What's new
Steroid Source Talk

This is a sample guest message. Register a free account today to become a member! Once signed in, you'll be able to participate on this site by adding your own topics and posts, as well as connect with other members through your own private inbox!

Possible causes of chronic fatigue

Constantly tired my whole adult life basically and I have no idea what tests can be done. I already did a sleep study and they said I don’t have sleep apnea. Blood work is good, diet is good, I tried different hours of sleep, different calories etc. Nothing helps. I get like one or two good days out of the week where I have normal energy. I got thyroid checked but the doctor only checked TSH he didn’t do individual t3 etc.

Could it be allergies/chronic sinus issues causing it? Should I just go and order my own blood test for t3? Running out of ideas I just want to stop having useless days.
 
Last edited:

flashpass123

New member
Are you getting 7-9 hours of sleep every night? Get the full thyroid panel. Also get your iron checked, you could be anemic. Low E2 makes me tired too.
 
Last edited:

-WG-

Active member
Verified Source
UnderTheBridge" pid='28309' dateline='1539969083:
Constantly tired my whole adult life basically and I have no idea what tests can be done. I already did a sleep study and they said I don’t have sleep apnea. Blood work is good, diet is good, I tried different hours of sleep, different calories etc. Nothing helps. I get like one or two good days out of the week where I have normal energy. I got thyroid checked but the doctor only checked TSH he didn’t do individual t3 etc.

Could it be allergies/chronic sinus issues causing it? Should I just go and order my own blood test for t3? Running out of ideas I just want to stop having useless days.
TSH by itself is nearly useless. But for the sake of knowing what was your TSH?

Do full thyroid panel INCLUDING reverse t3, and thyroglobulin antibodies. This will rule out potential graves disease and hashimotos.
 
Last edited:
2.000 mcU/mL is thyroid. Sleep is usually 6 hours but when I get at least 8 it still doesn’t seem to make a difference.
 
Last edited:

knowstigma

New member
Well what are you running if anything. Also, somebody asked if you are feeling depressed. Any issues with the change in seasons? Lots of times we do not realize we are depressed until we sit down and talk to somebody about it. I work in the mental health field and so many of my clients, especially men, for whatever reason do not want to admit that they might be feeling down/depressed. Its pretty silly sometimes.
 
Last edited:
knowstigma" pid='28469' dateline='1540156023:
Well what are you running if anything. Also, somebody asked if you are feeling depressed. Any issues with the change in seasons? Lots of times we do not realize we are depressed until we sit down and talk to somebody about it. I work in the mental health field and so many of my clients, especially men, for whatever reason do not want to admit that they might be feeling down/depressed. Its pretty silly sometimes.
Just 50-100mg cruise ATM. Yes I definitely get seasonal depression, I hate winter. But this is a year round thing I experienced and always have been. I tried all the SSRI’s but they killed my motivation to where I wouldn’t even want to do anything so I stopped taking those. I have an addy script 15mg twice a day and it doesn’t even help w the brain fog/energy.
 
Last edited:

knowstigma

New member
UnderTheBridge" pid='28628' dateline='1540307963:
knowstigma" pid='28469' dateline='1540156023:
Well what are you running if anything. Also, somebody asked if you are feeling depressed. Any issues with the change in seasons? Lots of times we do not realize we are depressed until we sit down and talk to somebody about it. I work in the mental health field and so many of my clients, especially men, for whatever reason do not want to admit that they might be feeling down/depressed. Its pretty silly sometimes.
Just 50-100mg cruise ATM. Yes I definitely get seasonal depression, I hate winter. But this is a year round thing I experienced and always have been. I tried all the SSRI’s but they killed my motivation to where I wouldn’t even want to do anything so I stopped taking those. I have an addy script 15mg twice a day and it doesn’t even help w the brain fog/energy.
What about bipolar disorder? It is one of the most under diagnosed and most missed conditions that we have. So many people have it and they do not get the proper diagnosis until years later. Your symptoms do match. It also tends to get miss diagnosed as depression and/or ADD. Also, we tend to have wounds that are subconscious that we do not realize until decades later.

