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Could my fatigue be more than just stress?

Some common symptoms like fatigue may be caused by more serious problems such as underactive thyroid. Early on underactive thyroid (hypothyroidism) can cause a person to feel chronically tired and sensitive to cold. Later, one might notice headache and weight gain even though appetite actually decreases. Other common symptoms include depressed mood, sleep apnea and dry skin. Women may notice heavy periods as well. If you are noticing a combination of these feelings, have them checked out with your primary care physician.