B-12, testosterone and around 20 other meds. Its getting old and tired of being tired all the time I also work out at the gym 3 times a week to try to gain some energy helps for a few hours but them tired again. Life get's a bit boring when you seldom leave the house because you pooped. Hello I feel quite empathetic as I work with several patients that share your situation. The fact that you're viral load is so high is probably contributing to the problem.
Some antidepressants have a sedative effect while others tend to have a slightly stimulating effect.
Review this with your physician. It sounds like you are quite well informed and may have looked at these issues, but it's worth a try if you haven't. Please let me know if you find any helpful solutions that might benefit other patients. I wish I could be more helpful. Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material.