Do you ever feel like you are on a roller coaster? Ever feel like super happy and confident? Sometimes emotional regulation issues can masquerade as Seasonal Affective Disorder. What have your relationships been like (not just romantic)? Substance abuse issues ever? Compulsion? These are questions to think about, I am not asking you to answer them.

So for many many years I thought I had ADD and I still might. My parents were big hippies (I am named after a Grateful Dead song) so they did not want to put me on medication. This led to me undergoing like two weeks of testing when I was in the 2nd grade and I was diagnosed with ADD. This was before ADD became a catch all diagnosis as well.

Fast forward to decades later and it turns out I have PTSD. I cannot tell you the amount of professionals I saw that just missed this. I myself did, despite working in the mental health field myself. As soon as I was diagnosed with PTSD and that was addressed, my brain fog cleared up. Adderall was fucking me up big time by the way. I hated taking it and I’d say I spent more time off of it during my life then on, but my most recent try with it was about two-three years. I had a meltdown at work (like I said, I work in the mental health field, its not a fun time for us due to budget cuts). Adderal for sure contributed to it. I was taking it as prescribed but it allowed me to try to physically push through stuff that I needed to address immediately. I was taking my TRT dose at the time as well. So it wasn’t gear related. I wasn’t abusing or self medicating in any way either (I did that for years and years, it got bad but I thankfully survived and manage it now)

Nowadays my energy is much much better. I actually cannot take SSRIs due to other mental health shit I have going on. They make my condition worse. But there is medication that works for me. However, I also put in the work via therapy and lifestyle. This includes really cutting back my gear use as well. Also means that I cannot take certain compounds.

My main point is, there are so many things going on inside of us that we do not know about or cannot realize. We can also be conditioned to think certain things, like me saying “well I have depression, GAD and ADD” to myself and also medical professionals when its only partially true. As soon as I got my correct diagnosis, so much shit that I had done made sense. It was the best and worst revelation I ever had in my life.

It could be so many things and I guess the best way to start it is by ruling in and ruling out certain things. Try to make changes and see if they help or hurt. Oh yeah, at the end, Adderall wasn’t doing shit for me motivation wise. Sure, it would give me energy and shit at times but I did not like the person that I was on when on it. The doctors really really fucked up on that one. The last doctor that gave me my adderall script could probably be sued for malpractice by me, but she also helped saved my life at least once so I wouldn’t do that to her.

I am sharing all of this to let you know that you have hope. It might sound somewhat trival to most, but I know what it feels like to have no motivation and fatigue. Its fucking scary. Its also frustrating because you want to do things but you cannot. Sometimes other people (especially loved ones) will think we are being “lazy” and that can really fucking hurt.

Ultimately, asking people on the internet can be a great start but we cannot really do much for you. What I will say is that 9.5 times out of 10 that things will not clear up on their own. OP, you are already taking action to help yourself by starting this thread, but there isn’t going to be a quick fix.

By the way, I am writing this because you are far from the only person that is dealing with this issue. Others will read this thread, so some stuff is written for them. You just have the courage to start talking about it. Others aren’t there yet.
 
Last edited:

veirstl47

Member
get full blood work, like iron panel, thyroid panel, hormone panel, vitamins, esr, c-rp, uric acid, etc all that good stuff.
then go to a psychiatrist and explain your situation. don’t leave out details
 
Last edited:

knowstigma

New member
veirstl47" pid='28633' dateline='1540310660:
get full blood work, like iron panel, thyroid panel, hormone panel, vitamins, esr, c-rp, uric acid, etc all that good stuff.
then go to a psychiatrist and explain your situation. don’t leave out details
Great advice.

