’s, Migraines
Current medications Birth Control, Topiramate, Levothyroxine, Lexapro As needed: flexiril as needed for neck pain due to a pinched nerve
26 yo F approx 5’5 170lb. Past history of PCOS, Migraines Hashimoto’s, and anxiety. I currently take levothyroxine, birth control, topiramate, and lexapro. I’m an ER RN who works nights for the past 4 years. I am also a full time online student. I take all my medications around 8-9 am everyday. Lately I’m finding myself exhausted at all hours of the day. No matter how much I sleep, I find myself napping during my days off or yawning through out my shift. Just the other day i got off work and slept from 10am-7pm and then went back to bed from 11pm-8am the next day. Just had my thyroid checked in September and it was 1.23; is there anything else I can be doing to help with this exhaustion or should i be taking something to help me? I only take the flexiril when I need it at night since I know it will make you tired. Thank you so much in advance. I’m at a loss here.

Age: 32
Sex: female
Height: 6'
Weight: 230lbs
Race: white
Duration of complaint: since July 2019
Location: head & chest
Any existing relevant medical issues: Endometriosis, CRPS, ADHD. No thyroid due to thyroid cancer, a "monster" of a tumor but super non aggressive strain so no chemo/radiation.
Had a brain MRI to rule out MS. Notes stated that there was a small mark on the images that is "likely insignificant" or something along those lines
Current medications: adderall, synthroid, spironolactone, gabapentin, prozac, buspar, flexiril, multivitamin, acidophilus, xanax.
Starting last summer I've started having these episodes on a daily basis, if not multiple times a day where I start to feel dizzy/like I'm going to collapse and like something is just really wrong in my chest/abdomen. Then, I sneeze hard two or three times and that feeling starts to lift and I'm fine again. The whole episode lasts anywhere from 1 - 5 minutes. I have a wrist blood pressure cuff and have managed to slap it on and get readings during and after and my heart rate is usually elevated but my pressure is fine. It can happen when I'm sitting but I'm usually standing. I've been to nearly every specialist except an ENT since then and have mentioned these episodes to everyone but no one has seemed alarmed.
What is going on with me?

