Hello
Your wife’s symptoms could have several possible causes. Common possibilities include:
* Chronic stress or anxiety (especially with 5 months of insomnia). * Thyroid disorders (hyperthyroidism should be ruled out despite the weight gain). * Anemia or iron, vitamin B12, or vitamin D deficiency. * A disrupted sleep-wake cycle (sleeping during the day instead of at night). * Less commonly, hormonal disorders or medication-related effects.
She should see an internal medicine physician for evaluation. Recommended tests include:
* CBC (complete blood count) * Ferritin/iron studies * TSH and Free T4 * Vitamin B12 and Vitamin D * Fasting glucose or HbA1c * Kidney function, liver function, and electrolytes
If these tests are normal but the insomnia persists, she should also be evaluated by a mental health professional or sleep specialist, particularly given the significant stress. Seek urgent medical care if she develops severe palpitations, chest pain, fainting, or a measured high fever.
Take care Feel free to reach out again
