Hi thanks for posting here... may I know during the ESR check,
was a Chest X Ray done to exclude the potential of tuberculosis
infection? Did you particularly feel heaty at night and up to a
point where you need a bath to cool your body down during the night
itself? How is your appetite, did you find it reduced as in loss of
interest in eating or loss of appetite totally? How is your weight?
Has it been in a declining fashion or increasing trend?
Have you done a blood glucose level check as well?
You can have your Vit B12 and Folate Acid levels check, but seldom
would it affect males (if you are a guy), but it is worth a go to
ensure that all your levels are well within normal limits. As
deficiencies of the above may lead to nerve problems. Yes, you may
suspect the possiblities of thyroid, but borderline thyroid is more
for patients who are elderly and is having a chronic illness which
does not seem to recover and may manifest through thyroid problem
as well...
Did you also have a recent viral infection which lasted for quite
some time, probably a few weeks and didn't seem to recover over a
long period of time? Sometimes recovery from chronic (long term)
viral infection may also cause the above complains such as
tiredness, fatigue, lack of motivation and slowness in activities.
This is well known as Chronic Fatigue Syndrome (you may wish to
find out more through the Net)...
Once the above levels are normal, and you are found to be
physically fit, but still feeling gloomy and down without any
motivation, and don't feel the oomph! in your daily routine
activities and pleasurable activities, you may want to seek help
from a psychiatrist again. Clinical depression can recur.