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Fatigue and AnemiaFatigue and Anemia
           
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What is the checklist?
Oct 13, 1998

OK, i've read through about 30-40 of the past articles and can't find the "Fatigue Checklist". What is the checklist?

Response from Mr. Molaghan

Hello The "Fatigue Checklist" is a tool that one can use when exploring potential causes of HIV related fatigue. The major sources of fatigue in people with HIV disease include: 1) Active infection or malignancy (usually causes abrupt onset of severe fatigue accompanied by other symptoms). 2) Anemia- due to medications or other disease processes. 3) Dehydration. 4) Malabsorption of nutrients due to diarrhea. 5) Hormonal imbalances such as hypogonadism (inadequate production of testosterone). 6) Adrenal insufficiency. 7) A failing antiretroviral regimen. 8) Increased viral load levels with decreased CD4 count. 9) Poor nutritional habits. 10) HIV wasting syndrome and loss of lean body mass. 11) Clinical depression- usually under-reported and not treated. 12) Coincidental factors of other medical problems such as poorly managed diabetes. 13) Hypothyroidism. 14) Medication side effects. 15) Lack of excercise. This list might be helpful when communicating with your health care provider about fatigue. Most of these problems can be treated if properly identified. This list is meant to be used as a primer for clients and clinicians to review, and continue the clinical dialogue about fatigue management.


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