Case presentation A 28-year-old male bodybuilder, fixated on achieving a 'macho look, reported to the clinic with repeated episodes of tremors and palpitations that progressed to confusion and fatigue. He had been suffering from these symptoms for the last six months. The episodes lasted 30 to 60 seconds and were typically felt during the day. However, he rarely felt the symptoms at night, and his family members believed that these episodes resulted from hormonal abnormalities.
Medical history Though the patient claimed that he had been healthy most of his life, he had a personality disorder around five years ago He did not provide details for his psychiatric illness, treatment, or reason for discontinuing treatment He claimed to have been free from any other disease for at least the last five years. He worked out in the gym for 2-3 hours every day, seven days a week. He had taken…