Honesty is always the best policy when its comes to pyschs/therapists/social workers. Plus, most of the time, we already at least have an idea that the person is at least with holding something. So often, my clients say “how are you reading my mind?” … I never say it but its written all over the face, the way the body is reacting, the fact that I did the same exact thing a decade ago etc etc etc

There are also incidents of people being in denial and not knowing it. Everybody does it to some extent or the other. Its basically a protection mechanism. But good mental health professionals do not judge. Often, because we have had our own issues. Many of use get into the field because of a desire to help others and that is often because of our own experiences.

Psychiatrists tend to be much less focused on the therapy aspect and nowadays you tend to be in and out with them due to the system just being fucked. But if the Psychiatrist is any good, he will have plenty of social workers and psychologists that he can refer the client too.

Chronic Fatigue can indicate some very serious issues. OP, are you noticing any skin issues?
 
Last edited:
knowstigma" pid='28636' dateline='1540311187:
veirstl47" pid='28633' dateline='1540310660:
get full blood work, like iron panel, thyroid panel, hormone panel, vitamins, esr, c-rp, uric acid, etc all that good stuff.
then go to a psychiatrist and explain your situation. don’t leave out details
Great advice.

Honesty is always the best policy when its comes to pyschs/therapists/social workers. Plus, most of the time, we already at least have an idea that the person is at least with holding something. So often, my clients say “how are you reading my mind?” … I never say it but its written all over the face, the way the body is reacting, the fact that I did the same exact thing a decade ago etc etc etc

There are also incidents of people being in denial and not knowing it. Everybody does it to some extent or the other. Its basically a protection mechanism. But good mental health professionals do not judge. Often, because we have had our own issues. Many of use get into the field because of a desire to help others and that is often because of our own experiences.

Psychiatrists tend to be much less focused on the therapy aspect and nowadays you tend to be in and out with them due to the system just being fucked. But if the Psychiatrist is any good, he will have plenty of social workers and psychologists that he can refer the client too.

Chronic Fatigue can indicate some very serious issues. OP, are you noticing any skin issues?
What kind of skin issues? And you’re right I see a psych but it really doesn’t help much. I gotta say after getting an Adderall script my life has improved but I still have crazy daydreaming/brain fog. I have the worst memory ever because there’s always something else going on in my mind. Thanks for looking into this.
 
Last edited:

knowstigma

New member
UnderTheBridge" pid='28697' dateline='1540377771:
knowstigma" pid='28636' dateline='1540311187:
veirstl47" pid='28633' dateline='1540310660:
get full blood work, like iron panel, thyroid panel, hormone panel, vitamins, esr, c-rp, uric acid, etc all that good stuff.
then go to a psychiatrist and explain your situation. don’t leave out details
Great advice.

Honesty is always the best policy when its comes to pyschs/therapists/social workers. Plus, most of the time, we already at least have an idea that the person is at least with holding something. So often, my clients say “how are you reading my mind?” … I never say it but its written all over the face, the way the body is reacting, the fact that I did the same exact thing a decade ago etc etc etc

There are also incidents of people being in denial and not knowing it. Everybody does it to some extent or the other. Its basically a protection mechanism. But good mental health professionals do not judge. Often, because we have had our own issues. Many of use get into the field because of a desire to help others and that is often because of our own experiences.

Psychiatrists tend to be much less focused on the therapy aspect and nowadays you tend to be in and out with them due to the system just being fucked. But if the Psychiatrist is any good, he will have plenty of social workers and psychologists that he can refer the client too.

Chronic Fatigue can indicate some very serious issues. OP, are you noticing any skin issues?
What kind of skin issues? And you’re right I see a psych but it really doesn’t help much. I gotta say after getting an Adderall script my life has improved but I still have crazy daydreaming/brain fog. I have the worst memory ever because there’s always something else going on in my mind. Thanks for looking into this.
Well a Psychiatrist isn’t isn’t going to provide therapy. Thats more for a social worker/pyschotherapist/pyscohologist to do.

https://www.dermnetnz.org/topics/skin-problems-associated-with-thyroid-disease/

Thyroid issues can cause fatigue. I think the blood work and Pysch visit is a start. Don’t write it off immediately. We tend to do that. If the one you see isn’t good, then try another. Its like any other medical or mental health professional
 
