I just got my last blood work results regarding my thyroid. This time I did not require med adjustement. Yet, I still feel very tired. I cannot get through my day without having to nap it out. If I go about my normal chores, it draines the life out of me. Shopping seems to be very hard, a trip to the grocer and back and I need to rest it out with an hour or more nap time. In the past I have been anemic, they removed my uterus to regulate that in 2004, last april I underwent major surgery, I had a clementine size tumor in my colon, fortunately I did not need any chemo since it was not at an advanced stage. My last biopsy was last march which turned out good. Why am I having so much trouble getting my full energy back.
There are three major causes of fatigue. There are also a host other possibilities. Thyroid malfunction is one of these. Bear in mind that the TSH measured takes a few weeks to adjust to medication. Assuming your TSH is within normal limits, you need to have your hematcrit taken. A low hematocrit will cause fatigue. The third most common cause is an insulin utilization syndrome - you have a blood sugar problem. You need a test called an A1C and your blood sugar tested. Get yourself a home meter and take it yourself. Assuming all three pathways lead nowhere, you need a professional evaluation. While cancer is not usually the cause, some malignancies stimulate production of hormone-like signaling substances that cause extreme sleepiness. The tumor in the colon could be the cause of the fatigue. If this is the case consult an oncologist for a treatment recommendation.
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