Jun 24, 2012
I am very active, I eat healthy and get 8-9 hours of sleep per night but I always wake up exhausted. My lab results are extremely good (undetectable viral load and t-cells 700-800). My weight is proportionate to my height and I drink very little caffeine. I have told my doctor about my fatigue but she finds nothing in my blood work that would indicate anything abnormal. In her point of view I am the easiest patient that she deals with. I take Atripla but have never had the vivid dreams. I doubt that it's the meds but I am not sure what else it might be. Any thoughts?
| Response from Dr. Fawcett
Thanks for writing. Since there seems to be nothing unusual in your blood work that might account for your fatigue (such as anemia), I would look into possible emotional factors that might be affecting your mood. Depression can cause extreme fatigue along with a variety of other, sometimes confusing symptoms. For example, people can experience reduced or increased appetite, disrupted sleep patterns, and low mood and even a sense of hopelessness. An assessment by a mental health provider can help you determine what else might be going on. Mood disorders can be effectively treated with psychotherapy, medication, or a combination of both.
Thanks for writing and good luck,
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