Tests are coming back clear, but I'm losing my mind—what could it be?

To start, I am a 15-year-old female, standing 172cm tall and weighing 58kg. I have been a vegetarian for about four years now.

For years, I have dealt with frequent and severe headaches, but over the last year, they have become almost unbearable. When I was seven, I had several IBM tests performed, and my neurologist was completely speechless (please don't ask; those "spikes" were significantly higher than anything normal—the doctor said she had never seen anything like it). I also had a CT scan back then, but it showed nothing. A few months ago, I underwent another IBM, but this one appeared quite normal. My neurologist advised me to return in two or three months, though I haven't gone back yet. My blood work comes back clean, and I have never been diagnosed with anything, whether treatable or otherwise. I don't smoke, drink, or use drugs. However, I do deal with quite a high level of stress. Almost every day, I suffer from a terrible headache (either in the upper part of my head or feeling like my veins are pulsing through my brain, as if they might burst), and I take 1–3 Andy tablets, though they don't always help. My blood pressure is strange; it’s usually around 100/60, but a few times it has climbed above 160/80, and once it even hit 180/130 (don't ask me how I managed that!). My heart rate is typically around 70–75. Whenever I make a sudden movement or simply stand up after sitting, I get dizzy and my vision goes black; I feel like I'm going to faint and have to grab onto the nearest thing to stay upright. I don't spend much time in the sun, and I usually don't leave the house until around 7:30 PM.
Several times a day, my legs go numb, and after being numb for about a minute, I experience a terrible, painful cramp. The same thing happens if I stretch a muscle too far—it just cramps up. My left arm often hurts, specifically my forearm or just my wrist. As far as I know, I don't have any allergies. I don't take any medication other than Andy or Tylenol if Andy isn't working.
Also, in recent months, I've noticed my vision has weakened. It used to be exceptionally sharp; I could see distant and small objects more clearly than others, but now everything is slightly blurry and my distance vision isn't great (I'm not farsighted, and I've never needed glasses). I can't run for long because I get out of breath very quickly, and my heart starts racing abnormally.

FAMILY MEDICAL HISTORY: asthma, cardiovascular disease (many relatives passed away from this), and tumors (mostly malignant); I believe that covers it.

I included all these details because I know that things which seem insignificant are often the most important when diagnosing a problem.
If anyone knows roughly what I should be looking into, I would be very grateful. 😉
I am honestly exhausted from bouncing between hospitals only to be told everything is fine... 🙄

Look, you really need to get to a specialist for some deep-dive testing. When a doctor tells you to follow up, you don't just ignore it. Based on everything you've shared, this could be anything from a minor growing pain to something incredibly serious. You aren't going to find any real answers on an internet forum. The tests you've done so far are just scratching the surface. You need a physician who can actually manage your case—someone who can look at the full picture of all your results and give you a definitive diagnosis. Honestly, given your blood pressure and that suspicious IBM reading, I wouldn't rule out something like a brain aneurysm, but that’s just me speculating. My advice? Get more thorough testing.
What is going on with your parents? They should be stepping up and fighting harder for you.

Look, I’m just a layman here, but I’ve dealt with my fair share of this stuff. First off, you didn't mention what's actually stressing you out. You need to tackle that head-on because nothing in life is worth wrecking your health over, and most things can wait. Besides, you’re going through puberty, which is arguably the hardest phase of life. Your body and mind are riding a rollercoaster of uncomfortable changes, and since physical maturity doesn't always sync up with mental maturity, it hits your brain and psyche in all sorts of ways.
The second thing is that you clearly have some blood pressure issues. Watch out with the black coffee. Since you described various fluctuations, I'm not entirely sure what your specific needs are. Coffee can be helpful in certain cases—even a glass of red wine can help bump up your pressure—but if it's already too high, it'll definitely do you harm. That blacking out sensation is likely a sign of poor blood pressure or just bad circulation. I used to get that all the time whenever I stood up too fast. As for your vision blurring, does that usually happen toward the end of the day? By evening, your energy levels drop and your eyes tire out, making distant objects look fuzzy. It's probably not anything serious, just eye strain. I’ve been dealing with that lately myself, and it was at its worst about eight years ago before it cleared up. My vision isn't quite what it used to be, but I don't need glasses and I see fine. This could also just be tied to your circulation and other factors.
I’ve been through almost everything you’ve described, including the headaches, and I really don't think it's anything major. If I were you, I’d look into getting active—running, cycling, hitting the gym, or just some light recreation—because that could make a huge difference. Your weight seems fine for your height and age, but being a vegetarian isn't necessarily a win. The idea that the body doesn't need meat is just a myth pushed by pseudo-moralists who cry over slaughtered chickens. I’d recommend eating meat once or twice a week; not just poultry, but beef, pork, or even just more fish. Fish is packed with nutrients the body needs, so try to find some fresh, home-cooked sea bass, cod, or mackerel. Of course, if you have medical reasons why you can't eat meat, then don't. Also, use olive oil—real, high-quality stuff if you can find it, not that cheap grocery store junk, because it's incredibly healthy. It’s not about just eating fruits and veggies; it’s about variety and moderation. And if you can, cook with lard instead of oil; the body absorbs fat much better than processed oils. If I were in your shoes, I’d start focusing on these points:
1. Stop stressing out over nothing; realize you're just in a sensitive stage of development.
2. Start doing some light exercise to help your body, since it sounds like your circulation might be off or you might have some spinal issues.
3. Get your blood pressure checked and figure out exactly what diet or medication you need to stabilize it based on your specific readings.
4. Don't rush to slap glasses on your face if you don't truly need them. That's like giving someone a wheelchair the second they break a leg; if they rely on it too soon, they might never walk properly again. I've heard there are new techniques to improve vision, but in your case, it sounds like temporary blurring that isn't linked to anything serious.
5. Carve out some "me time" to unwind—listen to music, enjoy some solitude, read, take walks in nature, or paint.
6. We all deal with headaches to some extent, but I bet if you relax mentally and get your body in shape, they'll become much less frequent.

