He might have been dealing with some thyroid issues for a while now, and the heavy workload likely just pushed his body over the edge and triggered those symptoms. A doctor could prescribe Levothyroxine or whatever else is necessary. If it works, great; if not, he should definitely ask about further testing. Either way, he needs to get a clear diagnosis from his physician.
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If you don't want her there, even the nurse isn't allowed to be present during the examination.