Expert Q&A for How to Fight Fatigue

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  • Question
    Why do I feel fatigued all the time?
    Marc Kayem, MD
    Marc Kayem, MD
    Sleep Specialist
    Dr. Marc Kayem is a board certified Otolaryngologist and Facial Plastic Surgeon based in Beverly Hills, California. He practices and specializes in cosmetic services and sleep-related disorders. He received his Doctorate in Medicine from the University of Ottawa, is board certified by the American Board of Otolaryngology, and is a Fellow of the Royal College of Surgeons of Canada.
    Marc Kayem, MD
    Sleep Specialist
    Expert Answer
    There are a lot of things that can contribute to that. If people are feeling fatigued and tired all the time and don't have an explanation, if it's not because of lack of sleep, then they would really need to have a full physical. There are multiple issues that could be causing it: a low thyroid can do it, anemia can do it, stress can do it, cancer can do it. There are just so many things that can cause chronic fatigue, including one called chronic fatigue syndrome, where there's just no explanation for it and everybody gets kind of put into this bag diagnosis. If you don't know why you're fatigued all the time, go talk to a doctor and get an exam.
  • Question
    How do you fix adrenal insufficiency?
    Damaris Vega, MD
    Damaris Vega, MD
    Board Certified Endocrinologist
    Dr. Damaris Vega is a board certified Endocrinologist. She graduated Magna Cum Laude from the Pontifical Catholic University of Puerto Rico with a BS in General Science and subsequently earned an MD from the Ponce School of Medicine, Ponce, PR. During medical school, Dr. Vega served as president of the Alpha Omega Alpha Medical Honor Society and was selected as her school's representative for the American Association of Medical Colleges. She then completed a residency in Internal Medicine and a fellowship in Endocrinology, Diabetes, Mineral, and Metabolism at The University of Texas Southwestern Medical School. Dr. Vega has been recognized for excellent patient care multiple times by the National Committee for Quality Assurance and received the Patients' Choice Award in 2008, 2009, and 2015. She is a fellow of the American College of Clinical Endocrinologists and is an active member of the American Association of Clinical Endocrinologists, the American Diabetes Association, and the Endocrine Society. Dr. Vega is also the founder and CEO of Houston Endocrinology Center as well as a principal investigator for multiple clinical trials at Juno Research, LLC.
    Damaris Vega, MD
    Board Certified Endocrinologist
    Expert Answer
    In most cases, you'll need a steroid medication. I suggest you talk to your doctor to figure out which option will be best for you.
  • Question
    If those things don't work for me what can I do?
    Carrie Noriega, MD
    Carrie Noriega, MD
    Board Certified Obstetrician & Gynecologist
    Dr. Noriega is a Board Certified Obstetrician & Gynecologist and medical writer in Colorado. She specializes in women’s health, rheumatology, pulmonology, infectious disease, and gastroenterology. She received her MD from the Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Missouri - Kansas City in 2005.
    Carrie Noriega, MD
    Board Certified Obstetrician & Gynecologist
    Expert Answer
    If you are feeling overly fatigued with your pregnancy and have not been able to find relief from life style changes, then you should talk with your doctor. If poor sleep is the cause of your fatigue, your doctor may be able to recommend safe medications to use during pregnancy to improve your sleep. Certain medical conditions may also worsen fatigue during pregnancy and you may need to undergo testing for these conditions.
  • Question
    Could I possibly have Adrenal insufficiency or Addison's disease if I have these symptoms: muscle weakness, fatigue, shivering, darkening of the skin, diarrhea, back pain, low blood pressure upon standing or while upright, and reduced appetite ?
    Chris M. Matsko, MD
    Chris M. Matsko, MD
    Family Medicine Physician
    Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association (AMWA) in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.
    Chris M. Matsko, MD
    Family Medicine Physician
    Expert Answer
    Yes, these constellation of symptoms could be associated with pathology of the adrenal gland. See your primary care physician or endocrinologist for diagnosis and treatment.
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