I’m planning to head in for my checkup soon, and I'm sure everything will turn out fine. The only thing is, I missed that last IBM scan—I really should have gone sometime in the last month, but I just couldn't bring myself to do it. Honestly, I think I’m going to demand a much more thorough examination this time because this whole situation is starting to drive me crazy...
Anyway, I wanted to reach out to you all. Perhaps someone here has some insightful or useful advice to share? 😉

I probably didn't mention that I've been seeing a psychologist regularly since I was seven, and lately, I've started seeing a psychiatrist as well.🤷
Meat—or any kind of animal product—is completely off the table for me; the very thought makes me nauseous. Even back when I used to eat it, I would constantly end up throwing it back up. My diet is actually quite balanced, though. Aside from meat, I eat almost everything else: basically 99% of all available fruits and vegetables, soy, grains, eggs, and milk. I also use olive oil constantly. Every year, my mom buys several liters from a local farmer when we visit the coast, so we've only ever bought it from a grocery store once or twice.
I wasn't even planning on wearing my glasses today; I manage just fine without them.
Running isn't really an option for me because my hips are misaligned—my right side sits about an inch lower than my left. Plus, my orthopedic doctor gave me a medical waiver for PE class because the cartilage in my knee is worn down. If I bend or straighten my leg too quickly or sharply, there’s this incredibly painful, uncomfortable grinding sensation.

During the day, I'm usually on my own. There's always some good music playing in the background, and I try to avoid contact with my parents as much as possible because they contribute an abnormal amount of stress to my life... 😉

electricwalker88 said:I’m planning on going in for my checkup, but everything seems fine so far. The only thing is I missed that last IBM test—I was supposed to get it done sometime in the last month, but I just couldn't bring myself to go. Honestly, I think I’m going to demand a really deep dive during this visit because if I don't get answers soon, I'm going to lose my mind...
Anyway, I wanted to check in with you guys; maybe someone has some actual useful advice or insight to share.😉

Like I said before, it might be nothing, but you can never mess around when it comes to headaches and blood pressure—especially if there's any kind of vascular issue in the brain. That stuff can turn ugly fast. Stay out of the sun and hold off on any heavy workouts until you actually know what's going on. Just rest and try to decompress. Again, old men should probably take health more seriously, but in your case, your parents need to step up and look out for you. No matter how mature or responsible you act for a fifteen-year-old, your parents are legally on the hook for your health until you hit adulthood.

electricwalker88 said:I probably didn't mention that I've been seeing a psychologist regularly for seven years, and lately, even a psychiatrist 🤷
meat isn't even an option for me—the mere thought makes me sick. Even back when I used to eat it, I’d constantly end up throwing it back up. My diet is actually pretty balanced; I don't just live on fruits and veggies. I eat everything except meat—basically 99% of all vegetables out there, plus soy, grains, eggs, and milk... I also use olive oil constantly; every year my mom buys several liters from some local lady down by the coast, we've only ever bought it from a grocery store once, years ago.
I wasn't even thinking about wearing my glasses right now; I can manage fine without them.
Running isn't really an option because my pelvis is tilted (my right side is about an inch higher than my left), and my orthopedist actually gave me a note for school to get me excused from PE. My knee is worn down, so if I bend or straighten it too quickly or sharply, there's this incredibly painful, uncomfortable grinding sensation.

