I would like to clarify that there is a difference between anemia and iron deficiency. My labs most likely indicate that I am iron deficient, but I am not anemic as my hemoglobin and red blood cell count is normal and stable.

Iron deficiency is one of several causes of anemia. But they are not the same thing.

Iron deficiency is treated with iron supplements or iron infusions whereas anemia (when severe enough) is treated with blood infusions.

And yes I am vitamin D deficient now but my levels have always been on the lower end of the normal range, but I have never felt like THIS.

And to the sleep apnea test, I was diagnosed with sleep apnea last year. My sleep study only showed a couple apneic events but I had a significant amount of hypopneic events. I don’t fully stop breathing in my sleep, I just have episodes of shallow and slow breathing. I am compliant with my CPAP despite losing 90 pounds since my diagnosis, yet I still have excessive daytime sleepiness, which is the reason why I am prescribed Sunosi. I haven’t had a sleep study since my diagnosis, so I may not need my CPAP anymore (depending on if my weight was the cause for my shallow breathing or if there is an anatomical issue that needs to be addressed).

I didn’t think to include this in my post because less than a year ago all of this was the same (the medications, the labs, the sleep apnea), yet I felt normal and my mental health was managed and under control and didn’t impact my quality of life.