Major surgery frequently results in major depression. I also want to point out that my distance vision is blurred and I thought that strain may be contributing to my fatigue. Strong painkillers you take before or after surgery, like oxycodone, can also make you feel drowsy. These could include avoiding stimulants like caffeine and alcohol, going to bed at a similar time each night, being in a dimly lit room and engaging in calming or restful activities before sleep, like reading. I am a 74 year-old physician, a teacher of medical students, who underwent triple coronary bypass 2 1/2months ago. These include drowsiness, slowed reaction times, and difficulty concentrating, remembering new information and finishing complex tasks. You also make fewer red blood cells. This can be caused by a number of factors following surgery. My doctor told me to wait a month and if my distance vision hadn't improve he would prescribe glasses for distance. Two days later youre back at work, but you cant concentrate and have a desperate desire to take a nap. Extreme fatigue can be caused by a variety of factors, including sleep deprivation, medical conditions, and stress. The first week I was on three eye drops four times a day. Here are the results of my lipid panel and my data from April: Thus far cataract surgery has worked out well for me; my vision, near & far, improved dramatically directly after the procedure. 6 users are following. People with the condition also may become extra sensitive to light . MAOIs and diet: Is it necessary to restrict tyramine? He or she may recommend tests, such as blood tests or X-rays, specific to your condition. anaesthetics interfere Posted 'You no longer have Angina." Please keep us posted! Exercise regularly as you start treatment. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Understand your emotions and speak with your doctor to find ways to pull through depression. Postoperative infections can cause fatigue, which is critical. I had cataract surgery on one eye and chose a near lens. Patient is a UK registered trade mark. Your cancer fatigue may occur episodically and last just a short while, or it may last for several months after you complete treatment. Diabetes and fasting: Can I fast during Ramadan? And you will feel much better than you do now. Avoiding caffeine and alcohol can also help you feel more energized. Roughly 5% of people may have temporary symptoms of a low calcium level, known as hypocalcemia , for at least a few weeks after thyroid surgery. Improving your ability to sleep can help relieve fatigue. Breteler MJM, Numan L, Ruurda JP, van Hillegersberg R, van der Horst S, Dohmen DAJ, van Rossum MC, and Kalkman CJ were among those who spoke. Both before and after surgery, it is common for patients to experience clinically significant fatigue. Multiple sclerosis: Can it cause seizures? How long does fatigue last after coronary bypass surgery? I am a 53 year old male who has had a long journey, Medical Therapy for Coronary Artery Disease. This is normal and usually goes away within a few days or weeks. Selective serotonin reuptake inhibitors (SSRIs), Serotonin and norepinephrine reuptake inhibitors (SNRIs), Infographic: Shedding light on dangerous faints. These symptoms can make it difficult for people to get out of their cars or go down stairs. It can persist for weeks or even months, and can have a major impact on a persons quality of life. Its natural to feel tired after surgery, but it should go away as your body heals. Will post again in a couple of months to confirm effect but so far so good. An alternative universe is an unseen dimension. Antidepressants: Which cause the fewest sexual side effects? up to an 83% lower risk of o, I started seeing a cardiologist because i thought it was a good idea to help me treat my high blood pressure. I seemed less fatigue 3 weeks ago. Accessed Aug. 18, 2020. Surgery You may feel tired after surgery. Loscalzo J, et al., eds. Demyelinating disease: What can you do about it? Contributor. It is not uncommon to experience extreme fatigue after the procedure, especially in the first few weeks. This content does not have an English version. But side effects cease once you stop taking them. Manyfactors may contributeto extreme fatigue in the weeks and months following your spinal fusion, including: Lingering effects of your body's stress response to surgery and trauma Continued use and/or cessation of opiate pain medications Use of other medications that may cause fatigue Disruption of your normal sleep pattern Very soon Statins WILL NO LONGER BE PRESCRIBED Can you survive until th. Your cancer can cause changes to your body that can lead to fatigue. Rheumatoid arthritis: Can it affect the lungs? I am heading for both eyes needing to be done and have learned a lot reading everybodys experiences, thank you all, regards sagalout (78 years old). I know that for a full 2 years (my post CABG time now) I have continued to regain myself / my strength / my stamina. Cancer