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your blood tests don't point to any conditions which would cause your symptoms.
at your age, declines of estrogen levels can cause fatigue and muscle aches and pains and hot flashes and headaches.
swelling can be from too much salt intake or fluid retention or new weakness of your heart causing edema or liver or kidney weakness.
but liver and kidney should have been tested with blood testing with liver enzymes and BUN and creatinine levels.
and your AST of 41 is not worrisome
are you after your menopause?