<s>[INST] Hello doctor, I am 18 years old and a sportif kind of person. From the last 4 years, I ve experienced several eating problems. If I don t eat every 4 hours I would feel extremely weak, mood changes, no energy and would pass out after a period of time. My eyes and mouth started also to get dry recently this year. This is affecting a lot my lifestyle and I can t carry this way anymore. The food I eat is healthy. I have made several tests and everything appeared very positive. Except that I have the Gilbert syndrom causing jaundice . No doctor been able to figure the true cause of the problem. I hope you can help me! Thank you for your time. [/INST] Hi I would like to investigate your for pathology of pancreas. Our pancreas contains beta cells which are responsible for secretion of insulin. Work of insulin hormone is to lower the level of glucose in blood. Tests suggested is Ultra sound abdomen to rule out pathology of pancreas or islet cell tumor. Or anything which is causing hypersecretion of insulin. Most likely i don't feel it's related to Gilbert. Next time when you have the symptoms just check your blood sugar level by home kit machine. In case you don't have it at home take one glass of glucose water immediately and see if symptoms settles down or not, Investigations are required to rule out pancreatic pathology. </s>