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Doctors' Answers to "Frequently Asked Questions" - Fatigue
Fatigue [posted 1/7/99]
Answer:If you get usual replacement doses and get a huge increase in energy what is the big deal. You have a documented problem that usually results in a huge increase in well being. A tip of the hat to your doctor for finding it, most wouldn't.
Answer: I doubt that this amount of fatigue is related to depression. I would be absolutely certain that her basic disease processes are well controlled. That means that the glycosolated hemoglobin in her diabetes is 8-10 or better, her digoxin levels are not too high, and her blood counts and oxygen levels in her blood are ok. I would also get a chem-20 and thyroid functions and B12 level since these are common in diabetes mellitus and are easily fixed. If her physician has done these steps a trial of anti-depressant may be warranted;however, sleeping all day is not a common symptom of simple depression.
Answer: Chronic Fatigue Syndrome.
Answer: Morning fatigue from the medicines or from the disease? There is no effective treatment for the fatigue associated with the disease since the primary sleep disorder is probably manifesting itself. If you can fix this problem many of the disease symptoms will diminish.
Answer: Most young women who menstruate will experience iron deficiency. This
can be manifested as anemia or merely low iron stores. Iron supplementation is the answer;
but, there are problems. First, it is hard to absorb and usually causes nausea. Take the
iron with Vitamin C on an empty stomach for best results; but, expect some nausea. Second
is the constipation associated with iron. This can usually be reversed with milk of
magnesia, or any magnesia containing antacid. A diet high in red meat will also help by
supplying iron in the meat.
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