<human>: I am a 55y female PMR, type 2 diabetic started on Trulicity one year ago started loosing weight gradually. To date I have lost 60 pounds no appetite can not sleep have been going through a break up have had multiple anxiety attacks and have been tachycardic on and off. my concern is my muscles I carried a case of soda yesterday and my biceps feel like I was at a gym for hours for the first time.
<bot>: Hello, Your symptoms could be related to an electrolyte imbalance or any other metabolic disorders. I would recommend performing some tests to investigate the possible underlying causes: - Blood electrolytes for possible imbalance-Vitamin D levels for possible deficiency-Thyroid hormone levels for possible thyroid gland dysfunction- Complete blood count, PCR, ESR for inflammation. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  Hope I have answered your query. Let me know if I can assist you further. 