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Christine - Just like to add to Jennifer Fee's response to your question. Because depression and anxiety are so often found together it is very important to be sure that your Dad isn't clinically depressed. The fatigue, feeling down, tired, etc might also suggest depression. In addition to the physical work up that Jennifer suggested you might want to urge your Dad to see a mental health professional to ascertain if clinical depression is in the picture.   Rick Wirtz
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