I passed the desperation point over the winter. I am now at the resignation phase of grieving the loss of hope that I will ever feel awake.
I saw the same orthodox Catholic general practitioner for six years. I have been repeating to her for six years that I suffer from insomnia 1 and 2, hypersomnia, and chronic fatigue. I'm just dragging daily.
I eat well, don't drink, don't smoke, don't do illegal drugs. I'm otherwise healthy.
I suffer from apparently treatment-resistant major depression. I've tried over 25 prescription medications over the past 20 years, but have only fixed some of the symptoms. I also suffer from complex PTSD due to an abusive childhood.
I had hoped that rigorous therapy and self-work would help, but it hasn't improved my extreme lethargy.
I have a wonderful team of therapists I see for 2 hours a week of EMDR and DBT. I'm no longer haunted by my childhood and have gotten to a stable, though low, mood. That's damned good for me!
I am still battling depression due to my lack of forward motion in my career and poor physical fitness. I'm a 135lb 5'4" 36yo female. I'm eating healthily.
I don't exercise. I want desperately to exercise. I want to go out dancing and skating. I want so badly to work in my garden. I want to sleep less than 10-12 hours a day. I want to feel rested when I wake up.
My doctor, who I've seen for 6 years, claims to not have enough data to prescribe me a trial run of Adderall or Ritalin. She said she would order me a sleep study. I asked for a trial run until the sleep study. She said it would take only a few weeks to get into the study. I asked again. She said "you've lived with being tired for all your life, you can live with it for another 2 to 6 weeks." She ordered me to start daily exercise. I looked at her with despair and disbelief and said "honestly, I want to exercise, but I won't have the energy. It won't happen because I will be sleeping or napping. That's why I want to try stimulants and why I'm asking for a thorough sleep study."
She laughed and stated, "So you're outright refusing to take this health step. You just refuse to do it."
That was 3 months ago. I finally got an appointment after being on a waiting list. My study won't be until late March, in 2 months.
I am just so depressed by this whole experience. I don't have a way to get black market meds, so I have tried Adrafinil, which just made me break out in zits but did nothing to my energy level, no matter if I took 300 or 2400. Nothing. Coffee doesn't energize me. I just fall asleep at work anyway.
So I don't know if prescription stimulants will actually help me, but I'm determined to try. Why won't my doctor prescribe them? Why do I feel like I'm being treated like a disregarded junkie or some idiot child who 'refuses' to sleep well and get exercise? I want to sleep well and exercise! I'm just so damned exhausted! I feel like I'm walking through water constantly. I feel like I have been working out!
It's not thyroid. I've had that checked. It's not narcolepsy or apnea (though the sleep study will hopefully confirm for certain). I fall asleep at work at my desk or in classes. I sleep 12-14 per night on weekends and can barely get myself out of bed.
So, seriously, is there something about those stimulants that my doctor rightfully refuses to prescribe? Is she afraid I'll get addicted or have a heart attack or something? There's good data to suggest it's worth a shot in treating some of my symptoms. If it's not working, I am committed to safely getting off them... like any of the prescription meds I've tried. This is a chronic lethargic exhaustion I've always had, so it's not likely an infection. It's familial.
I have gotten my medical records and am seeing a new psychiatric nurse practitioner next month. Hopefully I'll get better treatment.
I have tried the following (but given up all those not identified below with parentheses):
5HTP Ability Adrafinil Ambien Benadryl Buspirone Camomile (still drink it in tea) Effexor Fish Oil Flexiril Fluoxetine Lamictal Lexipro Lorazepam Lunesta Magnesium Melatonin (OTC 10mg nightly now) Mirtazipine Nyquil Oxycodone Percocet Paxil Propranolol Rozerem Trazadone Unisom Valerian Welbutrin Xanax Zoloft (10mg daily now)
Here Begins Rant!
I swear. If I get another 'professional' who tells me to 'try getting to bed earlier' or to 'listen to soothing music,' to cope with sleep issues, I will let out a primal scream that will set off the smoke alarm.
Or hey, maybe I'll get lucky and they'll prescribe 'cozy pajamas and a more optimistic outlook on life.' That'll cure my depression! Feel like I've run a marathon every damned day of my life? Clearly, I just need to 'get up off my lazy ass and exercise!'
Sound medical advice, everbody. Just stop being depressed. It's that easy! Just wish it away! We're all a bunch of lazy grumps who choose to stay miserable and can brush it off at a moment's notice. Feeling tired? Get to bed earlier and try wearing a sleep mask. Get rid of perfumes and coffee. No smoking or drinking before bed. Clearly, we are all too stupid to try these simple fixes. Try them first... again... for each new doctor you see, cuz we gotta cover that doctor's butt, and maybe we just didn't do that holistic gimmick right. Try try again and stop whining...

I want to preface this by saying that I have battled health issues my entire life. Mostly autoiummune in nature, vague symptoms labeled as "fibromyalgia". I started changing my diet, lost 200 pounds, started C25K. I still have bad days of full body pain, and some autoimmune issues, and other than Hashimoto's Thyroiditis nothing has definitively popped up on lab tests. So, I keep continuing to learn to eat well and how to take care of my body.
Sometimes things get in the way and I have to take a break from C25K (like a bad divorce over the summer) but I always restart at W1D1 and go from there. I've had good luck with it overall. This round, though, I have bad fatigue and soreness after running. This morning I did W1D1 (I repeat days until I can comfortably do each running interval) again, and I am almost to the point I can run every run interval without slowing down. I also stretch as much as I can to help prevent soreness. But about an hour after a run, I tank out. I get really tired, sore, and right now it feels like I have been hit by a freight train.
I had low potassium for a while, but I have corrected that. I also take Magnesium Citrate. But just about 10 mins ago I had to take a Flexiril and 2 tylenol from the muscle pain, and I've taken a hot shower. This sucks, though.
I obviously know I am doing something wrong here, but I can't figure out what. I understand this post is sorta vague, but I don't know where to start. I want to keep running, it helps my appetite and anxiety stay stable (I used to be diabetic and have anxiety). But can anyone see red flags? I guess I am asking if you guys can pick my routine apart and let me know what I could be doing wrong, or if I should add anything in to help my body out more. I have spoken to my doctor about this, and all he says is "take a Flexiril". They checked my thyroid and other panels and everything is fine.
I think it's sorta funny that when I was fat, their answer was "we can't do anything until you eat right, exercise, and lose weight" and now it's "I don't know, take a pill". I don't mind taking meds when I need it, but I really enjoy running and don't want to be sore from it. Any help, advice, anything would be appreciated.