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I have had muscle pains for almost 3 years. Started very lightly in March 2014, escalated slowly until April 2016, then escalated rapidly after a thyroidectomy. The most intense pain is in my legs, but also have shoulder/neck/back pain.
My thyroid numbers are good. I did a rheumatology workup that found nothing. Ran some iron numbers in mid December 2016 and my serum iron was in the bottom 5% of the normal range (57 with a reference range of 50-180). Ferritin was 81 (20-380) and TIBC was 330 (250-425) which were comfortably normal. I took a 5mg liquid iron supplement and my leg pain which had been constant from June 2016 to December 2016 disappeared after 4 days. The leg pain returns after minor exercise (ex walk 1 mile on a treadmill), but thankfully does go away after 4-5 days of rest.
Notably, I tried an 18mg iron pill because it was cheaper than the liquid iron, but the pills provided much less relief than the lower dosage liquid iron supplement.
Also, my vitamin D and testosterone numbers are low and I am on supplements for those. I started the vitamin D in October 2016 and the testosterone in very early December 2016. The muscle pain was very intense before I started those treatments and the treatments provided no noticable relief, for leg pain or fatigue. So I do not think that the low Vitamin D and testosterone are the cause of the muscle pain, but maybe they are also syptoms of a single underlying root cause.
Any recommendation on blood tests (or other) to move this effort along? I have an appointment with my primary care doctor in about a week and plan to ask for a consultation with a hematologist. I do not mind paying for blood tests out of pocket to speed up the solution.
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