I spend most of my days alone, listening to music to drown things out, and I try to avoid contact with my parents as much as possible because they contribute an abnormal amount of stress to my life... 😉

Are you throwing up meat because it grosses you out, or because your body is actually rejecting it? Avoiding food just because of a lack of appetite isn't healthy. There's nothing inherently gross about it. Try starting with something light, like white meat or maybe some turkey cutlets; there's really nothing nasty or heavy about those.
It doesn't matter if your hips are out of alignment; just focus on activities that won't irritate those areas. It doesn't have to be intense training, just something to keep your body in shape. It could be basic morning stretching, or push-ups, sit-ups, squats, a light jog around the block, or any kind of recreation that gets you moving. Maybe an indoor walking machine... anything...

I threw up after eating it around 10:00 PM. That was actually the last time I ever touched it.
I’m convinced it happened because the taste was just repulsive. It's the same thing when you eat something truly disgusting—your body just reacts by rejecting it immediately.☕

electricwalker88 said:I last threw up after eating it about ten years ago (which was also the last time I touched it).
I'm pretty sure it's just because it tasted disgusting. It’s the same thing when you eat something that tastes like literal garbage—you’ll end up gagging just from the sheer nastiness of it. ☕

Clearly, those old men have no idea how to cook or roast meat if it ends up tasting like crap.🙄

It’s not that it looks exactly like trash, but it honestly just turns my stomach. I suppose they don't mind if 🤷
but personally, I always steer clear of the aisles in the grocery store where the "fresh" meat is sitting out. That smell is just nauseating

I honestly don't even know what to say to you... if you have that kind of visceral aversion to meat, it sounds more like a psychological hang-up than anything else. Humans have been eating meat since we first walked the earth; our biology is literally hardwired to need it. And look, fruit and veggies are living things too—once they’re picked, they start dying and decomposing immediately. Honestly, I think you just need to rewire how you view things in your head. Avoiding meat entirely can be just as detrimental to your health as skipping vegetables altogether. Maybe try starting with fish? It’s incredibly healthy. Relying solely on plants is fine for cows and other livestock with completely different digestive systems, but meat provides the strength and energy your bones and body actually crave. You could technically get those nutrients from veggies, but you’d have to eat such massive quantities that no sane person could manage it. Just give it some thought and stop letting your own mind hold you hostage over reasons you don't even fully understand yourself. Just because you threw up four years ago doesn't mean it'll happen again today, and if meat smells bad to you, that's an issue in your brain, not the food. Look, it’s your health and your body, so do whatever you want, but since you're still in your developing years, it feels like you're essentially punishing your body by denying it protein.

Going vegan doesn't automatically mean you're eating healthy, but it really is the most ethical path we can take
The one essential nutrient vegans absolutely have to watch out for is vitamin B12
I'm not saying this is definitely what's causing your issues, but since you haven't eaten animal products in 5 years, it could be a factor
The best way to find out for sure is to get an MMA (methylmalonic acid) test through a urine sample
I believe the Mayo Clinic is the only place in Washington, D.C. that offers this specific analysis

We only need tiny amounts of B12, and our bodies usually keep a reserve for about 5 to 15 years
Issues tend to creep up very gradually as those stores start to run low
If left unaddressed, it can affect multiple organs, especially the heart and the brain

Don't just rush to the nearest drugstore and grab some random B complex
Many of them contain B12 in the form of cyanocobalamin, which is an inactive version that can actually be problematic during a severe deficiency

Get that MMA test done first👍

I just noticed you're consuming eggs and milk
If that's the case, you shouldn't be running into B12 issues
Though you should consider your intake amounts and whether they're organic, plus how much stress you're under lately

Providing a urine sample isn't an issue, just get an MMA test to be certain
Essentially, a higher MMA level points toward a greater deficiency of active B12 in your system

How are you doing, electricwalker88?

I noticed from your post, Dr. Ali, that despite all those symptoms you've been dealing with, you’ve never actually lost consciousness—even when it felt like you might. It makes me wonder if there's a bit of over-analyzing going on here. Sometimes we take things way too much to heart—things that, in the grand scheme of life, aren't even that significant. Someone else mentioned earlier that nothing is more important than your health, which is one of those things we all know intellectually, but rarely act on in practice. At your age, that kind of stress can really mess with your central nervous system, which then triggers those physical reactions from your body.

Look, considering how much illness runs in your family—most of it being genetic stuff—and just looking at where you're at right now physically... I really don't think you should be messing around with this. You need a doctor who can actually manage your case properly. Find someone reputable... and get those tests done immediately.