12 doctors weighed in:
Why do I have severe fatigue?
12 doctors weighed in

Dr. Betty Keller
Internal Medicine - Rheumatology
6 doctors agree
In brief: Many causes
There are many causes for fatigue.
You need to see your doctor for a complete evaluation. Sometimes a simple blood test will be all your doctor needs to find the cause of your fatigue. Sometimes the cause it not so straight forward and several tests may be necessary to find the cause. Start by making an appointment with your primary care physician, for a complete history and physical.

In brief: Many causes
There are many causes for fatigue.
You need to see your doctor for a complete evaluation. Sometimes a simple blood test will be all your doctor needs to find the cause of your fatigue. Sometimes the cause it not so straight forward and several tests may be necessary to find the cause. Start by making an appointment with your primary care physician, for a complete history and physical.
Dr. Betty Keller
Dr. Betty Keller
Thank
Dr. Laurence Badgley
General Practice
2 doctors agree
In brief: Sleep concern
Chronic daytime fatigue is sentinel #fibromyalgia symptom ; chronic non-restorative sleep likely associated.
Imo, good portion of patients' interrupted sleep is caused by underlying chronic pain. Interestingly, many patients with chronic pain so accustomed to ongoing pain they neglect to spontaneously report this symptom unless pointedly asked. Perhaps fatigue ; impaired cognition help mask pain.

In brief: Sleep concern
Chronic daytime fatigue is sentinel #fibromyalgia symptom ; chronic non-restorative sleep likely associated.
Imo, good portion of patients' interrupted sleep is caused by underlying chronic pain. Interestingly, many patients with chronic pain so accustomed to ongoing pain they neglect to spontaneously report this symptom unless pointedly asked. Perhaps fatigue ; impaired cognition help mask pain.
Dr. Laurence Badgley
Dr. Laurence Badgley
Thank
Dr. John Feola
Internal Medicine
In brief: FATIGUE EVAL
You need full EXAM AND labs.
CBC/CMP/B12/FOLATE /TFTS/VITD/CRP//SED RATE//IRON STUDIES/LYME TITERS. While work up is under way. Gluten free diet Wholeapproach.com gutbliss.com. And high potency vitamins. Rejuvenation-science.com

In brief: FATIGUE EVAL
You need full EXAM AND labs.
CBC/CMP/B12/FOLATE /TFTS/VITD/CRP//SED RATE//IRON STUDIES/LYME TITERS. While work up is under way. Gluten free diet Wholeapproach.com gutbliss.com. And high potency vitamins. Rejuvenation-science.com
Dr. John Feola
Dr. John Feola
Thank
Dr. Michael Rothman
Internal Medicine
In brief: Multifactorial
Chronic fatigue syndrome is a multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults.
These factors impair the patient's ability to produce energy and they end up chronically fatigued. Poor diet, suboptimal sleep, food and other allergies contribute.

In brief: Multifactorial
Chronic fatigue syndrome is a multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults.
These factors impair the patient's ability to produce energy and they end up chronically fatigued. Poor diet, suboptimal sleep, food and other allergies contribute.
Dr. Michael Rothman
Dr. Michael Rothman
Thank
Dr. Alvin Lin
Family Medicine
In brief: Many possible causes
Check in w/your family doctor regarding your severe fatigue.
Possible causes include but are not limited to depression, anemia (low blood), hypothyroidism (low thyroid), hypogonadism (low testosterone), obesity, infection (tb & aids come to mind), and cancer. Heart disease (heart failure or silent ischemia) & hypoxia from copd/emphysema due to tobacco use could do this. Cfs is DX of exclusion.

In brief: Many possible causes
Check in w/your family doctor regarding your severe fatigue.
Possible causes include but are not limited to depression, anemia (low blood), hypothyroidism (low thyroid), hypogonadism (low testosterone), obesity, infection (tb & aids come to mind), and cancer. Heart disease (heart failure or silent ischemia) & hypoxia from copd/emphysema due to tobacco use could do this. Cfs is DX of exclusion.
Dr. Alvin Lin
Dr. Alvin Lin
Thank
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