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Lost weight. Diagnosed with sleep apnea. Have arthritis. Take HRT. Suggestions?

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Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
My grandfather died at 46 from a heartattack, and my father had is first one at 48 and after open heart surgery x 2 her went on to live to 78 although the last couple of years he was on oxygen for a lot of the each 24 hr period.

I am 60 and in the last couple of years feel I have aged about 10 years. In the last 12 months I have lost 10kg going from 78kg to 68kg I am about 5ft 2inches. For the last 12 motnhs I have been attending a womens circuit gym a minimum of 3 times per week. Added to this I have been diagnosed with sleep apnea, which my doctor seems to think is the cause of my limited energy/tiredness. I do now have this under control with an especially made mouth devise I wear at night.
My concern is that even with all this I cannot do things in any rush at all. Walking can only be a stroll, gardening, vacuuming, housework and even getting dressed can only be done at a leisurely pace. This is all most annoying as I am used to doing things as quickly as possible and also now debilitating. At the gym I can only go a little bit over going through the motions or I start to yawn, feel very tired and then unwell which requires that I lie down for a period of 10 - 20 mins. All this means I do less physical activity which is not helpful as I do not want to put on weight again and due to my height I would like to loose about another 5 kg.
I am a busy person, I work fulltime for a govt department have 10 staff that I oversee. I do the accounts for my husbands business - but have this all very organised. i have 6 grandchildren aged between 4yr 6mths to 10mths with whom I love to look after and play with.

What would be a way forward from here to be able to get this sorted. I am used to being very active and while I appreciate I can't expect to have the stamina of a 40 year old, I don't want to be limited like an eldery (80ish) person before I have to be.
Posted Fri, 26 Jul 2013 in General Health
Answered by Dr. Jasvinder Singh 1 hour later
Thanks for posting your query.

Constant tiredness and fatigue can be due to anemia, chronic fatigue syndrome, hypothyroidism, disorders of the hypothalamus ,psychiatric disorders like depression and sleep-related breathing disorders. At your age, your blood sugar levels also need to be evaluated as diabetes can often present with tiredness as initial symptom.

First of all get your hemoglobin levels done as if they are low then you may be having liver, lean red meats, beans like kidney, lima, navy, black, pinto, soy beans, and lentils, iron fortified whole grains, green vegetables like spinach, tofu, broccoli, swiss chard, asparagus, parsley, chicken, nuts, egg yolk and dry fruits.

You can also have iron supplements along with these foods after consulting your physician.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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