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Can my HCP test explain weight loss and fatigue?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I've been feeling really tired and low on energy lately, and I’ve also lost a few pounds without trying. I recently had an HCP test done. Could you take a look and help me understand what it means? Please help.

Thank you.

Answered by Dr. Saumya Mittal

Education:

MBBS

Professional Bio:

Dr. Saumya Mittal is a Family Physician with specialization in Diabetology and Internal Medicine. He is also trained in the management of diabetes and Vitamin D deficiency. His expertise includes managing diabetes, metabolic disorders, chronic diseases, and complex medical conditions with a strong focus on preventive healthcare. Dedicated to patient well-being, he combines evidence-based medicine with a personalized approach to improve long-term health outcomes.

Additional Credentials

  • Certified in Management of Diabetes

  • Diploma in Vitamin D Deficiency and Treatment

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have read your message.

Based on your test results (attachment removed to protect patient identity), here are my suggestions:

  1. Diabetes: Your blood sugar levels indicate uncontrolled diabetes. At your age (30), this is most likely type 1 diabetes, and you will need to start insulin injections right away. Please consult a local diabetes specialist as soon as possible. A short stay in the hospital may be helpful to safely begin insulin therapy and stabilize your condition.
  2. Cholesterol and Lipids: Your lipid profile is significantly abnormal. I recommend starting a combination medication such as Atorvastatin with Fenofibrate (Atocor-F) to manage your cholesterol levels.
  3. Lifestyle changes: It's important to begin daily physical activity and follow a low-fat, low-carbohydrate diet immediately. These changes will support better blood sugar and cholesterol control.
  4. Vitamin D Deficiency: Your vitamin D levels are very low. I suggest taking one Calcirol sachet (vitamin D3) once a week for 6 weeks, along with Shelcal 500 mg (calcium + vitamin D) twice a day.
  5. Hemoglobin: Your hemoglobin is higher than normal (ideal max is 16 g/dL). This may be due to dehydration. Make sure you're drinking plenty of fluids throughout the day.
  6. Vitamin B levels: Your vitamin B12 is borderline low. You can start Becosule-Z, one capsule daily, to help support your energy levels and overall health.

Further tests recommended: I also recommend the following additional tests:

  • Echocardiography (to assess heart function).
  • Cerebrovascular Doppler (CV Doppler).
  • Abdominal ultrasound.
  • Blood pressure monitoring.

Please consult your doctor to review these suggestions, discuss treatment options, and start the medications only with their guidance and approval.

I hope this helps.

Kindly revert back with the reports.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At July 7, 2018
Reviewed At July 25, 2025

Education:

MBBS

Professional Bio:

Dr. Saumya Mittal is a Family Physician with specialization in Diabetology and Internal Medicine. He is also trained in the management of diabetes and Vitamin D deficiency. His expertise includes managing diabetes, metabolic disorders, chronic diseases, and complex medical conditions with a strong focus on preventive healthcare. Dedicated to patient well-being, he combines evidence-based medicine with a personalized approach to improve long-term health outcomes.

Additional Credentials

  • Certified in Management of Diabetes

  • Diploma in Vitamin D Deficiency and Treatment

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Decision Helper
Unexplained Weight Loss and Fatigue Decision Helper

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Answer a few questions to explore potential reasons for your unexplained weight loss and fatigue. This tool helps you decide if a doctor's visit is needed.

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Education:

MBBS

Professional Bio:

Dr. Saumya Mittal is a Family Physician with specialization in Diabetology and Internal Medicine. He is also trained in the management of diabetes and Vitamin D deficiency. His expertise includes managing diabetes, metabolic disorders, chronic diseases, and complex medical conditions with a strong focus on preventive healthcare. Dedicated to patient well-being, he combines evidence-based medicine with a personalized approach to improve long-term health outcomes.

Additional Credentials

  • Certified in Management of Diabetes

  • Diploma in Vitamin D Deficiency and Treatment

This doctor is not available for online consultations on the platform anymore.

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