4. Fatigue
In cachexia wasting syndrome, we also have fatigue, which is similar to tiredness but prolonged in time and despite resting appropriately. This is sometimes very intense and causes limitations in the patient’s day-to-day activities. The act of lifting stairs may become a significant source of tiredness as well as bathing or preparing food. Thus, fatigue affects the quality of life of the patient and often contributes to the progression of the disease. It is more common and pronounced in the later stages of the disease but can be found as an early symptom in some patients.