Hello, I recently went to the doctor because of extreme fatigue & total inability to lose weight. I mean, rice cakes & fruit & 1 hour at the gym every day before work.... But more the fatigue. My doctor put me on cymbalta for anxiety about a month ago which helped temporarily with how tired I was, but I went to an endo as well, and my thyroid antibodies were high and I have 2 nodules less than 10 mm. So far the endo said to watch & I have a follow up in May! But I am just soooo tired! I also have a high rheumatoid arthritis factor, but normal is like below 8 & I'm only 13, so it's not too bad. Just wondering if it could be the thyroid causing this exhaustion? I mean - it's hard for me to keep my eyes open at 10 or 11 am!! and I am out cold in bed at 930 or 10? It's crazy. I'm only 36 and otherwise healthy. I can't stand this fatigue. Otherwise my thyroid levels were normal.