Hello. I have not posted here before. I just haven't had the motivation to but my health is turning into a more serious issue than I imagined. A summary of some of my problems are very low testosterone, very low estrogen, hypothyroid, low cortisol. Central Nervous System depression. I generally over the years have had lot of chronic fatigue, orthostatic intolerance, immense brain fog, difficulty communicating due to fog, poor memory, anhedonic depression, very low motivation, low emotion, poor ability to experience pleasure, and immense difficulty dealing with stress (fight or flight agitating reactions), and problems with peripheral circulation. Easier to think when laying down or sitting in shower with water flowing around me. Most of my problems began when I took Accutane several years ago which has been linked to HPA dysfunction. I been socially withdrawn and not taking part in much of life. Certain anti-depressants have helped over the years but underlying issues would often remain. But lately past several months I been even especially more tired and more withdrawn. About a year ago a really bad fungal infection on my back began and gradually got worse, eventually I started to get it under control somewhat with nizoral and some Ketoconazole cream. But for years have had fungus infections in my toes which remain. Now I also have some small red spots on sides of my face and a little on my nose. Concerned I may be dealing with other infections. Also have redness on both my cheeks, left side more, and some obvious redness on my nose. The lump on my back though is new. Had it for bit over two months. It has possibly even gotten bigger lately. I am 5'7, male, weigh 115 (weighed 137+ few years ago), early 30s. Pronounced dark circles around my eyes. Doctors even a year ago told me I look sick but basic testing would not reveal anything other than hormonal problems. My skin on my face is sometimes bit yellow. What tests should I get? The lump feels like jelly bean size and in carotid artery section and lympth nodes on the back of my neck close to the very top of my spine. I been looking up cancer symptoms and I am concerned. Hope it's just infection or whatever. I been having unexplained weight loss this year and difficulty putting on any weight. Lack of color in my face, bad skin infections, lot of tiredness and low energy regardless of how much or how little I sleep. Some spots on my face too. Lot of redness on left cheek, some on right, and some redness on nose definitely. My energy been extremely poor and I been feeling down too What tests should I get? I'm in Canada. My family doctor is no good so I will do a walk in clinic. I'm thinking annual check up (been 14 months maybe(, cancer screening, neck ultrasound? Yesterday after Omega 3 I felt more pain in my carotid arteries section around my neck and even felt my lump having some pain, normally it doesn't exhibit any. But pains in my carotid arteries are nothing new and I been experiencing them in some degree past few years whenever taking any blood thinning herbs/supplements. Past few days I been even feeling bit sick but difficult to articulate. Even more foggy. Lot of body chills lately. Especially chills at various times after eating or taking meds/supplements.