My wife 33 yrs old, gets tired/exhausted very easily. Apart from that, she suffers from pain in the legs, head ache and back pain too very frequently. Her weight has increased sharply in last couple of years. She has been diagnosed with low vitamin d and tsh value at 6. 1 are these related? what else could be the reason for these problems and how can we resolve them?

Hi thanks for your query and welcome to lybrate. She is young with multiple issues. She needs to get in an active lifestyle. - regular physical therapy initially in supervision of a physiotherapist - brisk walks for 2-3 km/day in morning - adequate supplementation for calcium and vitamin d - get her cbc, esr, crp and serum electrolyte levels to see whether there is any deficiency, it can be supplemented - thyroid status should be in check and I ask for consultation with a general physician for it. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena 

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