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Excessive fatigue can be due to the hypothyroidism. Serum TSH level should be checked. Iron deficiency is another common possibility --possible even without frank anemia. Serum ferritin level should be checked. Iron overload state is also possible, which can be checked with serum ferritin level. Adrenal insufficiency is another possibility. Serum cortisol level at 8 Am should be checked. Also are you male or female? In case of male, serum testosterone level should be checked for its deficiency with aging. In case of female, menopause can be an issue here as well. Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star on top).Please bookmark my profile for fast, reliable authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/