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FatigueDon Thomas, Jr., MD, FACP, FACR
Author of “The Lupus Encyclopedia: A Comprehensive Guide for Patients and Families
Arthritis and Pain Associates PG County, Greenbelt, MD
www.arthritispainpg.com : 301-345-5600
Associate Professor of Medicine
Uniformed Services University of the Health Sciences
Bethesda, MD
Exhausted
Exhausted
“Can’t do the thingsI enjoy and want to do!
Help!”
Exhausted
Stopped enjoyable things
Low concentration
Exhausted
Stopped enjoyable things
Low concentration
Can’t sleep
Exhausted
Stopped enjoyable things
Low concentration
Can’t sleep
20 pounds weight gain
Requests:
Sleeping pill
Weight loss pill
Energy vitamins
Inflammation LabsSed rate (ESR)C-reactive protein (CRP) GammaglobulinsAnti-dsDNA
Inflammation LabsSed rate (ESR)C-reactive protein (CRP) GammaglobulinsAnti-dsDNA
Low complement levels (C3, C4)
Organ Inflammation LabsLiver Function Tests (LFTs)Muscle enzymesIncreased protein in urineAnemia of inflammationLow white blood cell countLow platelet count
Other Sjogren’s organ problems
Interstitial lung diseasePrimary biliary cholangitis (previously cirrhosis)
Health News Florida
Biologics HQ
Pharmaceutical Quotes
The Today Show
Sjogrens.org
DysautonomiaAutonomic dysfunction
DysautonomiaAutonomic dysfunction
POTS
POTSPostural orthostatic tachycardia syndrome
POTS
FatigueWeakDizzyLightheadedHeart palpitations
https://blog.daveasprey.com/at-home-tests/
10 minutes: If HR increases ≥30 bpm but no decrease in BP
POTS?
POTS Treatments
Exercise
Drink lots of fluids
Avoid inactivityWinker R, et al. Endurance exercise training in orthostatic intolerance: a randomized,
controlled trial. Hypertension. 2005 Mar;45(3):391-8. Epub 2005 Feb 7.
POTS TreatmentsExerciseDrink lots of fluidsAvoid inactivity
Medicines
Winker R, et al. Endurance exercise training in orthostatic intolerance: a randomized, controlled trial. Hypertension. 2005
Mar;45(3):391-8. Epub 2005 Feb 7.
Exercise as important for Living
as Eating& Sleeping
How do you motivate yourself to exercise?
Share in the Chat Box
www.dysautonomiainternational.org
Treatable
Blood countsThyroid
Vitamin B12
Vitamin D
Celiac disease
Hepatitis C
Treatable
Blood counts
ThyroidVitamin B12
Vitamin D
Celiac disease
Hepatitis C
Treatable
Blood counts
Thyroid
Vitamin B12Vitamin D
Celiac disease
Hepatitis C
Treatable
Blood counts
Thyroid
Vitamin B12
Vitamin DCeliac disease
Hepatitis C
Treatable
Blood counts
Thyroid
Vitamin B12
Vitamin D
Celiac diseaseHepatitis C
Treatable
Blood counts
Thyroid
Vitamin B12
Vitamin D
Celiac disease
Hepatitis C
Healthy Debate healthydebate.ca
Drugs that cause fatigue
AlcoholPain medicinesAntidepressantsBlood pressure medicines (beta-blockers, diuretics)Proton pump inhibitors (such as pantoprazole)Anti-anxiety pillsSleeping pillsMuscle relaxantsAntihistaminesStatinsAntibiotics Anti-psychotics
Fatigue: most common causes
Insomnia with poor sleep hygieneObstructive Sleep ApneaDepressionAnxiety DisorderFibromyalgia
Fatigue: most common causes
Insomnia with poor sleep hygiene
Depression
Rx
ExerciseSleep hygieneHealthy DietWeight loss
Rx
ExerciseSleep hygieneHealthy DietWeight loss
Meds?: Paxil
NBC News at nbcnews.com
CRESTAFatigueClinic
CRESTA Fatigue Clinic Method
Pain managementExercisePilatesSleep hygieneEnergy managementStress reduction
CRESTA Fatigue Clinic Method
Pain management
ExercisePilatesSleep hygieneEnergy managementStress reduction
CRESTA Fatigue Clinic Method
Pain managementExercise
PilatesSleep hygieneEnergy managementStress reduction
CRESTA Fatigue Clinic Method
Pain managementExercisePilates
Sleep hygieneEnergy managementStress reduction
CRESTA Fatigue Clinic Method
Pain managementExercisePilatesSleep hygiene
Energy managementStress reduction
CRESTA Fatigue Clinic Method
Pain managementExercisePilatesSleep hygieneEnergy management
Stress reduction
Join their Facebook
CRESTA Fatigue Clinic Health Champions
150minutes/week
Moderate aerobic exercise
Exercise as important for Living
as Eating& Sleeping
NBC News at nbcnews.com
