How much meat are you eating. Red meat. Are you getting at least 2 servings of red meat each day? Fish does not have nearly as much Iron in it in an absorbable form.
I have had serious fatigue before and the result was Iron deficient Anemia.
Also when recently I was diagnosed with an underactive Thyroid I had been feeling exceptionally tired, not sleeping normally, and had leg and joint pain almost as if I had the flu. Once I began taking Iodine/Kelp suppliments my symptoms practically disappeared.
All that said - DO get yourself to a Dr as soon as you can work out the insurance things. Good Luck. Get well.
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"Always learn the rules so that you can break them properly." Dalai Lama
My Karma just ran over your Dogma.
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