Chroic stress = chronic fatigue?
I think I've come to a recent realization that it seems likely my chronic fatigue without PEM and no signs of anything obviously wrong on my medical examinations could be caused by chronic stress.
It all started 3 years ago or so when a bunch of super stressful stuff happened in my life including the beginning/first noticing hypersomnia from severe sleep apnea, though I didnt know it existed yet and didn't get treatment for it until over a year later after that. It's supposedly well treated as of now. But I still feel exhausted and weak all the damn time, and I tested positive for SIBO (which can be caused by chronic stress) which gave me some mild gasterointestinal issues and worsened fatigue episodes from time to time that last 7 to 14 days. That mostly went away after doing a round of metronidazole antibiotics, but it feels like it's coming back after only 6 months post treatment and I had another bad episode of excessive fatigue recently.
Mentally I am fairing very poorly. My fatigue makes it difficult to work which causes financial stress, makes it hard to socialize and date which causes stress from loneliness and current events make it feel like theres no hope for the future and I have nothing to look forward to and my family has pretty much collapsed and I don't know why the fuck I'm even alive anymore. I don't want to die and I'm so scared of death, but I feel like the universe is forcing me to make a choice: die or suffer immensely and that stress is feeding back on itself and I can't stop ruminating over all of this it's like the only thing I think about anymore and... I don't know how I'm supposed to fucking live like this, I'm beyond lonely and miserable and hopeless and I can't fucking take it anymore I don't want to die, but I need to die, but I don't want to die. Ahhhhhhhh!
So yeah, stressed the fuck out. I don't really have any evidence if this is for sure causing the fatigue, but the factors contributing seem to make sense.