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This is Dr. D.J., experienced Internal Medicine Specialist.
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This is indeed interesting.
Given the normal scans, heart tests, the next possibility can be metabolic or hormonal.
Thyroid gland disorder should be ruled out with serum TSH and free T4 level.
Low testosterone level is another strong possibility at your age.
total and free testosterone level should be checked.
My testosterone level was in the reference range, but on the low end.
ok at your age low end can be significant since no other explanation can be found.
Also are you on any medication for blood pressure?
Yes, I take Irbesartan 300mg once daily.
irbesartan can cause fatigue also as side effect in some cases on long term use.
Also, a prostate check with PSA level should be considered.
I don't have my labs available right now, I will check the other levels that you mentioned as well.
yes you should.
also do you have any anemia or low red cell count?
I will need to reference my labs, but I don't think so. I will check and let you know tomorrow.
ok no problem.
if everything is normal, then testosterone supplement should be considered.
The CT scan did indicate that I had three Cavernous Hemangomas, but my primary care doc didn't seem concerned about that at all.
They were in my liver.
ok --those are usually benign --
should not cause these symptoms
OK, I will check the labs tomorrow and forward.
Thanks and have a goodnight!