A month of morning exhaustion, neck-shoulder-joint pain, energy crashes and brief palpitations in a 41-year-old woman most often turns out to be one of four things: hypothyroidism, iron-deficiency anaemia (heavy periods are a common cause), vitamin D and B12 deficiency, or early perimenopausal hormonal change - and diabetes must be excluded too. This is not something to keep managing with rest and multivitamins; it needs blood tests, because each of these has a different treatment.

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

CHANGE LIFE STYLE N DIET PLAN DRASTICALLY. ADD WALK. ASSESSMENT OF VITAMIN D3 B12 T3T4TSH MG CRP CBC ESR TAB ETEROCOXIB THYOCHOLCHICIDE TWO TIMES AFTER FOOD FOR FIVE DAYS OR SOS. TRINERGIC L ONE AT NIGHT AFTER DINNER FOR 1 MONTHS

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine.

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

Your symptoms requires evaluation rather than treatment based only on symptoms. Please get CBC, ferritin/iron profile, TSH/free T4, glucose/HbA1c, renal function/electrolytes, calcium, B12, vitamin D, ESR/CRP and an ECG, and share the reports. We can then determine whether the symptoms are due to anemia, thyroid disorder or vitamin deficiency, metabolic issues, inflammation or another cause, while also evaluating the palpitations.

Please share detailed medical history,  get blood sugar,  thyroid function tests,  complete blood count,  serum calcium, vit b12, vit d, tested and share results. Then I can help you to recover.

Better if you visit nearby hospital for evaluation by general physician.

You may be suffering from depression but before we can say so we have to exclude some diseases through lab testing. So do CBC, ESR, Rh factor and then consult me for interpretation and further tests or treatment.

Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

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

Need few more details for further evaluation. Please consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management