It's a hard thing to deal with. It's much easier to give out suggestions on how to cope than it is to deal with it directly.

Just recently I had an annual physical exam with a blood and urine screening. Everything was fine, except that my red blood cell count was just a little bit low. Just below the borderline between normal and low. But I have been having fatigue a little bit. I was told to increase iron; such as dark green vegies and red meat as an example. I try not to eat red meat.

And having depression to go along with this. But I find that I push myself to do what I should do. I can be very busy at work and have great energy, but I really get tired when there's a break in the action. Before I either workout or go bike riding (which I do everyday after work), I take a "cat nap". It does help me a lot and I feel better when the exercising is over. After the nap I feel groggy, but I can pick myself up by preparing for dinner before exercising. Also, I take a vitamin B tablet before the workout.

Sometimes I feel that depression and fatigue (even though they go together) can be dealt differently by me. I don't know which of the two by itself is the worst. And what works well for me may not work well for someone else. Exercising and being distracted helps with my depression, though it does not make it completely go away. Fatigue can be dealt with by me with light exercising and a little more rest.