I cannot express how deep and debilitating it can be. I'm wondering if it started now because I finally stopped the frantic pace I was on? In a survey of patients, approximately 12% indicated their fatigue was so significant they would rather be dead than fatigued. That's exactly how I felt last week! Some patients will show symptoms of depression, but it is related more to a lack of energy than true depression. Some have described this fatigue as a heavy feeling, like "moving though mud." While there are no medical tests that can diagnosis this fatigue, it is probably related to the body using all of its spare energy to repair itself from the chemotherapy. Theoretically, therapies that increase energy (exercise) or the "flow" of energy (exercise, acupuncture, specific supplements) might be beneficial.
I have this picture of "Fatigue" in my mind. He's similar to the "Hungry" character on the Weight Watchers commercial (the orange fuzzy guy). Only "Fatigue" is camouflaged because that little bastard seems to hide everywhere and get you when you least expect it! He sure has had my number recently. I used to be able to outrun him but he's either gotten faster or I've really slowed down!