instruction: hello doctor I am facing constant tiredness fatigue lack of energy and weakness I had left the non vegetarian diet for a year or two but now I am consuming it I have recently treated for allergies and had a phase of amoebiasis I had to consume outside food for about two months recently due to relocation please suggest something I have done a urine and blood test yesterday there was a lot of over exertion due to relocation for the past two months
output: hello I have seen your reports your urine and blood report are normal except for the presence of ketone bodies in urine which is usually absent in urine the reason for that usually are diabetes ketoacidosis starvation ketoacidosis etc check your random blood sugar level to rule out diabetes the increased metabolic activity also can also lead to the appearance of ketone bodies in urine so check hyperthyearoidism also by serum ash thyearoid stimulation hormone estimation which also can lead to weakness for weakness anemia and liver doses has been ruled out here through reports check for serum urea and creatinine to rule out kidney disease if you are drinking alcohol then provide history about that and finally you can check serum sodium potassium and calcium levels as well if all these are normal then over exertion due to the relocation can be the possibility for your tiredness for amoebiasis get treated by metronidazole I hope this helps