Hi Vicki,

I can relate to your being so tired. I went back to work part-time last December and then full-time this June. I, too, was always exhausted and attributed it to the effects of treatments. However, when I found myself falling asleep while sitting at my computer at work, or at the xerox machine making copies I figured there was something more going on. What really scared me was when I started falling asleep while driving! This scared the hell out of me. I sleep an average of about 6 hours a night so I felt it wasn't from a real lack of sleep. Anyway, when I had my last checkup with my oncologist he mentioned that my WBC was still a little low but not alarming so. He also said no problem with my thyroid. I mentioned my falling asleep (especially at the wheel) and he has prescribed Provigil which I take each morning. Provigil is usually prescribed to people with narcolepsy. I must say it's done the trick for me and the nice thing about this medication (for me, anyway) is I still get tired but no longer the looming threat of actually falling asleep on my feet (or driving). Also, it still allows me to nap when I'm tired so it doesn't keep me awake at nights. Sorry I can't respond to your question about the fatty liver.

Please let us know how you make out on the 23rd. Prayers coming your way for good results.

Hugs, Nancy