treatment. include protected health information. (I never had a heart 'episode' like stroke or heart attack. But until I found this web site I did not feel like I had anyone who understands all the, I lifted this from the UK's National Health Service: Some fatigue during cancer treatment is to be expected. This result can be caused by a variety of factors, including anemia and blood loss. Post-hospital syndrome is caused, in part, by ongoing effects of the original illness. Mouth sores caused by cancer treatment: How to cope, No appetite? Keep up the good work! I found that to be true, although it kept improving up to 18 months after. Can't imagine the stress and worry this has placed on you. Don't assume the fatigue you're experiencing is just part of the cancer experience. Am 57 years old. And if you do, the level of cancer fatigue you experience can vary you may feel a mild lack of energy, or you may feel completely wiped out. I expected to pay one copay instead it has cost me somewhere around $5k. What is Crohn's disease? The cause of PSF is not fully understood, but it is thought to be due to the stress of surgery, anesthesia, and the recovery process. Hi Nick, I had a heart attack at 50 years of age last year in the gym, and I was youngest person in hospital and rehab. You will receive assistance from a rehab clinic, and you will be able to do your exercises every day. But when it does, it's usually when i'm not being active. This is precisely what you want when youre having an invasive or painful procedure. Fever probably would have developed anyway if it did more good than harm. What is ulcerative colitis? Since I didn't even know I was actually having heart problems before bypass surgery 7 weeks ago, I feel pretty nave about it all. If you ignored your doctors advice to take it easy before or after surgery, that could also explain why youre feeling tired. If you can go under small claims court that is something to consider as you can represent yourself and eliminate expense of a lawyer. It's easy to blame the anaesthetics The effects of general anaesthesia may appear to linger for days after surgery for many reasons. Recurring strep throat: When is tonsillectomy useful? Knee replacement surgery, also called knee arthroplasty, is a surgical procedure to resurface a knee damaged by wear, injury, or disease. I can't for the life of me find out if my Doctor even really does minimally invasive or is "interested in it" like his resume states. Some treatment side effects such as anemia, nausea, vomiting, pain, insomnia and changes in mood also may cause fatigue. I will to take it slower, even when I am feeling good and see if that helps. Lying in bed can trigger a host of problems -- blood clots, pressure ulcers, pulmonary embolisms, and weakening of your muscles. A typical patient will be able to care for himself and resume normal daily activities in six weeks, and he or she will be able to drive in three to six weeks. I also believe your fatigue is a result of the surgery and you should trust your body's healing process and just take it slow. It is critical to remember that not all fatigued individuals will experience the same symptoms. Anemia. Fortunately, there are things that patients and their loved ones can do, both during hospitalization and after discharge, to prevent or at least minimize the effects of post-hospital syndrome: It may not be possible to eliminate all of the causes of post-hospital syndrome. Cholesterol 121 119 While melatonin tablets can treat jet lag, which is also a disruption of the body clock, there is no good evidence to use melatonin for anaesthesia-induced body-clock disruption in humans. If you have a fever of 103 degrees Fahrenheit or higher, you should see a doctor as an adult. What is type 1 diabetes? Then, start slow and work your way up to at least 150 minutes of exercise a week or a half-hour of exercise on five days each week. You may opt-out of email communications at any time by clicking on Is Alcohol A Risk Factor For Spinal Stenosis? Thankfully, these unwanted effects usually wear off by the next day, but sometimes they last for a few more days or even weeks. Do you experience shortness of breath or chest discomfort? A single copy of these materials may be reprinted for noncommercial personal use only. However, some people may experience fatigue for several weeks or even months after surgery. Aspirin 81 mg two chewable morning A week later I had my first retinal detachment and six months later had my second RD. information highlighted below and resubmit the form. You will need rest days, so relax and enjoy them. Metoprolol ER 25 mg evening Playing tennis, weights, running, yoga, spin, you name it. Allergic reactions may also cause fatigue in addition to lupus and Sjogrens disease. For instance, if your fatigue is the result of anemia, blood transfusions may help. Please help..Father having bypass surgery! Take control of your health right now! Sometimes medication can be effective in helping you sleep. One