Fatigue tips

I had a flare up over christmas which has been put back into remission by a course of methylprednisolone which I am still taking. I have also recently stopped taking salofalk and begun taking 150mg of azathioprine per day. A colonoscopy last week showed that inflammation had affected my entire colon but looked to be responding well to treatment and is currently in remission. A blood test also showed that I do not have anemia.

However I am still feeling very fatigued on a daily basis. I am having to have a lengthy sleep every evening on getting in from work just to get me through until the night. I am sleeping all night as well. Does anyone have anu experience of fatigue after a flare up and even while it is in remission? I really want to be able to go to the gym again as I have not been able to be active for months- fed up of low energy stopping me from doing anything!

Yes, very much so on both accounts. Prednisone can cause fatigue as well. Its also possible you are low on B12. That can cause fatigue too.

We're prone to B-12 (folate) deficiencies and iron deficiencies as UC patients. Folate-deficiencies do cause fatigue, just as much as iron deficiencies do. We can be genetically-predisposed to have low folate absorption from our food. We can be real selective in what we eat and might have low folate levels as a consequence thereof. Not sure what you're eating, but meat, fish, dairy, broccoli, brussels sprouts, asparagus, peas, chickpeas and brown rice are all good sources of folate. Always prefer natural sources over supplements whenever possible.

/www.nhs.uk/conditions/vitamin-b12-or-folate-deficiency-anaemia/causes/