Take supplements of vit d , vit b12. Please share detailed medical history. then I can guide you further to heal. Take more of whole grains,  milk and milk products,  nuts, berries,  eggs, mushrooms,  fortified cereals.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

Looking at your results together, the most likely contributors to your persistent fatigue and low energy are: (1) Vitamin D insufficiency at 28.81 ng/mL — levels below 30 are well-known to cause fatigue, muscle tiredness, and low mood; (2) Vitamin B12 at 273 pg/mL — while technically within range, this low-normal level can cause functional deficiency with reduced stamina and drive, especially in a young male; and most importantly (3) HbA1c of 5.8%, which places you in the prediabetes range — insulin resistance at this stage directly reduces cellular energy efficiency and commonly presents as persistent fatigue, brain fog, and libido reduction. Your post-meal palpitations are likely reactive hypoglycemia — a blood sugar dip 1-2 hours after eating that is very typical of early prediabetes. Your testosterone at 488 ng/dL is normal, so that is not the primary cause. The slightly elevated globulin should be monitored but is not urgent. The good news is that with the right steps, prediabetes is completely reversible at your age.

Yes,you need treatment for these deficiencies of vitamins.now not required, you do almost all test.if symptoms persists after taking supplements of vitamins ,then further evaluation needed.

Hi Yes you need treatment for vitamin d deficiency Vitamin D 60000 K Units weekly once for 8 weeks Tab MVT 1-0-0 Furthermore details are required before diagnosing the cause of low energy fatigue and reduced libido Personalised assessment is helpful

Need a few more details please consult for further evaluation and treatment

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Its stress

Yes low level of vit d and b can be reason of your fatigue. U can take supplements like neurobion forte and vit d3 60k iu capsule. As your LDL is not dangerously high start making small changes like walk in morning, avoid oily food especially street food as they reuse oil which is harmful.