I Have Hypothyroidism, Fatty Liver Cirrhosis. For About A Month

I have hypothyroidism, fatty liver cirrhosis. For about a month or so I noticed a 10 pounds of lost weight. Not normal. I have had two eposodes this week of pure exhaustion. Weak, feel like I am drugged...I wouldn't call it confusion just like really drugged. I have noticed most of the time when I start feeling like this I can stop it or keep it from getting there if I east a lot of food for a few days. Friday I felt it coming on, I was not at home. This time I felt really shaky. I ate a candy bar and a Big Mac meal with a strawberry shake. Eventually the shakeyness stopped and I was able to drive home. About 15 minutes away. I have pretty much been sleeping since them. Exhausted. Starting to feel better today. This afternoon was able to stay awake but feel weak. I have had the shakes before but not for years. Sweat when it happens. Drs. never did figure it out. It just went away. What is really concerning is the exhaustion. Seriously feel like it takes all lmy strength to get up long enough to drink fluids and go to the bathroom. The only other time I had the exhaustion thing was when the Drs. were not addressing the pain I was in due to an accident. They did a sleep study and realized I was only getting a few minutes of REM or Deep sleep. Been taking tramadol or Hydrocodiene so I get sleep at night. It seems like I get 5 to 6 hours. The other thing I noticed was that the days prior to to the exhaustion seem almost manicey. Like my mind and body are on overdrive. Just like everything is on overdrive. I can get a lot done...too much and I hurt pretty good after. I take 150 Effexor for depression and 40 mgs for anxiety. The meds for anxiety seem to help me stay calm. If I get anxious I tense up and rock with really sets off the back pain. I take 3 trazadone at night to help me sleep through the pain too. My back runs into spasms every now and then. Couple times a month for which I take generic flexural...cyclobenzaprine. I realize there are a lot of meds that can cause drowsiness. I have lived like this for over a year almost two. Nothing has really changed except they figured out the hypothyroidism. Take 20 mg in morning. They missed it for two years prior to that and I was a mess and weighed 260 pounds. Hence they fatty liver disease. I usually weight about 155 to 160 now. Over the last few weeks I am down to 144. Still eating a somewhat vegetarian diet. Since I have been doing that my liver levels have been normal. Yes, I have been under a lot of stress. Should I be concerned. Diabetes run in the family. How I feel doesn't seem to affect my mood other then I feel frustrated.
My email address is YYYY@YYYY . I have thought about seeing my physician not sure he will get it since it is intermittent. If it is a blood sugar thing, is there a way to test it at home and track it? Should I worry or just chalk this up to a virus?