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Yes, in keeping with one of the replies, you could have an underactive thyroid and with medical supervision, may benefit from supplementation with either t3 or t4 or a combination of both. DHEA may be another important hormonal precursor that could help boost energy levels and regain vitality among other benefits. Other forms of HRT (pros and cons) may also be useful depending on your test results. Another useful option to explore may be to supplement with caffeine or caffeine-containing beverages that may play a useful role in raising blood pressure moderately and reducing fluid-based swelling. Discussing these with your doctor can be helpful. Best wishes.
Have you seen an MD? Do not take doses of vitamins in excess of USRDA. Has your fatigue increased with the swelling of the ankles? Are you experiencing any shortness of breath? Any lower back pain? You need to see a good MD for a total work up. You need to have a few things ruled out; among them, congestive heart failure, hyothyroidism and depression. Ask for a CBC and blood chemistries (a full panel) to include T3 and T4, an EKG and cardiac echo, a chest x-ray and a full physical exam.
It sounds to me that you have Chronic Fatigue Syndome. I recently started on a regiment of bio-identical hornone therapy along with a Daily Energy Enfusion from Integrative Therapeutics Inc. It is a drink powder that can be mixed in juice yogurt or similiar products.It also includes a B Compex Tablet. I felt better after only a few days. They have a large website that you can visit for more information.I also was low on Iron and now take a supplement.
" Dear Violet :
You should make an appointment, with a reputable Cardiologist.
Eat more Fruits and Vegetables.
Increase your Oxidation Rates, through the agency of Polyunsaturated Fatty Acids, (PUFAs).
Cut down, on all of your Vitamin Intakes.
Check Out 'Orthostatic Hypotension'
Take Potassium Salts, Not Sodium Salts.