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Suggest Treatment For Fatigue And Stress Relief

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Posted on Mon, 20 Jun 2016
Question: I am a 47 year old woman who has always been very healthy. I have no chronic illnesses, no past surgeries or medical problems, and I take no medications. I eat well and try to get 7 hours of sleep a night. For the past six months I have had significant fatigue and a need for more sleep than I've ever had before. I am fit and I exercise (free weights and machines in the gym) and I run regularly. I enjoy running and I typically look forward to my runs. I run for general fitness, but also for stress relief. My typical per mile running pace has been about 9:15-9:30 for the last 2-3 years. For about the past six months running has felt more and more like a chore. My pace is now more like 10:15-11:00 per mile. I just don't seem to have the energy for running nor do I have the same energy I am used to for my job, my kids, etc. I am not depressed; my mood is fine. But, I feel very fatigued and low energy more often than not. I find myself wanting to nap a lot. I just feel exhausted even when I've slept and eaten. What is going on? Thanks.
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Answered by Dr. Bonnie Berger-Durnbaugh (25 minutes later)
Brief Answer:
Fatigue

Detailed Answer:
Hello and welcome,

I am sorry you are having problems with fatigue. You didn't mention other symptoms but a few things come to mind:

1. Get a Complete Blood Count (CBC): a CBC can show if there is anemia, which can cause fatigue, or a low grade infection (which is less likely). A chemistry panel would be worthwhile too.

2. Definitely get your thyroid tested: A TSH (thyroid stimulating hormone level) and free thyroxine test can give some information. Thyroid disease can come on silently and often begins in women's 40s.

3. Perimenopause: sometimes as we approach menopause and our hormones decrease, it can cause some fatigue.

4. Poor sleep quality: Is there any chance that your sleep is not deep and uninterrupted?

I would start by getting the CBC and thyroid tests, along with a physical exam. This may help sort things out.

I hope this information helps.

By the way - great job with your healthy lifestyle!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Treatment For Fatigue And Stress Relief

Brief Answer: Fatigue Detailed Answer: Hello and welcome, I am sorry you are having problems with fatigue. You didn't mention other symptoms but a few things come to mind: 1. Get a Complete Blood Count (CBC): a CBC can show if there is anemia, which can cause fatigue, or a low grade infection (which is less likely). A chemistry panel would be worthwhile too. 2. Definitely get your thyroid tested: A TSH (thyroid stimulating hormone level) and free thyroxine test can give some information. Thyroid disease can come on silently and often begins in women's 40s. 3. Perimenopause: sometimes as we approach menopause and our hormones decrease, it can cause some fatigue. 4. Poor sleep quality: Is there any chance that your sleep is not deep and uninterrupted? I would start by getting the CBC and thyroid tests, along with a physical exam. This may help sort things out. I hope this information helps. By the way - great job with your healthy lifestyle!