DDx ⬇
- Hypothyroidism
- Anemia
- Depression
- Sleep apnea or insufficient sleep
- Infection, eg, tuberculosis, hepatitis, endocarditis, HIV, Lyme disease
- Diabetes mellitus
- Congestive heart failure, chronic obstructive pulmonary disease, or chronic renal failure
- Cancer
- Alcoholism
- Hypercalcemia
- Drugs, eg, sedatives, beta blockers
- Chronic fatigue syndrome
- Somatoform disorder (eg, somatization)
- Fibromyalgia
- Mononucleosis
- Autoimmune disease
- Adrenal insufficiency
- Iron deficiency even in absence of anemia
Related DDx ⬆