What Causes Fatigue Along With Excessive Sleepiness And Joint Ache?

I have ,been weak sleepy, with little stamina, jiont pain, arthritis hashimitos that won t improve with increased dosage. Hav difficulty digesting even soft bland food (.troublenarrow esoghogus & deteriatrd lining there & stomach trouble. Had knee replacement last August & ,am tryin to regain strength without need for wheelchair & mobility devices hard on my damaged rotor cuffs. also have degenerative disc disease. dont know if my doctor should refer me to an endocrinolgist or if I canfigure out solutions from you or medical books. Any advice would be helpful & Flagstaff is where the nearest specialists are.