Last edited:
knowstigma" pid='28631' dateline='1540310354:
UnderTheBridge" pid='28628' dateline='1540307963:
knowstigma" pid='28469' dateline='1540156023:
Well what are you running if anything. Also, somebody asked if you are feeling depressed. Any issues with the change in seasons? Lots of times we do not realize we are depressed until we sit down and talk to somebody about it. I work in the mental health field and so many of my clients, especially men, for whatever reason do not want to admit that they might be feeling down/depressed. Its pretty silly sometimes.
Just 50-100mg cruise ATM. Yes I definitely get seasonal depression, I hate winter. But this is a year round thing I experienced and always have been. I tried all the SSRI’s but they killed my motivation to where I wouldn’t even want to do anything so I stopped taking those. I have an addy script 15mg twice a day and it doesn’t even help w the brain fog/energy.
What about bipolar disorder? It is one of the most under diagnosed and most missed conditions that we have. So many people have it and they do not get the proper diagnosis until years later. Your symptoms do match. It also tends to get miss diagnosed as depression and/or ADD. Also, we tend to have wounds that are subconscious that we do not realize until decades later.

Do you ever feel like you are on a roller coaster? Ever feel like super happy and confident? Sometimes emotional regulation issues can masquerade as Seasonal Affective Disorder. What have your relationships been like (not just romantic)? Substance abuse issues ever? Compulsion? These are questions to think about, I am not asking you to answer them.

So for many many years I thought I had ADD and I still might. My parents were big hippies (I am named after a Grateful Dead song) so they did not want to put me on medication. This led to me undergoing like two weeks of testing when I was in the 2nd grade and I was diagnosed with ADD. This was before ADD became a catch all diagnosis as well.

Fast forward to decades later and it turns out I have PTSD. I cannot tell you the amount of professionals I saw that just missed this. I myself did, despite working in the mental health field myself. As soon as I was diagnosed with PTSD and that was addressed, my brain fog cleared up. Adderall was fucking me up big time by the way. I hated taking it and I’d say I spent more time off of it during my life then on, but my most recent try with it was about two-three years. I had a meltdown at work (like I said, I work in the mental health field, its not a fun time for us due to budget cuts). Adderal for sure contributed to it. I was taking it as prescribed but it allowed me to try to physically push through stuff that I needed to address immediately. I was taking my TRT dose at the time as well. So it wasn’t gear related. I wasn’t abusing or self medicating in any way either (I did that for years and years, it got bad but I thankfully survived and manage it now)

Nowadays my energy is much much better. I actually cannot take SSRIs due to other mental health shit I have going on. They make my condition worse. But there is medication that works for me. However, I also put in the work via therapy and lifestyle. This includes really cutting back my gear use as well. Also means that I cannot take certain compounds.

My main point is, there are so many things going on inside of us that we do not know about or cannot realize. We can also be conditioned to think certain things, like me saying “well I have depression, GAD and ADD” to myself and also medical professionals when its only partially true. As soon as I got my correct diagnosis, so much shit that I had done made sense. It was the best and worst revelation I ever had in my life.

It could be so many things and I guess the best way to start it is by ruling in and ruling out certain things. Try to make changes and see if they help or hurt. Oh yeah, at the end, Adderall wasn’t doing shit for me motivation wise. Sure, it would give me energy and shit at times but I did not like the person that I was on when on it. The doctors really really fucked up on that one. The last doctor that gave me my adderall script could probably be sued for malpractice by me, but she also helped saved my life at least once so I wouldn’t do that to her.

I am sharing all of this to let you know that you have hope. It might sound somewhat trival to most, but I know what it feels like to have no motivation and fatigue. Its fucking scary. Its also frustrating because you want to do things but you cannot. Sometimes other people (especially loved ones) will think we are being “lazy” and that can really fucking hurt.