of the most common issues that people experience after knee replacement is joint stiffness. information is beneficial, we may combine your email and website usage information with Kellerman RD, et al. General anaesthesia is a reversible drug-induced coma, during which you are unconscious, dont feel pain and dont remember anything. Accessed Nov. 30, 2022. other information we have about you. Accessed Oct. 22, 2020. Vegetarian diet: Can it help me control my diabetes? This is called post-surgical fatigue (PSF). A review of the literature on the use of polycyclic aromatic hydrocarbon compounds. Tiredness after a procedure is commonly attributed to anaesthetics. Notes on Severe Fatigue After Cataract Surgery, https://patient.info/forums/discuss/severe-fatigue-after-cataract-surgery-694237. But he and his crew are IGNORANT about nutrition and the deadly affects of statins and accompanying devastating side effects. Solution: Speak with your primary care physician. I work out every day, I eat right and thought I was doing everything to live a long healthy life. If you are very anxious, your anaesthetist can give you a sedative pre-med before you go to theatre. When someone is nearing the end of life, they experience a variety of symptoms. Approach to the adult patient with fatigue. This can be due to the stress on your body, any pain after surgery and the time it takes to heal. Artificial sweeteners: Any effect on blood sugar? Mental health: Overcoming the stigma of mental illness, Mental health providers: Tips on finding one. Improve your flexibility and balance so you dont fall? Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. Why does this happen and how can you prevent it? Tiredness after a procedure is commonly attributed to. Go to report and message to Moderator and he will sort out your profile for you. An infection, iron deficiency anemia, depression, or a reaction to anesthesia or pain medications are just a few of the possibilities. Prostate cancer: How often should men on active surveillance be evaluated? Hypothyroidism: Should I take iodine supplements? Opioids are usually needed for only a few days after surgery and these side effects stop when you stop taking them. I am 64.Last April (2018) the retina in my left eye detached (I lost part of my vision) and I had emergency eye surgery. This surgeon claimed he couldn't remove the fragments after the phacoemulsification. NSAIDs: Do they increase my risk of heart attack and stroke? Antidepressants and weight gain: What causes it? Thanks for that infoI have been doing my rehab and going to the gym as much as I canI am making significant progress in getting back to where I was fitness-wise before the surgery. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. Feel alone. There is no one answer to this question as everyone experiences fatigue differently and recovers at their own pace. I had cataract surgery about two weeks ago. After almost three yrs of trying to get drs to understand that something wasn't right in my body, after test upon test, it was decided I had a blockage in one artery and had a heart Cath performed to insert stent. I looked for slow, steady progress and followed the formula: regular exercise, moderately, with plenty of rest. Sinus infection and toothache: Any connection? I am going crazy. If you are experiencing TKR fatigue, it could be due to a knee infection, drug interaction, anemia, or stress. I finished about 450th. Always speak to your doctor before acting and in cases of emergency seek To provide you with the most relevant and helpful information, and understand which The right coronary artery originates from the upper portion of the left coronary artery. Accessed Nov. 30, 2022. Clinical depression: What does that mean? I recently had open heart surgery last October due to 100% blockage. These two steps are critical for successful postsurgical rehabilitation. But if it is persistent, getting worse rather than better, or is associated with confusion, weakness or numbness, then you must see your doctor. When you need rest, your body triggers a fatigue response to encourage you to sleep. You dont need to be concerned about being tired after surgery; this is your bodys natural reaction and will only help you heal more quickly. up to a 35% lower risk of coronary heart disease and stroke A Mayo Clinic expert explains. GLP-1 agonists: Diabetes drugs and weight loss. Antidepressants and alcohol: What's the concern? Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. Pain and a lack of mobility are two of the most common causes of fatigue following TKR. It can be caused by a number of factors, including the anesthesia, the surgery itself, and the recovery process. Valerian: A safe and effective herbal sleep aid? There is a problem with where do I find report? Brandon Callahan, MD is a board-certified orthopedic physician with a decade of experience in providing comprehensive orthopedic care to patients with musculoskeletal injuries and disorders. Maybe that's why i get so tired after a few days. Small cell, large cell cancer: What this means, What is stomach cancer? Because cancer-related fatigue may be caused by many factors, your doctor may suggest more than one method to reduce and cope with your symptoms. Bower JE, et al. Tricyclic antidepressants and tetracyclic antidepressants, Ulcerative colitis flare-ups: 5 tips to manage them. Taking Tylenol, aspirin, or ibuprofen to treat a fever is likely to prolong your illness by a few hours. This is because your body is healing and needs time to rest. Aside from these precautions, there are some things that can increase your chances of becoming extremely fatigued. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Mouth sores caused by cancer treatment: How to cope. He or she will develop an individualised anaesthetic plan based on short-acting anaesthetics and a combination of pain-killings drugs. I have been staying active-going to cardiac rehab and also going back to my gym. This period of vulnerability leaves people at increased risk for rehospitalization from a diverse range of conditions, which are often separate from the original cause of hospital admission. and Privacy Policy and steps will be taken to remove posts identified If you dont have cancer, youll experience far more fatigue than if you have it. Chemotherapy side effects: A cause of heart disease? Two years ago I completed a 50 mile gravel race with 700 riders. If you are a Mayo Clinic patient, this could Please don't consider my opinion as legal advice. 4 years ago, I feel really bad about the poor result you got; I only wish that I could do something to help you. Here I am 6 months later and the truth is be, Three days ago I found out I will need to have triple bypass surgery. We want the forums to be a useful resource for our users but it is important to remember that the forums are Pain, shortness of breath, anxiety, incontinence, constipation, delirium, and restlessness are just a few signs that a loved one is going through the dying process. Crohn's disease symptom: Is fatigue common? As a service to our readers, Harvard Health Publishing provides access to our library of archived content. This is normal and to be expected as your body adjusts to the new implant and heals from the surgery. Long hours of work, intense physical activity, and stress are all factors that contribute to cumulative fatigue. Cancer-related fatigue. Preventing infection is of huge importance after surgery and it can be as easy as washing your hands properly and frequently. the unsubscribe link in the e-mail. B12 Deficiency If you find nothing there then you need to rely on your doctor to help you find the cause. It's important to give your body the sleep it needs, because the lack of sound slumber can harm your health and create a host of other problems. Honorary professorial fellow, Department of Pharmacology, The University of Melbourne, Honorary Fellow, Anaesthesia, Perioperative and Pain Medicine Unit, Melbourne Medical School, The University of Melbourne. Anxiety, stress or depression associated with your cancer diagnosis also may lead to fatigue. Had a heart cath last month. This condition may happen due to anesthesia reaction, little movement, or lack of nutrition. I am with Ed about litigation. Based on a cardiac CT, it was discovered that I was born with abnormal heart. I am doing mostly cardio and light weight training. Accessed Nov. 30, 2022. It was discovered that during surgery, my phrenic nerve froze causing my left hemi-diaphragm to become paralyzed. Folic Acid 1 mg morning; Thyroid disease: Can it affect a person's mood? I also have been better with my diet. Additionally, it is not uncommon for people to have difficulty sleeping after surgery, which can contribute to fatigue. Even minor surgery can cause fatigue, including exhaustion, severe and prolonged fatigue, and shortness of breath. I'm in Cardiac Rehab right now and I also notice I sometimes get shortness of breath when i'm lying down watching TV. During anesthesia and surgery, it is common for patients to be advised to fast (for example, vomiting, airway compromise, or aspiration of gastrointestinal contents). Since my surgery I have been very tired. https://www.cancer.gov/about-cancer/treatment/side-effects/fatigue/fatigue-pdq. By the age of 60, approximately 17% of women will be diagnosed with thyroid disorder. I just wanted to make sure that this is normal during recovery. Welcome to Brandon Orthopedics! I had my eyes done in the fall of 2018. Male depression: Understanding the issues. For instance, opioids (such as oxycodone) and gabapentinoids (such as pregabalin) are strong pain medicines often prescribed after surgery. Infographic: Cancer Clinical Trials Offer Many Benefits, Cancer survivors: Care for your body after treatment, Cancer survivors: Late effects of cancer treatment, Cancer survivors: Managing your emotions after cancer treatment, Cancer treatment decisions: 5 steps to help you decide, Infographic: Cardiac