Sleepy .tired puffy: Check for thyroid and sleep apnea (if you have sleep apnea -as above-make sure your CPAP is working), as well as drug interactions , ANA, sed rate for autoimmune disease, electrolytes as potassium ,magnesium calcium, and check for gastritis, H pylori. Rarely cushings disease but you are fairly young for that. . .
Answered 9/10/2016
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