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NancyLebovitz comments on Procedural Knowledge Gaps - Less Wrong
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Yeah, that kind of advice is not going to fill any procedural knowledge gaps, sorry.
Previously I've tried "exercise" with fitness machines, aerobic and resistance both, an hour apiece on both, and it doesn't seem to do anything at all. I currently walk a couple of hours every other day. I have no idea whether this does anything (besides exhausting me so much I don't get any work done for the rest of the day, of course). I once read that 40% of the population is "immune to exercise" and I suspect I'm one of the 0.40.
If I have enough money at some point I'll try hiring a fitness trainer, and then getting a larger apartment with an extra bedroom for exercise equipment (and maybe get Lasik so I don't have to wear glasses and use a TV and Dance Dance Revolution) but such expenses are beyond the reach of my current financial balance.
EDIT: Wow, lots of advice here from metabolically privileged folks who don't comprehend the nothing fucking works phenomenon that obtains if you're not metabolically privileged.
For what it's worth, I bounced your situation off my therapist who's also an RN and a serious martial artist. He says you're up against something weird and he doesn't know what it might be.
And off one of my friends who is a lay person but has a lot of medical knowledge. Very tentatively, you might be up against thyroid or adrenal issues.
Theory which is at least cheap and safe to check: you might not be eating enough salt. This can cause low energy. And if this is the case, you might need more salt than most people-- one of my friends is semi-metabolically privileged (does trail running for the fun of it, is fairly fat anyway), and if he doesn't eat a good bit of salt, he falls over.
This isn't implausible. It also prompts another safe and relatively inexpensive check - get comprehensive blood testing. This is something that most people should do and definitely anyone with any niggling health issues. It is amazing what some people discover, especially when it is issues that are easily resolved!
Pretty sure I've had some type of allegedly-comprehensive-but-cheap blood scan done, which didn't turn up anything interesting. Is there somewhere I go for a more comprehensive blood scan?
Ouch, you've really explored your options! I must admit I've only really looked at places to get blood tests in Melbourne.
It sounds like you didn't keep a copy of the scan results. If I you did have the results handy it would have been worth getting the guys at imminst.org to look at it. In the collective they seem to be an effective resource when it comes to identifying atypical yet not life threatening health issues.
What interests me in your case is whether you get the other benefits of exercise, particularly the neurological ones. Not losing weight from exercise is one thing but I wonder whether you still get the boost to neurogenesis and the increased resilience to stress that exercise provides.
An idea would be finding your old scan and getting your blood checked again every 6 months to a year. That way you can see if anything is slowly changing.
From personal experience I know it can take several years of patient vigilance to solve some medical problems.
I've read enough accounts from people with thyroid problems to gather that the usual tests don't catch all of them-- I don't remember a lot of details (will check what I've got if anyone wants), but apparently the standard test is for a surrogate measurement which might or might not be relevant. And there's argument about what the normal range for thyroid hormones are. However, if you're lucky, Synthroid is effective, safe, and cheap.
More generally, another more comprehensive blood test isn't a bad idea, but going in with more specific ideas about what you want to find out seems sensible.
Basically, this stuff is complicated enough that 5 minutes thought (and rather more time than that spent on research) is called for.
It gets better. I've got quantities of anecdata, but most of it is from women. I hope the situation is better for men, but I'm not counting on it being much better.
A lot of people have to go through several doctors before they find one who listens and thinks. My impression is that about 20% are competent for non-obvious problems.
Being fat and having a problem which affects your energy level are major risk factors for not being heard.
If you decide to go the medical route, there are websites where people rate their doctors.
My anecdata is skewed towards males and confirms what you are saying. 20% seems about right.