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You don't have to be overweight to have sleep apnea. Diagnosis now can be made in the comfort of your own bed with home devices that can detect apnea and low oxygen levels at night.
Treatment may be as easy as sleeping on your side or may require an oral appliance that can be made by a dentist or a CPAP machine. The oral appliance pushes your lower jaw slightly forward and that opens your airway for improved breathing. Seek out a dentist who has experience constructing these mouth appliances if at all possible.Those patients who have jaw involvement from their arthritis or TMJ may want to avoid this treatment. CPAP machines consist of spurts of air through your nose or mouth. Ask your doctor about being screened for sleep apnea if you have fatigue associated with the above symptoms or are significantly overweight.View Thread






Many patients with chronic conditions such as RA develop depression. Sometimes this is temporary and sometimes it may last a while and require therapy with a mental health professional or medications. Treating this condtion with therapy or medications may help fatigue. Some antidepressants which may have a slight edge in helping fatigue include wellbutrin and prozac. There may be better antidepressants for you so check with your physician or a psychiatrist if you feel you might have depression to determine what type of treatment would be indicated.View Thread


Do you experience lethargy/ fatigue in the afternoon within in hour or two of lunch.
I find it is not uncommon after lunch to feel afternoon lethargy. Consider drinking a glass of green tea or enjoying a cup of coffee before lunch. Try to avoid a very heavy lunch and if you are having pasta, choosing marianara over cream sauces might give you some extra pep in the afternoon.Consider a ten minute walk before you go back to work after lunch.View Thread
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