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Your increased fatigue and sleepiness could be one of many different things ...
I do think that you would benefit from healthier habits ..less beer / healthy diet / exercise...
Get a check up I recommend and discuss symptoms with your doctor ...
A physical may be revealing and supporting blood work may include screening for mononucleosis / thyroid function / check for iron deficiency / anemia ...etc ...,
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Thank you and Best Regards,
Anthony Bray MD
No I really doubt anything that serious at your age ...
I think that the fatigue may reflect some problem but may be something like mono that clears with time or hypothyroidism which is readily treatable for example
I hope that this is helpful for you
Let me know if you have further questions
That should be checked too -- yes definitely to that ...
Fatty liver changes / alcoholic hepatitis would be potential concerns
You would likely have right upper abdominal pain and nausea up if that were your problem however ..
Yes your liver function tests would be included in a general physical