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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Fatigue While Suffering From Diabetes And Osteoarthritis?

I am a 53 yr old male, obese but looking weight, type 2 diabetes mellitus and my thyroid has been abated about 7 yrs now. I m disabled did to the diabetes, desscated, collapsed, ruptured and bulging lumbar and thoracic discs. I also suffer from osteoarthritis, osteoporosis. I take 60mg morphine every 12 hours 15mg oxycodone every 6 hours 25 mg metoprolol twice daily 300 mcg levothyroxine once daily. 20mg Lisinopril once daily 40 Mg Paroxetine once daily 20 mg atorvastatin once daily 500 mg metformin 3 times daily. Also take 800 mg ibuprofen 2 times daily. I am suffering from almost unbearable fatigue. Last labs showed slightly low TSH levels. I have trouble sleeping a solid 7-8 hours due to back pain. I m so tired it s no longer safe to drive my car. I feel weak, have no strength of energy, mood swings, difficulty walking, numb tingling legs feet hands, troubles with balance . I m also a VETERAN who suffers from ptsd. I don t understand this tiredness and constantly falling asleep.
posted on Thu, 14 Dec 2017
Twitter Sat, 7 Jul 2018 Answered on
Twitter Wed, 11 Jul 2018 Last reviewed on
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Pulmonologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I have gone through the detailed history you have given. You are going through a lot of health issue and they took away your independence and freedom. Indirectly and unknowingly these also cause negative impact in one's brain. This can lead to psychosis and depression. Your all symptoms are more suggestive of depression. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You need anti depressant drugs and motivational sessions.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Severe Fatigue While Suffering From Diabetes And Osteoarthritis?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have gone through the detailed history you have given. You are going through a lot of health issue and they took away your independence and freedom. Indirectly and unknowingly these also cause negative impact in one s brain. This can lead to psychosis and depression. Your all symptoms are more suggestive of depression. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You need anti depressant drugs and motivational sessions. Hope I have answered your query. Let me know if I can assist you further.