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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Fatigue Indicate?

hi ,I`m 47 years , male ,,feeling tirdness ,, easly exhausted 1) my Bp , pulse , Respiratory rate : normal 2) B suger , Renal functions ( urea , creatinine ) normal 3) BMI 40 4) sgpt ,, cpk ,, alkaline phosphatase ,, normal 5) SGOT 110 ,, 6) suffering from avascular necrosis hips bilateral ,, & familiar 7) vitamin d is always low despite of oral vit d treatment for 5 months 7) should I perform liver biopsy ,, or what metabolic error could i have
Mon, 23 Oct 2017
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General & Family Physician 's  Response
Fatigue has so many causes. I think you should get a thorough history and physical examination done with some lab work ups- including complete blood count, TSH, fasting blood sugar. These simple us rule out causes like-anemia, hyperthyroidism, and diabetes. These test will definitely help in directing us to the cause of your fatigue. I hope I have answered your question.
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What Does Severe Fatigue Indicate?

Fatigue has so many causes. I think you should get a thorough history and physical examination done with some lab work ups- including complete blood count, TSH, fasting blood sugar. These simple us rule out causes like-anemia, hyperthyroidism, and diabetes. These test will definitely help in directing us to the cause of your fatigue. I hope I have answered your question.