Sorry to hear you are tired all of the time. I had something like that too. I was 65 when I got MG and that was one of my symptoms. My doctor thought possibly the tiredness was depression, and before the diagnosis of MG had been urging me to start medication for that. When I tested positive for MG, then we had a real diagnosis to treat.
Before I was diagnosed with MG, I got tested for sleep apnea trying to find out why I was so weak and tired, and found I wasn't really sleeping at night, and started one of those CPAP machines. That helped a great deal.

As I was on prednisone and that can cause osteoporosis, I was tested after 6 months on prednisone and found to have it too, possibly prednisone related thought the doctor.

Further testing for possible other causes of osteoporosis found that I have primary hypogonadism (my testes were not functioning to produce testosterone) and I was very low, another cause.

I had attributed most of my problems to MG, and so hadn't really noticed low testosterone problems.

I started testosterone replacement therapy, and within a month started to feel ambitious, energetic and my tiredness mostly went away. So now, 5 years later, I am still on that, in remission from MG, and doing OK.

In July of 2018, after a test that showed moderately high testosterone levels, my endocrinologist suggested we try stopping testosterone replacement to see if without it my tests would be normal. A month later the tests were back in the extremely low level. I had lost my ambition, was tired all of the time, and felt depressed. So we started up again in August and brought the levels to the low edge of normal and it brought back ambition and energy again.

So I tell all older men, have your testosterone level checked and make sure you don't have that problem.

Oddly enough, when I started testosterone was when I had been unsuccessfully tapering prednisone. Probably coincidentally, the next taper effort was successful and I found myself in MG remission and remain that way 5 years later.
Generally endocrinologists are reluctant to start testosterone replacement, unless, like me, you test very low and it is primary. Secondary means the testes are able to produce more but not being told to do it by the hypothalmus . Primary means they can't.

Good Luck,
Russ

Thanks will have to look in to that

Thanks Russ I am going to look into the info you provided.

I've learned acid reflux and low stomach acidity can be underlying issues as well. I try to plopp up my pillows and sleep at an incline to help with it and change the position i sleep periodically.

I find if I’m tired I take a slow walk. Releases endorphins and gives me more energy. Even if it’s a short walk.

Good afternoon
After reading your comment on MG and feeling very tired I have been feeling this way for over 12 Months I have only just been diagnosed with Myasthenia gravis (MG) I'm tired all day long till it's bed time I never have any let off from it .
I also suffer from dizziness again this can last all day it's pulling me down doctors tell me to rest and sleep but I have to work so not easy .
How are you copping have you been sorted out .

I still have to deal with tiredness thing day to day for me it seems if I stay busy I don't get as tired but in the evening it sometimes almost impossible to watch TV I fall asleep at the beginning of the show and I wake up at the end of the show it's been getting better I think a lot has to do with just being inside the house so much I don't have to work I'm retired so I have a lot of free time but by staying busy and occupied myself physically it seems to help as far as the dizziness you might want to check with a eye ear doctor your equilibrium seems to be off you could have some form of vertigo that'll make dizzy

In 2016 I was hospitalized because blurred vision and all I wanted to do was to keep my eyes closed. Leaving them open caused me to feel sleepy and I had light sensitivity. After a couple of days, doctors believed that I had status migrainosous.

These symptoms stayed with me intermittently until 2019 when I was diagnosed with MG.

Today I am on LTD, I struggle with fatigue and muscle weakness. I measure my days not in energy but time. My muscles are always weak so I need to gauge day by day, how much time I can give to a particular activity before my body needs to go to sleep in which case I take a 2hr nap.