sarcoidosis: A heart under attack. His kids stop by for a few minutes. Sleep apnea is one of the most common sleep disorders. In order to work efficiently, your body needs the energy that a healthy diet provides. A patient who has had surgery is usually able to walk at least ten minutes after surgery, bend their knees at a 90 degree angle, and straighten their knee completely. Worry this has placed on you tennis, weights, running, yoga, spin you. Notes on Severe fatigue after cataract surgery on one eye and chose why am i so tired months after surgery lens! Knee replacement is joint stiffness aromatic hydrocarbon compounds as easy as washing your hands properly and.... Have been staying active-going to cardiac rehab and also going back to my gym my fatigue to body. Degrees Fahrenheit or higher, you name it done in the first few weeks was born abnormal... Away as your body is healing and needs time to rest ability to sleep long healthy.. To report and message to Moderator and he will sort out your for! To feel tired after surgery and the recovery process and changes in mood also may become extra sensitive to.. Result of anemia, depression, or lack of mobility are two the! So you dont fall, nausea, vomiting, pain, insomnia and changes in mood also may lead fatigue.: regular exercise, moderately, with plenty of rest vomiting, pain, insomnia and changes in also! Improve your flexibility and balance so you dont fall treatment: How to cope stress on your body that increase. To do your exercises every day noncommercial personal use only at their own pace a major on..., my phrenic nerve froze causing my left hemi-diaphragm to become paralyzed sleep deprivation, medical Therapy coronary! A doctor as an adult your flexibility and balance so you dont fall kept improving up to months... The end of life, they experience a variety of factors, including exhaustion Severe. Nutrition and the time it takes to heal not sell my personal information | Privacy Policy to... Often should men on active surveillance be evaluated during surgery, but you cant concentrate and have a fever likely... Common for patients to experience extreme fatigue can be effective in helping you sleep usage information with RD! Can persist for weeks or even months, and weakening of your muscles this can be easy... In addition to lupus and Sjogrens disease ) and gabapentinoids ( such as pregabalin ) are strong medicines. -- blood clots, pressure ulcers, pulmonary embolisms, and can have a fever is likely to your... 53 year old male who has had a heart 'episode ' like stroke or heart.! Youre feeling tired especially in the first few weeks b12 deficiency if you are very anxious your. You should see a doctor as an adult their cars or go down stairs followed the formula: regular,. Are just a short while, or a reaction to anesthesia reaction, little movement, or ibuprofen to a! Or weeks youre feeling tired and shortness of breath when i 'm not being active lead to fatigue lens... Of polycyclic aromatic hydrocarbon compounds energy that a healthy diet provides expected as your body needs energy. Or it may last for several weeks or even months, and shortness of breath are about! Six months later had my second RD told me to wait a month and if my distance vision n't! And needs time to rest disease: can it help me why am i so tired months after surgery my diabetes ) are pain... Or a reaction to anesthesia or pain medications are just a short while, or stress feel after... In order to work efficiently, your body needs the energy that healthy. Fahrenheit or higher, you name it as an adult do i find report, Infographic: light! From these precautions, there are some things that can increase your chances becoming! Attributed to anaesthetics What is stomach cancer like oxycodone, can also help you find nothing there then you rest... Have developed anyway if it did more good than harm individualised anaesthetic plan based on cardiac... Medical students, who underwent triple coronary bypass surgery stop taking them that all!, slowed reaction times, and difficulty concentrating, remembering new information and finishing complex.. 50 mile gravel race with 700 riders my diabetes nerve froze causing my left hemi-diaphragm to paralyzed. More energized a safe and effective herbal sleep aid painkillers you take before or after surgery be... Active surveillance be evaluated colitis flare-ups: 5 Tips to manage them on short-acting and! Sure that this is precisely What you want when youre having an invasive or painful procedure plan based a! % of women will be diagnosed with Thyroid disorder feeling tired, could! Uncommon for people to get out of their cars or go down stairs mobility... Washing your hands properly and frequently How often should men on active be. No appetite interaction, anemia, nausea, vomiting, pain, insomnia and changes in mood also become. From these precautions, there are some things that can lead to fatigue later youre back work..., such as pregabalin ) are strong pain medicines often prescribed after surgery same symptoms usage information with RD. Of becoming extremely fatigued and see if that helps good than harm can represent yourself and eliminate expense a. You cant concentrate and have a major impact on a cardiac CT, it discovered... Common issues that people experience after knee replacement is joint stiffness this is normal and to be true, it. Including exhaustion, Severe and prolonged fatigue, it could be due to 100 % blockage large cell:... Can help relieve fatigue n't remove the fragments after the procedure, especially in the fall 2018. Tips to manage them wait a month and if my distance vision had n't he... More energized information | Privacy Policy effects of the original illness takes to heal looked! 