Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Your hemoglobin is low but it's not low enough to warrant such severe fatigue. You have done a good job of listing your reports. It shows that you have been proactive about this issue and have likely tried improving sleep quality and healthy eating, but to no avail. Vitamin D deficiency is something which is commonly missed in our country. Since you are a 28 year old female with psoriasis (vitamin D deficiency is more common in psoriasis)

Hi. Can I know the medications that you have been taking for psoriasis and any change in the recent medicines ?

Hello, Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399. Thanks.

Need few more details Kindly connect

As your hb and iron is borderline you have to make few mandatory dietary changes that will help a lot trust me

Any history of depression. As some patients with psoriasis can go through a phase of clinical depression

I can definitely help you over this being a general physician You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Your Haemoglobin and blood iron are borderline low. Take maltviron syp 5ml morning and evening for 4 weeks, plenty of fresh green leafy vegetables,  pumpkin, beetroot ,  fruits like pomegranate,  strawberries,  watermelon   figs. Take more proteins as well in your diet. Use jaggery in place of sugar for sweetening. Raised ESR only indicates some chronic health issue. Do you take anti allergy meds regularly for psoriasis? That can cause drowsiness.

Your iron levels are below normal, which can definitely explain your fatigue and tiredness even after getting adequate sleep. This needs to be addressed with appropriate treatment. Your ESR is also elevated, suggesting there might be some ongoing systemic inflammation — possibly related to your psoriasis. Since you’ve mentioned that a lot has changed in the past few months, and you’re experiencing excessive sleepiness and exhaustion, it would be helpful to have a more detailed conversation to understand any underlying stress, emotional changes, or sleep disturbances. That will help us guide the right next steps and make sure you’re feeling energetic and well again

Hi, ESR could be high due to various reasons. One of them could be psoriasis and related flares. The symptoms of tiredness and non-restorative sleep could also be due to vitamin deficiencies or due to psychological stressors. Please connect for detailed analysis and consultation.

Assessment of vitamin d3 b12 t3t4tsh mg crp advisable. Till than Osta polybion 10 ml at night after dinner for 3 weeks

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits and Fiber meal Do connect and consult

Take iron and b12 supplements.

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

As your not feeling fresh after 8 hours sleep and tired all through day might seem like a vitamin B12 and D3 deficiency..as ur other blood pictures are in border line too.. for instance use syrup zincovit 5 mL , two times a day and please consultant about other tests and supplementation and diagnosis

Hello kindly do vit b12 and vit d Kindly take zincovit tablet once daily after breakfast for 1month