Well they certainly know how to do their job, the majority of people believe in and buy drugs so I don't see the issue! They're beneficial to the society, do pharma goyim!!!

Well they certainly know how to do their job, the majority of people believe in and buy drugs so I don't see the issue! They're beneficial to the society, do pharma goyim!!!

Well they certainly know how to do their job, the majority of people believe in and buy drugs so I don't see the issue! They're beneficial to the society, do pharma goyim!!!

File 175335921990.gif - (4.55MB , 212x314 , qe3.gif )

Here's what I found on AI that might be helpful, goodluck anon:

I’m really sorry you’ve been living with this—chronic exhaustion, pain, and feeling off-balance can be miserable and demoralizing. What you’re describing isn’t “just in your head,” and antidepressants aren’t the only path. Below is a practical, evidence-based way to think about it and concrete next steps you can take—even if you’d like to minimize doctor visits.

What your pattern could fit

Think of this as a few overlapping buckets. You might have more than one at the same time.

1) Sleep-related breathing problems (OSA/UARS)

Clues: Loud snoring, gasping/choking at night, morning headache/dry mouth, non-restorative sleep, daytime brain fog; body aches from fragmented sleep.

Why it matches: Waking “extremely tired,” dread of sleep because it’s not refreshing; unsteadiness for hours after waking can be sleep inertia from severe sleep fragmentation.

2) Restless Legs / Periodic Limb Movements (RLS/PLMD)

Clues: Nighttime urge to move legs, creepy-crawly sensations, partner notices kicking; aching limbs on waking.

Ferritin (iron stores) < ~75 µg/L commonly worsens RLS even if hemoglobin is “normal.”

3) Central pain / non-restorative sleep syndromes (Fibromyalgia, ME/CFS spectrum)

Clues: Widespread pain (“all extremities”), unrefreshing sleep, cognitive fog, sensory hypersensitivity; sleep can feel “painful.”

Often coexists with OSA or RLS—treating sleep issues can lessen pain.

4) Vestibular disorders

BPPV: brief (seconds–minutes) vertigo with head turns—less likely if your imbalance lasts “hours.”

Vestibular migraine: dizziness/imbalance for hours, light/sound sensitivity ± headache; can cause bumping into things after waking.

Bilateral vestibulopathy: chronic unsteadiness, worse in the dark/with head movement.

5) Metabolic/neurologic causes that are treatable

B12 deficiency: fatigue, “stocking-glove” tingling/numbness, unsteady gait.

Hypothyroidism: fatigue, myalgias, morning stiffness, cold intolerance.

Vitamin D deficiency: diffuse muscle/bone pain, proximal weakness (tripping).

Iron deficiency: fatigue, RLS; check ferritin, not just hemoglobin.

Glucose issues (pre/diabetes) or small-fiber neuropathy: burning pain, instability.

6) Inflammatory/rheumatologic

RA/PMR or other autoimmune: prolonged morning stiffness, swollen joints, elevated ESR/CRP. Consider if pain is worst on waking and improves with movement.

Why antidepressants keep getting offered
Some (duloxetine, amitriptyline, nortriptyline) help neuropathic pain and fibromyalgia independent of mood. That said, if you prefer not to use them, there are other paths.

Red flags (seek urgent care now if present)

New, progressive weakness; one-sided numbness; trouble speaking or severe headache.

True spinning vertigo with inability to walk, or vertigo with double vision.

Chest pain, severe shortness of breath during sleep.

Fever, night sweats, or unintentional weight loss with severe pain.

High-yield self-checks you can do this week

OSA screen (STOP-Bang)
Yes/No to: Snoring, Tired daytime, Observed apneas, high blood Pressure, BMI ≥35, Age ≥50, Neck size large, Gender (male).

0–2 low risk, 3–4 intermediate, ≥5 high risk → push for a sleep study.

RLS clues
Do your legs feel uncomfortable at night with an urge to move, better when walking/moving, worse at rest? If yes, ask specifically for ferritin (goal often ≥75–100 µg/L in RLS).

Orthostatic check (home, safely)
Measure pulse/BP after 5 min lying down, then at 1 and 3 min standing.

HR rise ≥30 bpm (or to ≥120) with symptoms → consider POTS/dysautonomia.

BP drop ≥20 systolic or ≥10 diastolic → orthostatic hypotension.

Vestibular clues
Does head turning in bed trigger brief spins (seconds)? → BPPV likely.
Do you get hours-long motion sensitivity, photophobia/phonophobia, or migraine history? → vestibular migraine more likely.

Simple data to gather

Record snoring or pauses (phone voice memo).

1-week diary: bedtime, awakenings, pain (0–10), morning imbalance duration, triggers (salt, alcohol), and any “pins/needles.”

Cost-conscious workup to request (prioritized)

You can often do these through a primary care or community clinic; many labs are inexpensive when cash-pay.

Sleep

Home Sleep Apnea Test (HSAT) if no major lung/heart disease.
If negative but symptoms remain: in-lab polysomnography with limb EMG to check for PLMs and other disorders.

Blood tests

CBC, ferritin + iron/TIBC, CMP, TSH (± free T4), B12 (± methylmalonic acid if borderline), 25-OH vitamin D, HbA1c or fasting glucose, ESR/CRP.

Consider CK if prominent muscle pain/weakness; targeted autoimmune tests only if exam/labs point that way.

Vestibular

If persistent imbalance: audiogram and vestibular testing (VNG/VHIT) via ENT/otology; vestibular physical therapy evaluation.

If features suggest migraine: discuss vestibular migraine; treatments include lifestyle, trigger management, and non-antidepressant options (e.g., magnesium, riboflavin, CoQ10, beta-blockers, candesartan, CGRP meds depending on profile).

Imaging

Not first-line unless you have focal neurologic deficits or atypical/progressive symptoms → then brain MRI.

Treatment levers that don’t require antidepressants

If OSA/UARS: CPAP or mandibular advancement device; side-sleeping, nasal saline/rinses for congestion, weight loss if applicable. Many people feel less pain and steadier mornings once sleep is restored.

If RLS/low ferritin: Iron repletion (often oral; sometimes IV) to target ferritin ≥75–100 µg/L; review triggers (antihistamines, caffeine, alcohol).

If B12 or Vitamin D low: Replace to normal—can be game-changing for pain/instability.

If vestibular migraine/BPPV:

BPPV → canalith repositioning (Epley) performed by a clinician or trained PT.

Vestibular migraine → migraine hygiene (regular sleep, hydration, meals), vestibular rehab; non-SSRI preventives exist.

If fibromyalgia-like pain: Graded gentle activity focused on pacing (not push-crash), heat, stretching, mindfulness-based strategies, sleep optimization; meds that aren’t classic “antidepressants” include pregabalin/gabapentin, low-dose cyclobenzaprine at night.

Safety while sorting this out: Night-lights, clear floor paths, handrails, sit at bedside before standing, consider a trekking pole/cane on rough mornings.

A quick decision guide

Snoring + unrefreshing sleep ± morning headache → prioritize sleep testing.

Night leg discomfort/jerks + morning limb pain → check ferritin/RLS.

Hours of imbalance ± light/sound sensitivity → vestibular migraine; ENT/neurology or vestibular PT.

Numbness/tingling + gait wonkiness → check B12, glucose; consider neuropathy.

Stiff, swollen joints in the morning → rheum labs/exam.