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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Fatigue And Excessive Sleepiness

Have been feeling totally exhausted for a few months , excessive sleeping , no energy ! I am 62 years old , have received testosterone shots for low T by GP for a little over 4 years ! I work 6 overnights per week in a physcically demanding job as well ! The shots really helped my overall outlook , feeling for the first couple years , not so much the past year , if any ! I had a physical last month , my lab blood work came back excellent (doctors words ) We discussed my sleep , and was referred to a sleep specialist , i did not follow up on that simply because i don t have a problem sleeping , all i am doing is working and sleeping! We did not discuss B12 shots , wondering if that could help ?? I did have a vitamin D shortage and usually do in my blood work , so i started on a vitamin D suppliment ! Any suggestions or am i simply just getting old ??
posted on Sun, 6 Nov 2016
Twitter Sat, 9 Feb 2019 Answered on
Twitter Mon, 11 Feb 2019 Last reviewed on
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General Surgeon,  's  Response
Hello,

In my opinion, there is no reason to be worried and usually, this is just temporary and self-limiting. Excessive daytime sleepiness is common issues and should be considered in this case.

Excessive daytime sleepiness may be caused by conditions such as sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such as seizures and psychiatric disorders such as depression. If emotional causes are ruled out then some tests can be done to confirm the diagnosis.

In my opinion, polysomnography (sleep study), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Severe Fatigue And Excessive Sleepiness

Hello, In my opinion, there is no reason to be worried and usually, this is just temporary and self-limiting. Excessive daytime sleepiness is common issues and should be considered in this case. Excessive daytime sleepiness may be caused by conditions such as sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such as seizures and psychiatric disorders such as depression. If emotional causes are ruled out then some tests can be done to confirm the diagnosis. In my opinion, polysomnography (sleep study), is one of the necessary examinations in order to achieve a correct diagnosis. Please discuss with primary care Doctor about these issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon