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Tiredness, sleep issues
I am experiencing tiredness, sleep issues since few years. I tried exercising, gym but not gaining muscles and make more tired. My testosterone level was 324 ng/dl when I did the last annual checkup. Could that be an issue?
Its effecting my work and day to day routine. Have difficulty concentrating while driving etc.
Tried prozac, multivitamins etc on prescription but didnt help.
Answers (23)
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Thank you for sharing your concerns. Your symptoms—tiredness, sleep disturbances, difficulty in muscle gain, and lack of concentration—may be linked to low testosterone levels, chronic stress, or other underlying metabolic or hormonal imbalances.
Your testosterone level of 324 ng/dL is on the lower side of the normal range, which could contribute to fatigue, poor muscle growth, and cognitive issues. However, other factors such as thyroid dysfunction, vitamin deficiencies (especially B12 & D), anemia, or adrenal fatigue should also be ruled out.
Since Prozac and multivitamins have not helped, a detailed hormonal and metabolic evaluation is needed to determine the exact cause. I recommend scheduling a consultation for proper assessment and personalized treatment. You can also reach me via WhatsApp at eight zero zero nine eight two one three three two to discuss further.
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Get your routine investigations done CBC, LFT, RFT, Vitamin b12 and Vitamin D3. Also get a psychiatrist in opinion done. We can discuss that in detail later.
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Assessment of vitamin d 3 b12 advisable
Tab neurokind Od as oral
INJ neurobion forte one on alternate day INTRAMUSCULAR in GLUTEAL region one in alternative day for five injection.
Followed by oral for management.
UpriseD 60 k once a week for eight weeks followed by one per month for six months.
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Your testosterone levels were towards the lower limit of normal range. But you need to do a full blood profile first then after thorough examination we can come to the conclusion.
Next Steps
full blood profile and consult
Health Tips
try to be consistent in physical activities.. don't overdo gym or weight lifting.. also add yoga and meditation
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Your symptoms could be linked to having a lower-than-ideal testosterone level for your age.
Although 324 ng/dL is above the general 300 ng/dL cutoff, research shows that young men often have levels in the 400–575 ng/dL range.
This relative deficiency might contribute to your fatigue, sleep problems, and difficulty gaining muscle.
A more comprehensive evaluation—including repeat tests of free testosterone and metabolic profiles might help clarify the situation and guide appropriate treatment.
Consult with me or Endocrinologist for further evaluation.
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maybe due to anxiety or deficiency of essential nutrients or otherwise
Next Steps
consultation is advisable for detailed discussion
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Hello, your levels are normal but towards the lower range. Any other symptoms u face? Have u even tested yourself for Vit. B12, D n calcium levels too? Any stress of any sort?
Next Steps
For how many months were u on Tab. Prozac n multivitamins too? Hope u haven't stopped exercising too? They do help but do perform some simple exercises atleast for 20-30 mins.
Health Tips
For sleep issues u need to take some magnesium supplements for atleast 2-3 months. Kindly do connect n shall assist you further.
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If your thyroid Function, Your Vitamin levels and Hormone status is ok. Then concentrate on regulating your sleep patter. and work on your emotional health. Start sleeping early. Avoid screens after 8 pm. Add Pranayam and Yoga in Morning.
Next Steps
Connect for Detailed Evaluation
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Kindly connect
Will help you
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Connect
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Sanjay Dudhavade
General Physician
6 yrs exp
Pune
Normal range for testosterone is 300-1000.
Next Steps
you can start neurobion tablet daily for two time.
can take aptivate syp daily for two times.
Health Tips
can check other investigation also.
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Dr. Saurabh Tiwari
Neuropsychiatrist
6 yrs exp
Lucknow
Kindly connect
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please consult for proper evaluation
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Deepak Gupta
General Physician
23 yrs exp
Delhi
You need a proper medical checkup and after check up Dr will tell you what tests to be done according to you so you must consult a good general physician or medinice specialist. And just one message it will not be able to treat your concern.
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Dr. Danish Qureshi
General Physician
15 yrs exp
Jaipur
Consult a doctor for physical consultation
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Multivitamins
Next Steps
Consultation
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
Will help you
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