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Chicago, IL
A 42-year-old female asked:

Have lupus & post covid complications resulting in massive fatigue. my doctor told me not to overdo.how do i mentally deal with the fact that some people dont understand when i say no to commitments because i look healthy even though i explain?

4 doctor answers5 doctors weighed in
Dr. Bennett Machanic
Neurology 52 years experience
Many of us here at HT have found that Cognitive-Behavioural therapists seem to accomplish excellent results, and this would appear to be a good approach to provide you emotional support and approaches to deal with challenges. Fatigue can be managed with prescription drugs used in daytime sleepiness disorders, but responses may be suboptimal.
Dr. Michael Perez
Internal Medicine 37 years experience
The syndromes developing after covid19 infections are still being studied and treated. Look for a long COVID clinic in your area and see what advice they have for you. It is a new problem as you know
May 20, 2021
Dr. Stanley Alexander
Rheumatology 62 years experience
Post COVID, (Long COVID) symptoms include 'Chronic Fatigue Syndrome,' We see this after HHV-6, EBV, CMV, Lyme Disease etc. If labs rule out low throid, low Vit D and auto-immine disease, you qualaify for CFS. Fatigue and fibromyalgia can be due to anxiety, frustration, boredom, and depression. If you exercise and get worse its CFS: then see a rheumatologist - consider LD steroid or Plaquenil trial
Dr. Amrita Dosanjh
Pediatrics and Pediatric Pulmonology 36 years experience
A CBC,diff,plts may be considered, in addition to labs outlined. Eat a healthy diet and also consider a cardiac evaluation.
May 20, 2021
Dr. Val Zudans
Ophthalmology 23 years experience
1st world problem
Dr. Michael Perez
Internal Medicine 37 years experience
Look for a “ long COVID clinic” near you. Put the following link in your browser and check this recent article. https://www.beckershospitalreview.com/patient-safety-outcomes/13-hospitals-health-systems-that-have-launched-post-covid-19-clinics.html

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