I can't figure out what's wrong (fatigue, weight gain...)

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My whole life I have experienced constant fatigue, it's gotten worst in the past two years. I often black out when I stand up and have started having tingling and pain in my hands and feet. I have gained 20lbs and no matter what I do I cannot lose the weight. My tests all come up normal except for low sodium and low transferrin. Medications I'm taking are iron, vitamin d and paroxitine. I am 21 and female. I would appreciate any insight into what might be wrong. Thanks 

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