Brief Answer:
Need some information from you sir

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Weakness without fever or any other symptoms does indicate a possible deficiency and I shall guide you into finding the cause for this sir, do not worry.

Another important fact to note here is that your symptoms are only occasional and possibly seasonal, this could also be an important hint. Let me provide you with a list of investigations you will have to get done to find the cause sir. They are:

-Complete blood count
-Serum vitamin D
-Serum vitamin B12
-Thyroid profile
-Serum iron

Please also provide me with the following information sir:
-Do you have any difficulty sleeping?
-Your weight and height
-Any other symptoms like fever, sore throat?
-Do you experience diarrhoea or constipation? If yes, how often?
-Have you faced any emotional trauma or feel sad often?
-Do you feel anxious or nervous often?
-Any history of chronic conditions?
-Have you had any infections when you suffer from this weakness?
-Are you well hydrated? How much water do you drink per day?
-Do these symptoms appear during a particular season?

I look forward to hearing from you to help you further sir. Please do not hesitate to write to me about anything, I am here to help you sir.

Best wishes.

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Brief Answer:
Thank you for the information

Detailed Answer:
Hello once again sir.

Thank you so much for the detailed response it really helps.

Based on the excellent response you have provided, a few possibilities do rise, but they can only be confirmed with the help of those investigations I have suggested in my previous response.

-Your sleep rules out sleep apnea
-Your weight and height are in accordance, so obesity is ruled out
-Other conditions ruled out
-Bowel abnormalities are ruled out
-Depression is a possibility as you have faced emotional trauma and feel sad often; along with anxiety being an option. This might require some counselling, if you choose to address this issue
-Your weakness could also be due to the infection that you had of the gums during this weakness. The body can respond to simple infections quite aggressively when there is a deficiency of nutrients in the body
-Good hydration
-In winter, allergic reactions are less common and also the weather can make some individuals happier than usual. Which could also contribute to lowering depression to a certain extent.

In conclusion, I continue to recommend those investigations and a consultation with a counsellor. I hope you can schedule the same at the earliest. Please also feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.

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