I'm a believer in getting information even when I think it is unlikely I'd be willing to do what a medical practitioner or any other non Western medicine provider I might see. About twenty years ago when I was in a different round of therapy, I was opposed to AD's but consulted a shrink. She listened to my worries and set about a rather unusual medication plan that would start off in very small doses and increase very very gradually. I was worried about side effects and had other concerns as well. I decided to try them and I was glad I did; it really increased the productivity of my therapy, made me feel less stressed, and in general decreased a lot of suffering I was feeling. I had no trouble getting off them 9 months later.

I'd encourage you to see a p doc and bring your concerns, bring questions like why do you think this will help me or how can I start slow so the side effects might be more minimal. I don't know when you last tried them, but there are new medications all the time and our bodies also respond differently as we age. You might note hate them if you tried them but most importantly, you can just go talk to the pdoc and still decide not to use any medication,.

Very glad to hear that as it would be a big red flag if your Dr. didn't consider. It sounds like you have a decent relationship with your GP, hope it stays sound.

Just like an ultrasound is normally used to find leg blood clots, if the weakness isn't related to Gaba or diabetes, a xray and stress test would not rule out heart issues. If I suspected heart issues I would get at a minimum echo and 24-48 hour holter.

I'm 500% sure the psychiatrist would not be able to rule out all other causes of weakness or even delineate medical vs psychological. It's such a vague symptom it could be 100+ things plus s/he'd check what is in her scope and leave the rest up to your GP and specialists. Gabapentin, like many psychotropics, does affect blood sugar.

I hope this turns out for the best. I'd still be wondering if this was related to what caused the blood clot as breathing problems and weakness could be a pumonary embolism (also an xray wouldn't find it). Please go to the ER again if you are unwell and don't let them tell you it's anxiety.

Keep us updated. Good luck!

Dr. Rayne
(just kidding )

If it happens at the beginning of a meal, i'd be thinking about food allergy/sensitivity or histamine intolerance, and i'd be trying to track trigger foods.

Also sounds like an adrenaline surge.

I would not let a GP or Pdoc anywhere near such thorny, complex issues. I'd go straight to a functional medicine doc, get to the bottom of things. GPs and Pdocs seemingly will just add a new drug for every symptom, creating increasingly convoluted polypharmacy and side effects that cannot easily be traced.

Your PCP's made a good-faith effort to do everything he can think of --to rule out everything he can and to run any relevant tests. Now he suggests you see a psychiatrist. Why would you refuse to even consider that? No psychiatrist is going to make you take a medicine you don't want to take and it seems like you owe your PCP to at least follow his reasonable suggestion. He didn't say see a psychiatrist and take whatever drug he tries to prescribe you, did he?

I'm not suggesting you don't go to the psych appt but I'd remind her you just had a blood clot and that you are taking blood thinners and ask her about the breathing and weakness in that context.

Glad to hear she looked into the side effects of gabapentin but it would be alarming if she didn't consider side effects from the warafin as there are dangers with any blood thinners.

There's so much she didn't look into but that doesn't mean you can't get treatment for anxiety at the same time. But imo it shouldn't be either or as that is reckless.