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Potential contributors to fatigue in patients with advanced cancer

Potential contributors to fatigue in patients with advanced cancer
Anemia
Autonomic dysfunction
Cancer-related symptoms including pain, psychological symptoms (anxiety, depression), dyspnea, nausea, anorexia/cachexia, and insomnia
Cancer treatment-related (cytotoxic therapy, radiotherapy, bioimmunotherapy)
Comorbidities (renal, hepatic, cardiac)
Deconditioning
Dehydration
Hypoxia
Infection
Mood disorders
Neuroendocrine alterations (eg, testosterone deficiency in advanced cancer, hypothyroidism due to immunotherapy)
Polypharmacy
Tumor byproducts, inflammatory cytokines
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