Question: Hello - I need help identifying a potential cause and solution to the issues I am having. I am going to do this in list form to make it easier.

PROBLEMS:
- Chronic fatigue (wake up exhausted, never experience restful sleep or much alertness, brain fog, etc - unrelenting. I feel like I sleep through the night without waking up. I took a sleep study and was diagnosed with narcolepsy and minor sleep apnea, but I do not believe in that diagnosis at this time as I think other issues could be causing this)

- Depression (I have always struggled with this, but I believe the above issue is causing a lot of it)

- Medication efficacy issues (seems like drugs taken in pill forms do not work well if at all. Currently prescribed the highest dose of Modafanil and it is not working at all; had the same experience with other stimulants, anti depressants, and pain pills).

- Chronic canker sores (I get these regularly and it is less likely for me to not have one vs having one or more. Occasionally, I will get large ones that are extremely painful. )

- Chronic nasal congestion due to deviated septum (was diagnosed with deviated septum years ago and didn't fix it. Have had two facial injuries that I believe made it worse. My current theory is that this is the primary cause of the above issues, but would love another opinion. I can never breathe through my nose. I think I get sick more often and have worse symptoms due to this.

These are making my life very difficult and I need some kind of clarity on what to do. I have an appointment with a local ENT but before he pushes me to surgically repair my nose I would like to get an opinion on other reasons for my issues.

Also, in the semi-recent past, I have had bloodwork done to test for deficiencies and other causes, and there apparently hasn't been any conclusive find from that.

Could my DNS be the direct cause of my extreme fatigue?

But it could in theory be disrupting my sleep by making breathing difficult without me being aware of it?