Low blood pressure in summer is primarily caused by dehydration and the loss of salts through excessive sweating, which reduces blood volume. Heat can also cause the blood vessels to widen, leading to a further drop in blood pressure. This may result in symptoms such as weakness, restlessness, and headaches. To manage this, ensure you drink plenty of water, slightly increase salt intake if advised by a healthcare professional, and avoid prolonged exposure to direct heat.

Given your family history of Addison?s disease (adrenal glands do not produce enough hormone) and your low protein levels despite high protein intake, it is worth seeking a second opinion from a specialist, preferably an endocrinologist or rheumatologist. While fibromyalgia (widespread musculoskeletal pain) is a common diagnosis for chronic pain, your symptoms and family history may suggest an underlying hormonal, autoimmune, or metabolic issue that requires further evaluation. A doctor may consider additional blood tests and hormonal assessments to rule out more serious conditions.

To identify the source of excess androgens, simple blood tests are performed. High testosterone usually indicates a testicular source, while high DHEA-S suggests the adrenal glands. A doctor can advise on the proper testing and next steps.