5 doctors weighed in:
Obese, high bp, age 32/female. Achy calves in am, itchy near ankles. Oa: hip, knee, foot, ankle. Explain daytime fatigue? Sleep study toss & turn/apnea.
5 doctors weighed in

Dr. Kathleen Hands
Internal Medicine - Endocrinology
3 doctors agree
In brief: Sleep apnea
Daytime fatigue is a very common problem associated with multiple medical problems.
The p[roblem becomes "the chicken or the egg" sleep apnea causes obesity, Insulin resistance, hypogonadism, as well as hypertension. You should focus on sleep hygeine first and get a 2 step sleep study. The other medical conditions cannot be controlled with untreated sleep apnea.

In brief: Sleep apnea
Daytime fatigue is a very common problem associated with multiple medical problems.
The p[roblem becomes "the chicken or the egg" sleep apnea causes obesity, Insulin resistance, hypogonadism, as well as hypertension. You should focus on sleep hygeine first and get a 2 step sleep study. The other medical conditions cannot be controlled with untreated sleep apnea.
Dr. Kathleen Hands
Dr. Kathleen Hands
Thank
Dr. Claude Parola
Internal Medicine
1 doctor agrees
In brief: Sleep apnea
Obesity may cause sleep apnea, thus fatigue , sleepiness during the day, achy calf and peri-ankle symptoms may be signs of vascular insufficiency, you need to talk to your doctor about a sleep apnea sutdy and the use of a CPAP machine, excessive weight on your hip/knee may cause the development of arthritis, weight loss may help.

In brief: Sleep apnea
Obesity may cause sleep apnea, thus fatigue , sleepiness during the day, achy calf and peri-ankle symptoms may be signs of vascular insufficiency, you need to talk to your doctor about a sleep apnea sutdy and the use of a CPAP machine, excessive weight on your hip/knee may cause the development of arthritis, weight loss may help.
Dr. Claude Parola
Dr. Claude Parola
Thank
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