Failed treatment four times, very sorry! Two failures for me.
I suspect the lethargy is because of the virus, it is a symptom of hcv.
When fibrosis has advanced to cirrhosis, there are other signs.
What was your liver biopsy or fibroscan results, and when?

Advancement of disease has slowed for me when I halted all alcohol began changing my diet to protect my liver eight years ago.
So far as sleep, sometimes I can sleep18 hours but not in one stretch. I'm ok for eight hours then ready for a nap. Sometimes I can go without a nap, other times I need a whole day of sleep.

Also, the virus is destructive to other organs. Is your thyroid normal?

I think its the fatigue that gets me the most, my sleeping patterns are all screwed up. first symptom I really noticed, I try to get everything done by one in the afternoon starting at nine am, I'm an old man too but ive been fighting hep c and cirrhosis for years. In the AM I get some berry juice in me with B-12. coffee. . changed my whole diet, have to eat foods more easily digestible.so the liver doesn't have to work so hard. why you still screwing around with Hep C. I had two failed treatments in the late 90s. but now the new stuff, gone in 12 weeks with just a pill...?? anyway that's how I fight fatigue plus I have a small dog that wont let me rest.. you basically have to be willing to change a lot of your lifestyle to make it easier on the liver to digest. my food is more liquefied or leaning that way. good luck and hang in,

Fatigue associated with liver disease is the worst....I found that eating a well balanced diet and forcing myself to walk a lot helped with the fatigue...

I always suggest that people with liver disease focus on getting in the best possible physical condition as possible while they can , being in good shape will get you through the rough patches associated with liver disease.....also, it will go along way in how fast that you recover if you were to have a liver transplant....

Take care.

Vivian

So, what kind of diet do you guys suggest? Dr always tells me there really isn't any diet that will help liver get better. I have never been a really heavy drinker. Partied in my youth but not a case of beer a day guy. My liver biopsy a couple of years ago showed I was at the start of stage 4 cirrhosis. For me I can get 8-10 hours sleep a night and about 3-4 PM I'm almost sick and feel wired if I don't get a nap in. As for the Hep C I have been clear at the end of the last 2 treatments but it always comes back at the 3 month after treatment check. If any of you are thinking about it the 1 pill a day treatment was a piece of cake, very little side affects. Unlike the first 2.

Thank You all for you're input, I'll try being more active but getting started doing something is the hard part.

Do you have cirrhosis or is your fatigue from Hep C?

Fatigue related to cirrhosis is tough....you have to change your lifestyle...if you are one that is obsessive about a clean house for example, you will have to learn how to pace yourself....rest a lot, perhaps go to bed earlier, sleep longer.

I would suggest a low fat, low carb , low sodium diet.....lots of protein unless it has been restricted....fresh or frozen fruits and vegetables as opposed to canned.

Get in the best physical shape as you can, believe it or not , exercise will help with the fatigue....if your disease progresses, if you are in good shape going into liver failure (I sincerely hope that this never happens to you) it will be much better on you..

So, I would suggest a good , healthy diet as mentioned above....try to maintain as much muscle mass as possible with exercise and lots of protein, rest when tired...

Take care of yourself..

Vivian