Dear XXXXXXX

Thanks for the query.

I understand your concern and I shall try to provide you with good and useful suggestions related to your query.

Low energy levels and feeling of 'not fresh' may be associated with lack of proper sleep and few other medical disorders such as thyroid dysfunctions; anemia; chronic infections such as tuberculosis; diabetes and depression.

Hence I suggest you:

1. Consider the amount and quality of sleep you have each and every day.
2. Get the following test done - thyroid function test, complete blood count, erythrocyte sedimentation rate, blood sugar and so on to rule out common medical ailment.
Your local physician can help you stream line these test.
3. If all the tests are normal, consulting a psychiatrist is advisable.

I would suggest you to undergo testing.

I hope my suggestions are helpful to you. Let me know if you have any further queries.

With regards

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