Ultimately, asking people on the internet can be a great start but we cannot really do much for you. What I will say is that 9.5 times out of 10 that things will not clear up on their own. OP, you are already taking action to help yourself by starting this thread, but there isn’t going to be a quick fix.

By the way, I am writing this because you are far from the only person that is dealing with this issue. Others will read this thread, so some stuff is written for them. You just have the courage to start talking about it. Others aren’t there yet.
Sorry if I missed it but do you currently take any medications? Adderall thing relates to me because it does not help my focus or brain fog what so ever I just use it for energy when I wakeup and of course it really doesn’t provide much. Im taking 15mg.
 
Last edited:

Ironman

New member
knowstigma" pid='28636' dateline='1540311187:
veirstl47" pid='28633' dateline='1540310660:
get full blood work, like iron panel, thyroid panel, hormone panel, vitamins, esr, c-rp, uric acid, etc all that good stuff.
then go to a psychiatrist and explain your situation. don’t leave out details
Great advice.

Honesty is always the best policy when its comes to pyschs/therapists/social workers. Plus, most of the time, we already at least have an idea that the person is at least with holding something. So often, my clients say “how are you reading my mind?” … I never say it but its written all over the face, the way the body is reacting, the fact that I did the same exact thing a decade ago etc etc etc

There are also incidents of people being in denial and not knowing it. Everybody does it to some extent or the other. Its basically a protection mechanism. But good mental health professionals do not judge. Often, because we have had our own issues. Many of use get into the field because of a desire to help others and that is often because of our own experiences.

Psychiatrists tend to be much less focused on the therapy aspect and nowadays you tend to be in and out with them due to the system just being fucked. But if the Psychiatrist is any good, he will have plenty of social workers and psychologists that he can refer the client too.

Chronic Fatigue can indicate some very serious issues. OP, are you noticing any skin issues?
When you say you addressed your PTSD, how exactly did you do this if you don’t mind me asking? Also what kind of issues can chronic fatigue indicate?

I am in a very similar situation to OP, chronic fatigue, heavy brain fog, there is a strong pressure in my head (mainly forehead, but the sensation emanates throughout my entire head, I have this feeling 24/7 from when I wake up to when I go to bed), trouble concentrating, memory problems, hard to problem solve, etc. I am in such a haze and fog every day. I can barely function, it takes all my energy and willpower just to get through each day and do what is needed to minimally live. I cannot even remember when these problems started, just know that I’ve had them for years. It’s so bad that I frequently have to take entire days off work to go lie in bed at home because I literally can’t function.

I’ve been to a million doctors in the last 6 months, gotten blood work, MRI, etc, nothing major has come up, doctors are at a loss, GP is starting to think it’s psychosomatic. GP recently asked me if this is something I’m able to live with, dodged the question but honestly do not think I can live with this shit for long.

I get enough hours of sleep a night (6-8 hours), I don’t have trouble getting to sleep. I feel like a zombie as soon as I wake up, super hard to get out of bed, usually takes at least half an hour to muster the energy to roll out of bed, even on weekends when I sleep as much as I want and wake up without an alarm. I was recently diagnosed with mild sleep apnea, getting a CPAP machine very soon, but honestly not expecting it to solve my issues since I can’t imagine mild sleep apnea causes such severe issues.

I have suffered with severe depression and anxiety for over a decade (since like 8th grade), but in the last couple years (since I got a job out of college and I’ve been working full time at a great job that would potentially give me a bright future) I have not had depression or major anxiety. I’ve only very recently (last couple weeks) started feeling depressed again because after all these doctors and trying so hard every day, I’m starting to feel really hopeless and it’s scaring me because I can’t imagine at all that I can live like this for very long.

This is a lot to throw on you, sorry about that lol. Just seeing if you have any ideas for me to look into, losing hope pretty quickly so I’m grasping at straws here.
 
Last edited:
Ironman" pid='29510' dateline='1541199567:
knowstigma" pid='28636' dateline='1540311187:
veirstl47" pid='28633' dateline='1540310660:
get full blood work, like iron panel, thyroid panel, hormone panel, vitamins, esr, c-rp, uric acid, etc all that good stuff.
then go to a psychiatrist and explain your situation. don’t leave out details
Great advice.

