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Weakness and lose of apititer
Sir,
A 35 year old male has been suffering from loss of appetite, lethargy and unwillingness to work for the past 1 month. His blood report is given below. BP 120/80 mmHg ECG normal. Need advice. Thank you.
Answers (24)
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Further evaluation needed.
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The blood tests show an increase in cholesterol and triglycerides.But it's unlikely related to his symptoms directly.It could be systemic or psychological.Do consult a physician in your area,then a suspecialist if needed
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Seems to be having psychological problems
Consult a psychiatrist in person
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First of all for the above described symptoms its better to rule out thyroid disorder, Anaemia, even evaluate for stress and psychological evaluation of the patient. If the blood test us done without fasting or in the evening post meals triglycerides can be falsely high. Given the cholesterol levels better to give proper personal dietary and family history to assess risk of cardiac condition
Next Steps
get routine blood tests cbc lft kft
avoid oily food smoking alcohol
make lifestyle changes
Health Tips
for cardiac evaluation get Hscrp and if any swelling oedema in legs kindly get 2decho
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Your blood report shows very high triglycerides (478 mg/dL) and high total cholesterol (275 mg/dL). This condition is called severe hypertriglyceridemia, which can cause fatigue and may increase the risk of pancreatitis and heart disease if untreated.
Next Steps
Need to take cbc,ESR,CRP,rft,thyroid profile
Start Tab. Fenofibrate 160 mg once daily after dinner.
Also take Tab. Atorvastatin 10 mg once daily at night to control cholesterol.
Repeat fasting lipid profile and liver function test after 6–8 weeks.
Health Tips
Avoid alcohol, sugary foods, refined carbohydrates, fried food, and excess rice or sweets, as these can significantly increase triglycerides
Follow regular exercise, weight control, and a diet rich in vegetables, fruits, whole grains, and fish, which helps improve lipid levels.
Contact me anytime on practo for further consultation
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1) Blood tests: CBP, ESR, LFT, KFT, TSH, HbA1C, Hepatitis B/C, HIV and Calcium
Chest x ray
2) If still unclear- CT thorax, abdomen and pelvis +/- Gastroscopy
All the best.
www.jgsr-health-education.in
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Please ask your friend to get a Complete health package done from a reputed Laboratory and consult a General Physician with all the reports.
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A 35-year-old male with 1 month of loss of appetite, lethargy, and low motivation to work, with normal BP (120/80 mmHg) and normal ECG, suggests that the symptoms are more likely systemic or metabolic rather than cardiac.
Common possibilities in such cases include:
• Nutritional deficiencies (Vitamin B12, Vitamin D, iron deficiency)
• Thyroid dysfunction (especially hypothyroidism)
• Post-viral fatigue syndrome
• Mild depression or burnout
• Liver or metabolic disturbances
• Poor sleep or stress-related fatigue
Since the symptoms have persisted for about a month, they should not be ignored. The blood report values are important to interpret the exact cause, because many such symptoms are revealed through abnormalities like anemia, thyroid imbalance, or vitamin deficiency.
Next Steps
I recommend the following approach:
1. Review the blood report carefully for:
• Hemoglobin (Hb) – to rule out anemia
• Thyroid profile (TSH)
• Vitamin B12 and Vitamin D
• Liver function tests
• Blood sugar levels
2. Lifestyle evaluation
• Sleep duration and quality
• Work stress or mental burnout
• Recent infections or weight loss
3. If not already done, consider these tests:
• CBC
• TSH
• Vitamin B12
• Vitamin D
• Liver function test
If any deficiency or imbalance is detected, targeted treatment usually improves symptoms significantly within a few weeks.
Health Tips
• Maintain regular meals even if appetite is low (small frequent meals help).
• Include protein-rich foods (eggs, paneer, dal, nuts).
• Ensure 7–8 hours of sleep daily.
• Spend 20–30 minutes in sunlight for Vitamin D.
• Gentle physical activity or walking often improves appetite and energy levels.
• Avoid excessive caffeine and late-night screen exposure.
If you can upload or share the blood report values, I can interpret them precisely and guide you further. An online consultation can also help correlate the lab results with symptoms and start appropriate treatment early.
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Lipid profile highly deranged.
Consult superspecialist like cardiologist/ md physician.
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
ADD WALK40 MIN.
TAB ATEROVAST 40 ONE AT NIGHT AFTER DINNER. 2 MONTHS.
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Cholesterol is high. He should take fat free, sugar free diet, stay away from alcohol, take coffee, tea, in small amounts, do regular physical exercise, stay stress free and repeat test after 12 weeks
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Kindly consult
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Dear patient,
As per the reports lipid and cholesterol levels are high before prescribing medicine i would suggest you to change or modify your lifestyle.
e.g : start doing exercises/ yoga
Avoid oily food
Avoid sugar in diet
Eat more fiber
Health Tips
still if feel it's not working than please feel free to consult.
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Start rosuvas
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Very high cholesterol value. and all lipid profile is deranged. Your body fat is so high , and that's why you feel this kind of symptoms. You need to change your lifestyle modifications and dietary habits strictly. Avoid fat ,street food and oily foods as much as you can.you need to also taking medicine for it ,because of very severe lipid profile. Please consult me on practo for further management and evaluation.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
High triglycerides
Medications to be started
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
I understand your concern. However, giving specific medical advice without a proper evaluation may not be safe or accurate. A brief consultation will allow me to understand your symptoms, medical history, and any reports you may have, so I can guide you properly. Please feel free to consult me here and I’ll be glad to assist you.
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Start tab rosavas f once daily for three months
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need medicine to take for high cholesterol. You need to consult with a general physician
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.