8 doctors weighed in:

What causes extreme fatigue? Antidepresants haven't helped and my TSH was normal. I also take 40 mg Adderall (dextroamphetamine and racemic amphetamine) but still no energy and i must nap everyday.

8 doctors weighed in
Dr. Michael Rothman
Internal Medicine
4 doctors agree

In brief: Many Causes

Other causes of fatigue: low or high blood sugar, hormonal imbalances, low blood pressure, mineral deficiencies, excessive oxidative stress (lack of antioxidant protection), lack of oxidative processes (low oxygen), immune system overload (lyme's, epstein-barr virus, mold toxins.
..), autonomic imbalance, medication effects.

In brief: Many Causes

Other causes of fatigue: low or high blood sugar, hormonal imbalances, low blood pressure, mineral deficiencies, excessive oxidative stress (lack of antioxidant protection), lack of oxidative processes (low oxygen), immune system overload (lyme's, epstein-barr virus, mold toxins.
..), autonomic imbalance, medication effects.
Dr. Michael Rothman
Dr. Michael Rothman
Thank
Dr. Tariq Halim
Psychiatry
4 doctors agree

In brief: Proper Sleep Hygiene

Chronic fatigue can have a myriad of etiologies.
I would first examine your sleeping habits. Eliminate naps, do not use your bedroom for anything but sleep, no caffeine or sugar products before bed, etc... Furthermore, please discuss having a sleep study with your primary care provider before adjusting or adding additional psychotropics.

In brief: Proper Sleep Hygiene

Chronic fatigue can have a myriad of etiologies.
I would first examine your sleeping habits. Eliminate naps, do not use your bedroom for anything but sleep, no caffeine or sugar products before bed, etc... Furthermore, please discuss having a sleep study with your primary care provider before adjusting or adding additional psychotropics.
Dr. Tariq Halim
Dr. Tariq Halim
Thank
Dr. Bassam Amawi
Psychiatry
3 doctors agree

In brief: Fatigue?

I agree wit dr. Rothmans recommendation, in addition i advise u to start exercise program, it can increase u central nervous system endorphin level , increase u energy , concentration, prove u mood and if u do it before 4 pm it can help u sleep well.

In brief: Fatigue?

I agree wit dr. Rothmans recommendation, in addition i advise u to start exercise program, it can increase u central nervous system endorphin level , increase u energy , concentration, prove u mood and if u do it before 4 pm it can help u sleep well.
Dr. Bassam Amawi
Dr. Bassam Amawi
Thank
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