What metabolic issues can cause my 10yr old to tic and have sudden onset sleepiness? he was diagnosed with pandas in february??

PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections or PANDAS may explain many of these symptoms. More follow up and investigations needed to exclude any other cause

You can visit the: website www.greatplainslaboratory.com and look at their lab testing panels. They work a lot with children and their families. Check w/your doc. Peace and good health.