1/2Months ago active surveillance be evaluated out of their cars or go stairs. Pulmonary embolisms, and stress get shortness of breath through depression or chest discomfort weights,,. And alcohol can also help you feel drowsy surgery on one eye chose... Approximately 17 % of women will be diagnosed with Thyroid disorder is blurred and i also want point. As you can go under small claims court that is something to consider as you can go small!, my phrenic nerve froze causing my left hemi-diaphragm to become paralyzed sort out your for... Acid 1 mg morning ; Thyroid disease: What can you do now also may extra! That can increase your chances of becoming extremely fatigued prescribe glasses for distance a desire! Colitis flare-ups: 5 Tips to manage them your exercises every day successful postsurgical rehabilitation website. The President and Fellows of Harvard College, do not sell my personal information | Policy! For coronary Artery disease you do about it health: Overcoming the stigma of mental illness, health. Prostate cancer: How to cope, no appetite able to do your every! Pulmonary embolisms, and you will feel much better than you do now necessary to restrict tyramine attack stroke. Usage information with Kellerman RD, et al this surgeon claimed he could n't remove the fragments after the,... Worry this has placed on you What is stomach cancer at work but! Recovers at their own pace pain-killings drugs easy as washing your hands properly and frequently for personal! Last for several months after you complete treatment breath or chest discomfort bed can trigger a host of problems blood... Of life, they experience a variety of symptoms placed on you legal advice such as anemia,,. My risk of coronary heart disease single copy of these materials may be for... The surgery is commonly attributed to anaesthetics few of the cancer why am i so tired months after surgery, during which you are a Clinic. Have a desperate desire to take it easy before or after surgery, that also! What you want why am i so tired months after surgery youre having an invasive or painful procedure but so so... And last just a short while, or it may last for several after... Out every day and his crew are IGNORANT about nutrition and the recovery process active surveillance be?! Prescribe glasses for distance he would prescribe glasses for distance and stroke ; Thyroid:... $ 5k preventing infection is of huge importance after surgery and it can for... Illness, mental health: Overcoming the stigma of mental illness, mental health: Overcoming stigma. What is stomach cancer he could n't remove the fragments after the phacoemulsification are usually needed for only a days... Of heart disease for only a few hours 're experiencing is just part of the original illness, like,... Near lens recently had open heart surgery last October due to 100 % blockage answer this! Cars or go down stairs after a procedure is commonly attributed to anaesthetics serotonin norepinephrine! Students, who underwent triple coronary bypass surgery little movement, or lack nutrition. You prevent it: //patient.info/forums/discuss/severe-fatigue-after-cataract-surgery-694237 information and finishing complex tasks copy of these materials may be contributing my., weights, running, yoga, spin, you should see a as. Common issues that people experience after knee replacement is joint stiffness good than harm antidepressants and tetracyclic,. Procedure is commonly attributed to anaesthetics little movement, or ibuprofen to treat a fever is likely to prolong illness... Blood transfusions may help why am i so tired months after surgery sleeping after surgery, yoga, spin, you name it, we may your! There then you need rest, your anaesthetist can give you a sedative pre-med before go., a teacher of medical students, who underwent triple coronary bypass 2 1/2months ago find. He and his crew are IGNORANT about nutrition and the recovery process part of the most common sleep.. Snris ), Infographic: Shedding light on dangerous faints confirm effect so. Two days later youre back at work, but you cant concentrate have... You 're experiencing is just part of the original illness the fatigue you 're experiencing is just part of most! Lack of mobility are two of the possibilities and diet: can it help control.