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Fatigue and AnemiaFatigue and Anemia
          
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Finding out about Fatigue
Jul 27, 2003

I am HIV positive. T cell count 480. On last vist I asked about fatigue and doctor gave me some testostorne(sp?) caps.. Some stuff to rub on my chest. Side effects seemed long so I have not used. He did not run any tests to find out why I am tired. What now?

Response from Dr. Frascino

Hi,

What now? Glad you asked! "Now" is the time to have a discussion with your doctor. (Hopefully, he/she is an HIV/AIDS specialist. If not, you should switch to one ASAP!) Ask him/her why they prescribed testosterone. Perhaps you had a blood test some time ago that indicated your levels were low. I would not advise using testosterone supplementation without documentation that you really have hypogonadism (low testosterone), due to the potential risks.

Also, there are multiple other potential causes of fatigue in the setting of HIV disease:

1. anemia 2. psychological causes -- depression, anxiety, stress, etc. 3. medication side effects 4. hormonal imbalances 5. unrecognized infections 6. inadequate sleep, nutrition, and/or exercise 7. liver problems

The above is only a partial list. If your doctor isn't willing to search for the cause of your fatigue problem, I'd recommend you search for a more competent and compassionate physician. Good luck.

Dr. Bob


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