question: Hello doctor, I hope you will be able to help me with my daughter's health. The summary of her health is as follows: She was born prematurely at 25 weeks. She had to undergo PDA surgery soon after. She had Hashimoto's hypothyroidism when she was 8 years of age. She had urticaria and angioedema for many years. She took a double dose of antihistamines for at least five years. She had her tonsils and adenoids removed at age 10. She had pernicious anemia since the age of 11. Three years ago, she was bedridden for a month, as she was diagnosed with post viral fatigue. So, as you see, she has never felt well. She has put on a large amount of weight, in spite of being on a strict diet. She has chronic constipation, severe fatigue, breathlessness, cold hands and feet, dry and thin hair. My daughter has phases where her eyes are swollen and feels pressure behind the eye balls. Sometimes, her fatigue is so bad she struggles to go about her daily routine. During these episodes, she feels very weak like her body is shutting down. Last year, she had a similar episode, but that time it was due to stomach acid issues. It lasted for around six months. Her stool test confirmed very high levels of the indicator for Crohn's. The surgeon carried out endoscopy and pill camera. But, nothing showed up, much to his surprise. I am attaching a copy of her latest blood reports, the abnormal values of which are: HbA1c (IFCC) 33 mmol/mol, Insulin (fasting) 100.6 pmol/L and CRP 7.00. She is currently on Thyroxine, B12 and birth control pills.