Why do I feel lethargic and tired?

Hi,

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I have read your message. From the report (attachment removed to protect patient identity), I suggest the following. You have uncontrolled diabetes. At the age of 30, it is likely to be type 1 diabetes, and you need to start an Insulin injection. Meet a local diabetes specialist for insulin control. A brief period of admission to a hospital is advisable. Your lipid profile is grossly deranged. I suggest you a combination of Atorvastatin and Fenofibrate (Atocor-F). It would help if you started with daily exercise along with low fat and low carbohydrate diet as soon as possible. Your vitamin D is very low. I suggest a Calcirol sachet once a week for six weeks with Shelcal (Vitamin D3) 500 twice a day. Your hemoglobin is high. Ideally, it should be a maximum of 16. Make sure that you are always well hydrated. Your vitamin B levels are borderline normal. Becosule-Z once daily will help you with vitamin B deficiency. Please consult your doctor, discuss with them, and take medicine with consent. I suggest you get echocardiography, CV Doppler (Cerebrovascular Doppler), abdomen ultrasound, and blood pressure. Get the above tests done and report to me.