Brief Answer:
Current diseases you have and related drug treatment...

Detailed Answer:
Hi XXXXXXX

I understand your concern.

Your case:
- 88 years old male
- symptoms: very tired and cannot do anything until afternoon
- current medications: levothyroxine, Lisinopril, methotrexate, folic acid, Lexapro, Flomax, omeprazole, finasteride

From your medical history, I see that there many drugs and conditions you suffer that might cause tiredness in your case:
- levothyroxine has been prescribed to treat hypothyroidism
- methotrexate (can you describe why was it prescribed in your case?)
- Lexapro

So, in your case, I need to know more regarding:
- your actual health problems apart feeling tired?
- monitor blood pressure and blood sugar levels, record the results and sent to me
- what about your blood electrolytes? complete blood count? any other lab test you might have run so far? can you provide the reports?

After a good analysis of all your health problems, we can identify why you feel tired and try to correct it.

For the moment, I advise to:
- have your meals regularly
- take chamomile tea or valeriana tea or supplement
- breathe fresh air, a bit of jogging or just walking in fresh air can help
- stay well hydrated, drink plenty of plain water

Looking forward to have the requested information in.
Dr.Albana

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