Why we start with the bloodwork
A great deal of what patients describe as feeling generally awful has a measurable cause. Persistent fatigue, brain fog, poor sleep, low mood, weight that will not shift and aching that does not track with any injury are all symptoms that overlap heavily between thyroid dysfunction, low B12, vitamin D deficiency, anaemia, blood sugar problems and hormone decline. Guessing between them is not productive. Testing is.
So the first step for most new patients is a proper panel and a conversation about what it shows, rather than a prescription aimed at the loudest symptom.

