Hi, this is my first time using this service so go gently on me lol. I have an under active thyroid diagnosed many years ago and I could hardly walk it was so bad. This was treated with thyroxine and I got better to a point. I started feeling really tired and started falling asleep at my desk at work. I had to leave a job I loved because I simply couldn't stay awake. I moved out of town and got a cottage in a bit of a remote corner. I took up jogging but this died away due to the fatigue coming back. I also suffer from manic depression and chronic pain from a problem with my pelvis. After my 2 fantastic kids were born, depression set in and I was shattered all the time. Even when I lifted out of depression, I still could hardly do anything. I feel that I have been knocked down with fatigue for about 20 years or so. I have had improvements along the way which gave me the will to live. My main symptoms are extreme tiredness, aching body, depression, frustration, constipation and a general feeling of ill health. Should I approach the doctor?