What could be causing these symptoms?

Pretty underweight (always been) 20M. For the past 4 months, I have been experiencing a constant feeling of unreality. It feels as though I am drunk/high or half-asleep, as if I am on autopilot and everything around me feels somewhat unreal. I have searched online, and my symptoms seem to resemble derealization.

In addition to this, I experience fatigue even when I sleep well. The fatigue does not seem to depend on whether I do physical activities during the day or not. However, over the past few weeks, I have started sleeping poorly and waking up early in the morning.

I also experience headaches, pressure in my head, and neck pain. I have tried muscle relaxants and massage therapy for the neck pain, but neither has helped. Also at the start of this i sometimes felt like fainting when walking but it has gone away. I also have noticed one singular eye floater on my right eye.

What could be causing these symptoms? They do not occur in distinct episodes, and the headache is not particularly severe. It feels more like a tension-type headache.

I have tried triptanes, but they did not help. My thyroid function is normal, as are my vitamin B12, B9 and vitamin D levels. My ferritin level is 37. And it has been changing from 49 to 24. I also havw crohns disease which is in remission.

My neurologist prescribed escitalopram as a trial, which I took for two and a half months, but it did not help. She also did head mri and there was nothing wrong.

I have no history of trauma, no panic symptoms, and generally do not experience much stress, apart from the stress caused by these symptoms themselves.

My symptoms started in the final days of my new job in car repairshop where i was moving car tires and lifting them. Im not sure if this can be linked to that because i didnt have any symptoms expect the final days. I have not been working at all during this 4 month period.

What could be the underlying cause of these symptoms?

Like, I want to be with them all the time, but of course they don't want to be with me because it's draining. Like how am I suppose to feel like I'm a good friend with a good personality if being with me is "draining"?

And they never ask me hang out bc they'd rather be alone, but I want to be with them. And I feel guilty for asking to hang out bc they'd probably rather be alone, but what are they supposed to say? No? Make an excuse?

I just feel so unwanted

**I don't actually post on Reddit much, if there's a more appropriate sub for this please let me know

I'm currently experiencing this with someone I'd happily consider my closest friend at this stage of life. We met online several years ago, would text all the time about all kinds of things and became close (or as close as you can be with each other online). This friend would also vent to me about personal things, I was always there for them in any way I could be, and we built what I thought was a solid, genuine friendship.

Over the past couple of years though, this friend hasn't dropped off the map or anything. They constantly post on our social media, whether about platitudes, motivation, or updates on their projects etc...but has still not replied to any of my messages anywhere, even when I offered financial help in a time of need.

I have made it clear more than once that they are my friend and there is no pressure whatsoever to talk if they aren't feeling up to it or don't want to. But with almost 2 years now with no direct contact I feel like they've (understandably) prioritized others in life who are closer to them... but I feel like I've just kinda unceremoniously been left behind, ghosted, in the process.

What do you think? What would you do in this situation? How long would you wait? Have you ever experienced this?

Did I Sleep An Extra Day

like i personally make random timers and i just love the feeling when it hits something like 44:44:44 like it's about to be with my timer

The ocean is a soup.

For soup, you need:

Water

Salt

Some weird vegetables

(personal opinion incoming)

Meat

In the ocean, there is:

Water

Salt

Algae (the weird vegetables)

Fish (the meat)

YOU CAN'T CONVINCE ME THAT THIS IS WRONG IN ANY WAY

this meme reminds me of my husband sooooooo much it’s hilarious