I'm trying to figure out who husband should see next about his chronic fatigue. Not every day is bad, but there are weeks where it's all he can do to get through the day without a nap. Here's what we know: He's using a cpap/bipap thingy and to my knowledge is not snoring anymore. He's thinking he needs to go back for another sleep study because he doesn't wake up feeling refreshed. Oh, and he's also taking melatonin to see if that helps him sleep better. Apparently it's not doing much. He also takes a multivitamin and extra B vitamins. He's gained about 60 pounds in the past three years, which I'm sure contributes to the problem. He takes a statin and a cholesterol medication -- not sure if those contribute to fatigue. He takes seizure medications and Paxil, which we know can cause sedation, and although his docs have had him change the dosing schedule to see if that will lessen the sleepiness, it hasn't helped as much as he'd hoped. psychiatrist added a low dose of Nuvigil, and that has helped him with better alertness in the mornings for work. But there are still some days when he feels like he's crashing. He drives 100 miles a day to and from work in heavy traffic, so that's a contributing factor. He's under a lot of stress at work, even though he loves his job, and I'm sure that takes it's toll. And he eats a lot of fast food, which, with all that fat content is not the best thing for feeling alert -- I've advised him to try eating a lower fat, lower carb, higher protein diet, but does he? Nope. He also drinks a LOT of caffeinated diet soda. He's going back in for bloodwork on the lipid medications and to check his glucose next week, and he has a psychiatrist and neuro appointment the week after that. Any ideas on what we should be pushing for? Maybe a CBC... a new sleep study... ???