
Originally Posted by
MuscleInk
I usually prefer clindamycin or bactrim. I get good responses in most patients, although clinda can be harsh for some, especially on their digestive tracts causing diarrhea, constipation, and dyspepsia as the primary symptoms. Many prefer cephalexin because its a broad spectrum. I've prescribed it a few times but again, it's not one of my preferred drugs, especially for more active people due to the dehydration properties and risk of soft tissue trauma.
For the lethargy, I usually increase my B12 for a short period - anywhere from 5000-10,000 mcg per day. It's a lot, but for short durations is fine. In addition, hydration, hydration, hydration. Sounds pretty simple but it has made a difference for me and those that followed the recommendation. Try to take a few days off to rest. I know its difficult (I'm off for 3 weeks due to a bleeding event) but sometimes the rest is really what the body needs to recover and you will feel stronger for it. I've heard others suggest an increase in NO supplements, although I see no rationale or benefit as far as reducing fatigue.