I agree that checking into the sleep apnea is critical. I used to be tired ALL the time before I was diagnosed and started using a CPAP. I know it sounds weird wearing a mask all night, but it was no time before I became used to it. I've been sleeping with one for 2 years now and I wont even take a nap without it now. Otherwise I wake up exhausted, feeling foggy, and with a headache (all from lack of oxygen). It can also be a very dangerous condition because you really arent getting the oxygen you need all night.
Also, I would have some bloodwork done. I recently went thru a period where I was just exhausted all the time. I thought it was because I was working a lot and not getting my usual 8 hrs every night. I found out that that was part of it, but that I also have a severe vitamin D deficiency, which had been going on for quite some time. I now take 4000 IU of vitamin D and am starting to feel better. HOWEVER, I will say that this dose is quite high so I would recommend discussing it with your Dr before you start taking that high of a dose.
Thirdly, and I know you probably hate to hear this (as I did when I was 443 lbs), it really is important to get out and at least get *some* movement in. Even if its walking to the end of your driveway and back 3 times. If you can start doing just 5 minutes of exercise, pretty soon you can bump it up to 7, then 10, then 12, then more and more. Going for a 30 minute walk wont come overnight, you have to work at it. Also, I dont know what your physical issues are, but I have a herniated disc in my back that used to stop me from walking and still gives me pain. What I have found is that the more movement I get in in a day, the better it tends to be.
Good luck to you, I hope you can get some answers and work towards getting this resolved.
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