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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