Fatigue
Fatigue is a common symptom and is often quite debilitating. Fatigue has many different causes. Unfortunately, physicians often don't diagnose the root cause of fatigue. They often dismiss it, saying things like "It's all in your head," "You must be depressed," "You have Chronic Fatigue Syndrome," or "You're just getting older." It takes an experienced physician (often an endocrinologist) to sort out the various causes of fatigue.
The common causes of fatigue include:
1. Under-active thyroid.
2. Under-active thyroid which is not properly replaced.
3. Over-active thyroid.
4. Uncontrolled Diabetes.
5. Pre-diabetes.
6. Post-prandial hypoglycemia.
7. Side-effect of drugs.
8. Vitamin D deficiency.
9. Vitamin B12 deficiency
10. Sleep apnea.
11. Low testosterone in men.
12. Low growth hormone.
13. Anemia.
14. Depression.
15. Adrenal insufficiency.
16. Cancer.
17. Weak heart.
18. Emphysema and scarring of lungs.
19. Chronic infections such as tuberculosis, valley fever.
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This article was written by Sarfraz Zaidi, MD, FACE. Dr. Zaidi
specializes in Diabetes,
Endocrinology
and Metabolism.
Dr. Zaidi is an assistant Clinical Professor of Medicine at UCLA and Director of the Jamila Diabetes and Endocrine Medical Center in Thousand Oaks, California.
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