39 7 Months Removed From Strenuous Physical Labor Job, Now

39 7 months removed from strenuous physical labor job, now in sales, on feet less at desk more. Very very fatigued, severe joint pain, swollen feet, hands, balance issues, can not walk, sit, get up from seated position, without effort. Was healthy as a horse, with boundless energy, was 132 lbs for last 17 years, now up to 168. Severe pains like knives under/ below shoulder blades. On bumper one for anxiety, recently weened of Effexor, still occasionally have the"zaps". What sounds more likely, thyroid off, or lymes disease? Mother had thyroid issues, brother was hypo thyroid, now on meds. Recent facial weight much fuller face, also dry skin changes on calves and abdomen