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Fatigue and AnemiaFatigue and Anemia
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Would Like Your Opinion
Oct 20, 1998

Hi, HIV+ since '88 sought, sought treatmeant in 93 due to repeated thrush,genital herpes and follicultis. CD4 450 and VL 25,000 at that time. After starting AZT/3TC when it hit market CD4 in 700's and VL 900. These counts have remained constant. Now have devloped P.N. in my feet, osteoarthritis in c-t spine and some sort of IBD. Dealin with depression very well. Have discussed this with my HIV Dr. and usual blood tests including testosorne normal. WBC, RBC, Hemaglobin are only few points out of range and not consistent with my level of extreme fatigue and lack fo stamina. If I get ready to go somewnere Dr. to see a friend for an hour or so, I'm knoced out for a day.

Current meds:

Combivir/ Zoloft200mgs/ Valium15mgs/ Trazadone50mgs/ Neurontin2700mgs/ Zyrtec10mgs/ Relefan1500mgs/ Genasoft20mgs also b12 im though im not deficent(my idea) Vitamins I can't tolerate oraly.

I'm 36. No drugs/drinking.

Mom cooks great healthy food and Dr's tired of me complaining about being tired.

Many thanks and,


Response from Mr. Molaghan


Thanks for such a detailed medical summary. I'm sorry to hear that your feeling so tired. You mentioned that your hemoglobin is just a "few points out of range and not consistent with" your level of fatigue. What is the actual number? Hemoglobin that is a few points below normal can affect the energy level. Decreased hemoglobin results in decreased oxygen flow to vital organs and subsequent fatigue. I'm glad to hear that your depression is under control, but three of the medicines you are taking (Valium, Trazodone and Relefan) are known to have sedative properties and may contribute to a low energy level. You might want to discuss this with the doctor that's tired of you complaining about being tired.

work and meds!
Healthy yet fatigued

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