Hi, in my opinion you need a systematic physical examination and blood tests to rule out a physical cause for this issue. I will need more detailed history to look at possible physical causes including hypothyroidism,
vitamin deficiencies, anemia, drug induced,
liver related or
diabetes etc. If none of the physical causes are found, then we could look at possibility of psychosomatic or depressive disorders.
Next Steps
Consult a psychiatrist
Health Tips
Avoid alcohol, smoking and try regular physical exercise.