you may have sleep apnea, get evaluated by a sleep doctor with a sleep study. also have your doc check thyroid function tests to make sure your medicine is dosed properly.

Dear Fatigued patient:

If indeed you have already been diagnosed with hypothyroidism you are experiencing 2 or more issues that are not being addressed:

#1 if you are ingesting your desiccated thyroid on an empty stomach daily and away from calcium products and iron supplements;, then it may be an insufficient amount you are taking. Have your physician recheck your levels of Free T3; if it is 4.2 on a day in which you ingested it prior to the test,you have other issues.If stress is prevalent, then it is imperative to also check for a reverse T3.Make certain that your physician is adept at ascertaining these levels ; if not experienced with at least 5-10 years of thyroid or CFS patients, perhaps get a second opinion from an anti aging diplomate .

#2 Evaluation of your adrenal gland health is also extremely important. If your adrenals are not secreting optimal levels of hormone, then fatigue is a common complaint even if your thyroid is optimal.

# Your bloodsugars may also be a variable here; if your thyroid is optimal , you will need more protein and fats.

If your breakfast is highly glycemic , your energy will tank around 10 AM, even with optimal levels of hormones.

Visiting a highly experienced physician ,who practices hormone balancing , might be your answer!

This could very well be related to a drop in blood sugar. Do you eat breakfast in the mornings? You should consume a high protein breakfast. It also could have to do with adrenal function. Of course fatigue is multi-factorial so doing some basic blood work would be warranted right off the bat. Consider having your Primary Care Physician run some blood work checking for anemia, fasting glucose and thyroid function. Alternatively you can consider a Blood Nutrition Analysis with me at Vida4Vitality.com.

This sounds like low thyroid, although there are many other causes for severe fatigue. I would definitely recommend a re-evaluation of your thyroid hormones. Measuring your basal body temperature first thing in the morning is one way to check. If it's low thyroid you'll want to know because if your dose isn't high enough, you can experience high cholesterol and other problems.

Another possibility is adrenal exhaustion. This often follows a period of long-term stress such as overworking, sleep deprivation (sometimes just raising children can cause you to lose a lot of sleep!), or a severe trauma. People with weak adrenals often can't get going in the morning, and then they become more energetic in the later hours of the day.

This type of fatigue can also be seen in anemia (more common in women who have heavy periods, but there are other types of anemia as well). Anemia is sometimes associated with heart palpitations, so if you have recently felt an increase in anxiety or feeling your heart race, anemia could be a possibility. Other causes: Chronic infections such as Epstein Barr or Candida (usually follows a long treatment with antibiotics), or a parasite. Fatigue can become severe if a person unknowingly consumes too much sugar or processed foods. A lifestyle that's too sedentary (for example, sitting all day long at a desk job) with no exercise can cause people to lose their energy.

You may want to consider taking adaptogen herbs - they can help gradually strengthen all of your body's system, increase resistance to infection, help with fatigue, etc. You might feel better once you have your medication adjusted, but I would still pursue a healing program of light to moderate exercise as tolerated, whole foods diet, and some vitamin/mineral supplementation. There could be clues in your past medical history as well that could point your health practitioner in the right direction. Make sure to write down all symptoms and when they started before you go to see the doctor.

- Whenever fatigue is greatly affected by meals or specific time of the day, dietary modifications seem to work best. I'd eliminate coffee, alcohol, and all refine sugar; then try an elimination diet (see a Naturopathic Physician)

- I'd ask my Physician for a CBC/CMP/Lipid/Ferritin level, and rule out all anemias, infections (mono, liver & kidney functions...), and check for electrolyte imbalance.

- I'd take some potassium magnesium aspartate 2000 mg/d for a month

- Intramuscular injection of B12 and folic acid once a week for a month, and I'd add a good multivitamin to address eventual deficiencies.

- Most of all I'd exercise, for energy begets energy (incremental progression to your comfort level)

- I intentionally did not say anything about your thyroid, or adrenals for they will eventually reflect your margin of progression if you follow the regimen.

Be well!

I would get your adrenal glands evaluated along with a sleep study. It sounds like you may have chronic fatigue syndrome. I don't know for sure until you get some tests run to see how your adrenal glands are working. Look for cortisol, ACTH, and DHEA.

Dear Madame.

This symptom is very typical for underactive thyroid. The fatigue is upon awakening and eases up with movement as blood circulates faster and delivers more thyroid hormone to tissues. Fatigue returns when motionless ( sitting down or lying down for some time).

As I see you take Nature Throid, but is your dose adequate?

The best way to assess this is

1. Do a blood tests ( Free T3, Free T4 and TSH )

2. Measure your temperature in the morning and at noon and at 3 pm and if it is low - you are low on thyroid.

As far as I know the best way to determine proper dose of thyroid supplementation is to titrate your dose up correlating it with thyroid testing, which MUST be done under medical supervision and periodic Thyroid testing.

Obviously other causes of fatigue such as anemia, metabolic disorders, malignancies, chronic infections need to be ruled out.

Other hormone related fatigues present differently:

Estrogen - tired 24 hours a day,

Cortisol - tired at 2-3 PM and 7 PM that eases up 1- 1 and 1/2 hours later.

Mikhail N. Berman, M.D.

Hormone Replacement and Functional Medicine Specialist in Palm Beach Gardens FL

You should probably be seen by a Traditional Naturopath and get a full evaluation. There are many things that come to mind when I read your complaint list.A good naturopath will be able to find the root cause or causes, prioritize them and start to balance your system back to good health. You should do this now, as the longer you wait, the longer it will take to get you back to a n energetic you. Good Luck...

There are a few different things that can cause this. #1 --Your thyroid. I see that you are taking a thyroid supplement. Are you working with an Endocrinologist to make sure you are taking the correct amount of thyroid medicine or thyroid supplement? #2--You may not be getting enougj solid sleep at night--ie. sleep apnea; #3--It could be food related. Are you drinking sodas or high sugar/high carb foods? Anything sweet can spike your blood sugars and drop you like a lead balloon making some have the waking up problems you are complaining of; #4--Get your blood sugar checked. &#5--Have you been checked for fibromyalgia?