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Response from Mr. Vergel

I would go see a nutritionist, but not just any nutritionist. Many of them are not trained to deal with metabolic issues and just recommend the pyramid as their only guidelines. Ask to see a clinical or sports registered dietitian.
You seem to be doing the correct things. If you are fatigued, I would have your doctor check your thyroid function, testosterone, and cortisone levels. If they are low, supplement as needed to bring them back to normal.
I am taking SAMe for energy and mood and I have to say it is amazing. It is a supplement that has been studied in HIV for depression with good results. It gives me energy and elevates my mood for sure. But it can make you shaky if you take more than 400 mg a day. Carnitine at 2000 mg a day also seems to help with energy and it may be good fo rfat metabolism.
You can read a blog entry I wrote about SAMe here:
http://survivinghiv.blogspot.com/search/label/S-Adenosyl-L-Methionine%20(SAMe)%20for%20Treatment%20of%20Depression
If your hormones are normal and you still feel fatigued after trying SAMe (you can get it at the houstonbuyersclub.com), you may want to talk to your doctor about a prescription for Provigil, a very good and popular drug for fatigue.
Sleep apnea can also be a cause for fatigue. You would need to go to a sleep lab for a diagnosis. Your doctor can help with this.
Keep cutting down on simple carbs and eat lots of fruits, vegetables, meats, and nuts.
Make sure your lipids and blood sugar are also withing normal range.
I assume that you are not only doing cardio but also working out with weights and machines, right?
Let me know what else you find out after you do what I suggest.
Good luck and happy new year!
Nelson
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