Chronic Fatigue

Hello Everyone,

It has been about a year and a half since my last Lupron shot and I'm still very fatigued most of the time regardless of how much sleep I get. Any ideas on what may be causing the chronic fatigue.

The good news is that the hot flashes, Lupron fog, and emotional stability are all better since my last Lupron shot.

I walk two miles per day religiously and sleep a good eight to nine hours a night, don't drink, am taking B12 and I'm still tired almost all the time.

Let me know if any of you have any suggestions, ideas, or are experience the same fatigue. Doctors do not seem to know what is causing it other than saying it could be a lingering Lupron side-effect that may or may not go away.

Bob

Have you had your T level checked?

You might ask for a sleep study to see if you have sleep apnea.

Maybe up your walk to 3 miles a day.

Just some random thoughts.

There are a number of things beside the lupron that can cause fatigue. To start I would get your thyroid checked. Here is a good article on other causes https://www.verywellhealth.com/things-to-know-thyroid-disease-fatigue-3233188 Sometimes depression can seekin without you knowing it. If possible I would also try increasing the intensity of your exercise. Walking is great but push ups, jumping jacks, squats might add some spark. The seven minute workout is a free app. Here is a cute video on it. https://www.youtube.com/watch?v=YGGleRBn99Q
Good Luck!

68 yrs., marathon runner, 30 of 44 3D-CRT/IMRT Radiation delivered via 3D-CRT in 1.8 Gy minimum dose fractions to a total of 79.2 Gy., 10.5.18. PSA .012, 8.12.18, 1.42 June 18, 2018 (Lupron 5.21.18 & 8.15.18), 12.7 May 2018, 13.7 Jan. 2018, 2.1 May 2012. SpaceOar 9.6.18, testosterone <.7, 8.15.18, Tot Mayo 19 ng .17 testosterone Free 6.18.18, Gleason 3+4=7 involving 15% of the right apex and 15% of the right mid, 3+3=6 prostate cancer involving 5% of the left base. Pathology interpretations by John Hopkins, UNM Cancer, and SF Path 3+4=7 or 4+3=7 MD Anderson Proton Center w/o %. T3 MRI w/ contrast 1.8 lesion left side 5P, Neg. Bone Scan. Prolaris test 3.5 consistent with intermediate and a PTEN test negative. Father PC age 78 RT & ADT now 93 yrs. Neurogenic bladder due to lumbar disk disease and recurrent bladder neck contracture with urinary retention man. 20 years doing catheterizations. TURP & scaring 2003, Finasteride 5 milligrams daily since 2002.

Take Vitamin D supplement, I take 9600 IUs daily. No that's no where near a toxic level. Harvard thinks 50K might be somewhat toxic, but it's not clear.