Honesty is always the best policy when its comes to pyschs/therapists/social workers. Plus, most of the time, we already at least have an idea that the person is at least with holding something. So often, my clients say “how are you reading my mind?” … I never say it but its written all over the face, the way the body is reacting, the fact that I did the same exact thing a decade ago etc etc etc

There are also incidents of people being in denial and not knowing it. Everybody does it to some extent or the other. Its basically a protection mechanism. But good mental health professionals do not judge. Often, because we have had our own issues. Many of use get into the field because of a desire to help others and that is often because of our own experiences.

Psychiatrists tend to be much less focused on the therapy aspect and nowadays you tend to be in and out with them due to the system just being fucked. But if the Psychiatrist is any good, he will have plenty of social workers and psychologists that he can refer the client too.

Chronic Fatigue can indicate some very serious issues. OP, are you noticing any skin issues?
When you say you addressed your PTSD, how exactly did you do this if you don’t mind me asking? Also what kind of issues can chronic fatigue indicate?

I am in a very similar situation to OP, chronic fatigue, heavy brain fog, there is a strong pressure in my head (mainly forehead, but the sensation emanates throughout my entire head, I have this feeling 24/7 from when I wake up to when I go to bed), trouble concentrating, memory problems, hard to problem solve, etc. I am in such a haze and fog every day. I can barely function, it takes all my energy and willpower just to get through each day and do what is needed to minimally live. I cannot even remember when these problems started, just know that I’ve had them for years. It’s so bad that I frequently have to take entire days off work to go lie in bed at home because I literally can’t function.

I’ve been to a million doctors in the last 6 months, gotten blood work, MRI, etc, nothing major has come up, doctors are at a loss, GP is starting to think it’s psychosomatic. GP recently asked me if this is something I’m able to live with, dodged the question but honestly do not think I can live with this shit for long.

I get enough hours of sleep a night (6-8 hours), I don’t have trouble getting to sleep. I feel like a zombie as soon as I wake up, super hard to get out of bed, usually takes at least half an hour to muster the energy to roll out of bed, even on weekends when I sleep as much as I want and wake up without an alarm. I was recently diagnosed with mild sleep apnea, getting a CPAP machine very soon, but honestly not expecting it to solve my issues since I can’t imagine mild sleep apnea causes such severe issues.

I have suffered with severe depression and anxiety for over a decade (since like 8th grade), but in the last couple years (since I got a job out of college and I’ve been working full time at a great job that would potentially give me a bright future) I have not had depression or major anxiety. I’ve only very recently (last couple weeks) started feeling depressed again because after all these doctors and trying so hard every day, I’m starting to feel really hopeless and it’s scaring me because I can’t imagine at all that I can live like this for very long.

This is a lot to throw on you, sorry about that lol. Just seeing if you have any ideas for me to look into, losing hope pretty quickly so I’m grasping at straws here.
Bruh how’s the CPAP working for you? My sleep study came back normal but I still feel like a CPAP might help.
 
Last edited:

akitoten

New member
I was reading your thing and I think that the CPAP is definitely going to help. Did they tell you how many times you were waking up per minute or through the night? Even some disruption is enough to bring you out of REM sleep and fuck all your shit up.
 
Last edited:

megamanextreme3

New member
Well you said you have SAD, and for that what really helped me was a bright light.

https://www.reddit.com/r/medicalschool/comments/a0f01s
Huge amount of research coming out showing it’s effectiveness in unipolar patients and bipolar patients (some of the research says it is better than SSRIs!)

Anyways it’s only like 30-40$ at Bed Bath and Beyond and you could probably get some from amazon too at a similar price.

I think it’s worth a shot. Some people also Vitamin D megadose in the winter. I know your depression is seems to be not only in the winter, but SAD tends to exacerbate the depression that is already there, so I think these things might still help you out.
 
Last edited:
Top