Exam: Although such extreme fatigue can be a sign of depression you should first undergo a thorough examination including lab work to check for other medical problems like anemia, underactive thyroid, vitamin b12 or iron deficiency,liver or kidney disease, electrolyte imbalance, autoimmune disorder, multiple sclerosis,chronic infection,Addison's disease,etc. Referral to specialists may then be recommend
Answered 11/28/2019
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